SCIENTIFIC PRINCIPLES REFORMING OF MANAGEMENT AND FINANCING OF HEALTH CARE

Abstract

In recent years, Ukraine has undergone significant changes in the field of health care, but the peculiarities of public administration, financing and organization of the health care system in the context of perestroika, priorities of its activities, social justice in access to necessary medical services are not sufficiently substantiated. In the current conditions of health care reform in Ukraine, it is necessary to substantiate the essence and basic principles and mechanisms for improving the management and financing of this area, optimizing the relationship between the public and private sectors. One of the priorities in the restructuring of the health care system is the transfer of power to lower levels of management and funding, as well as the involvement of the private sector in the provision of health services. The most important direction of decentralization of management and financing in the field of security is, first of all, such goals as the efficiency of the system and social justice in obtaining the necessary, medically sound services. Insufficiently substantiated principles and mechanisms for the transfer of authority for management and financing in the field of health care in Ukraine, the development of privatization. The purpose of the article is to substantiate the principles and mechanisms of transfer of authority for management and financing in the field of health care, to clarify the peculiarities of balancing public and private interests. The main goal of health care is to ensure that public policy goals are achieved through the most effective means. This applies, first of all, to the transition from financing the industry on the basis of an itemized budget to contractual relations, in particular with the National Health Service of Ukraine. The transition to a contractual model of activity is that in this case the differences between the public and private sectors in this area are eliminated, as buyers may be quasi-governmental, non-governmental organizations, or corporations managed on a non-profit basis. It is argued that the success of health care restructuring in Ukraine depends to a large extent on the establishment of clear public policy objectives, including efficiency and equity, as well as the improvement of public health. The limits of the transfer of managerial and financial powers to the regional level and the level of local self-government are determined by political considerations, the amount of resources, the availability of appropriate information systems. The transition to a contract model of health care significantly eliminates the differences between the public and private sectors in this area in terms of the provision of medically necessary services.