MACROECONOMIC FEATURES OF REFORMING ECONOMIC RELATIONS IN UKRAINIAN’S HEALTHCARE |
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Author |
 Filatov V. M., associate professor, Kharkiv, Nauky, 9-A |
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In heading |
Economic theory; | ||||
Signed print |
27.01.2017 | Issues number |
2017 - № 1 (28) | Page |
63-75 |
Type of articles |
Scientific article | Code UDK |
614.2 | ISSN print |
2411-5584 |
Abstract |
Problem setting. The modern health care system in Ukraine does not meet the needs of society. Although such important macroeconomic indicators as incidence rate, average life expectancy depend not only on the functioning of the health sector, dissatisfaction with his work Express, both patients and practitioners, and industry executives. Reasons for this situation are many, one of them is low pay and underfunding of the sector as a whole, which does not develop properly the material-technical base and improve the organization and methods of treatment. Recent research and publications analysis. Problems of increasing the efficiency of health care are reflected in the works of Akopyan A. S., Boyarintsev B. I., Venediktov D. D., O. I. Vyalkov., Golukhov G. N. etc. It should be noted that the problem of institutional restructuring of the health sector, for improving its effectiveness is relevant for developed countries. Paper objective. Experience shows that to overcome the present crisis by local changes of the individual parameters of the healthcare system is not possible. It is therefore necessary to create a new efficient structure that would meet the modern needs of the society. The funding problems will become important in the formation of new economic relations in the sphere of healthcare. Paper main body. There are four main sources of health financing in world practice: taxes, contributions to social health insurance, contributions to private health insurance and cash payments. Funding system can be progressive or regressive from the viewpoint of implementation the principles of social justice. In most developed countries, direct taxes are progressive and indirect taxes are regressive. Observance of the principles of justice requires conditions in which people with the same income paid to the development of the healthcare the same amount of money (horizontal principle of social justice). In health care financing through the tax system, this principle is implemented using the state-wide tax system. Horizontal principle of social justice in terms of private health insurance is almost not implemented. Cash payments have tended to be regressive and their using violates the horizontal principle of social justice. Conclusions of the research. Reformed healthcare in Ukraine should be based on the principles of compulsory social health insurance. This funding should be carried out from two sources: taxes and contributions for compulsory social health insurance. The first part is funds to health development allocated from the state budget. The second component will shape through contributions for compulsory social health insurance. Contributions should be undertaken with observance of horizontal principle of social justice, that is, proportionally citizens’ income. Short Abstract for an article Abstract. Author identified the four main sources of health financing around the world: taxes, contributions to social health insurance, contributions to private health insurance and cash payments. The article are analyzed the implementation of principle for social justice in the various financing schemes. Author addressed the issue redeployment of funds between different segments of the population in the form of health services. It’s suggested to fund the health care sector from two sources: taxes and contributions for compulsory social health insurance. |
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Keywords |
Healthcare, health insurance funds, taxes, social justice. | ||||
Reviewer |
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External reviewer |
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Article in PDF |
1 63-75 | ||||
Bibliography |
none | ||||
Code DOI |
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14.12.2016