REFORMING THE HEALTHCARE INDUSTRY: THE INTRODUCTION OF COMPULSORY MEDICAL INSURANCE
Journal: LAW AND INNOVATIONS (Vol.1, No. 11)Publication Date: 2015-07-01
Authors : SEMENOVA A.V.;
Page : 102-108
Keywords : health care reform; compulsory social insurance; compulsory state medical insurance; principles; legality; conditions and procedure for insurance; the rule of law; the conditions and procedure for procuring insurance.;
Abstract
Problem setting. Today it is obvious that the current system of medical care in the country get more and more worse every year. Despite the relatively stable level of health care financing, using of the budget funds is un-efficient and non-transparent; as a consequence the field is gradually declining. Administrative and medical functions performed by the same bodies, and as the result, instead of the expected quality health care, citizens get indifferent to their needs monopoly health care system financing and controlling by itself. Analysis of recent research and publications. The following scientists examine present issue: V. Andriyiva, V.M. Andrew, J.A. Arkatov, V.J. Byriak, L.Y. Velichko, M.A. Vihdorchyk, V.V. Vlasenkova, V.P. Halahanov, R.I. Ivanov O.V. Moskalenko, V.S. Nersesyants, S.M. Prylypko, O.H. Rogov, V.D. Roik, S.M. Sinchuk, I.M. Sirota, B.I. Stashko, V.Y. Stetsenko, G.I. Chanyshev, O.M. Yaroshenko and others. Target of research. The purpose of this article to analyze historical and general international legal standards, to conduct comparative legal analysis of national and international acts, to study scientific-theoretical works of domestic and foreign scientists, to establish the legal nature of the relationship of compulsory state health insurance, reveal the contents of the basic laws and ideas that express the essence of this phenomenon, and to formulate appropriate proposals to improve the regulatory support and law enforcement. Article's main body. The article establish the necessity of draft law provision that will determine: the structure of the system of compulsory health insurance; subjects to insurance, their rights and responsibilities; insurers, their rights and responsibilities; types of insurance benefit, the terms of acquisition of rights on them, the procedure; the use of insurance funds; management organization and management procedures of the system of compulsory health insurance. Conclusions and prospects for the development. World experience shows that the effectiveness of the use of funding resources in insurance systems is much higher than within the budget system. It has an impact on the nature of the treatment and quality of patient care. Patients’ interests protected by health-insurance non-budget fund. Thus, the state should provide the guaranteed level of free medical care and its compliance with established state standards. It is proved that due to the absence of proper economic support at both national and regional level, the ratification of international instruments in this field with certain reservations is obviously reasonable. On this basis, the necessity of health insurance in Ukraine is urgent.
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