MULTICHANNEL FINANCING OF PUBLIC HEALTH SERVICES OF UKRAINE IN THE CONTEXT OF THE BRANCH REFORMING

Purpose: Well-being and life quality of the population in Ukraine directly depends on development of public health services system. State financing of public health services in Ukraine is limited nowadays. Insufficient financing of medical sphere and centralization of financial resources does not assist the state budget to raise the efficiency of functioning in this sphere: quality and a choice of medical services remain on a low level. Therefore, hospitals, as public health services, using the state financing means, should involve other sources of financial resources, including: insurance and charitable payments, receipts from paid services. The public health services require radical changes, which should begin first of all from strengthening the branch financing and search of new financial sources. The research objective is a model working out multichannel financings of the public health services system on the basis of using such additional sources as hospital cash desks and voluntary medical insurance, which will provide increase of the resources use efficiency at the initial stage of the obligatory medical insurance introduction. Methods: While working at the present study, we used such methods of research as a retrospective method, an analysis content method, also deductive comprehension, the structurally-logic analysis method, taking into account the systematic principles used. Results: Experience of the medical service organization in the world testifies, that an ideal model of financing public health services is the one, that provides free use of public health services resources and payment for medical service. The most efficient for the improvement of public health services sphere financing, in the majority of the world countries, is considered to be refusal of especially budgetary financing and transition to the model of the obligatory medical insurance and voluntary medical insurance. Considering the experience of the Eastern Europe countries, one can see, that introduction of budgetary-insurance medicine through development of the voluntary medical insurance system and hospital cash desks, with gradual introduction of the obligatory medical insurance, is a prospective direction for improving financing of the public health services system. The system of multichannel financing is a necessary stage in development of the budgetary-insurance model of public health services. At present, in Ukraine there is only a budgetary financing, voluntary medical insurance and hospital cash desks. To solve the main problem of public health services, connected with insufficient financing, we have developed a model of multichannel financing of the public health services system, with active participation of hospital cash desks and voluntary medical insurance. As a means of hospital cash desks, voluntary medical insurance and a means of the obligatory medical insurance for population, the fund of medical insurance should increase. At transition to financing public health services at the expense of the obligatory medical insurance, the quality of health services, at the expense of a competition between medical hospitals, will raise. Discussion: The offered model of multichannel financing of medicine will reduce loading by the budget, will allow to create conditions for satisfaction of the population’s needs in receiving the accessible and qualitative medical service, to reduce shadow medicine, will help to avoid unreasonable expenses, will improve financial conditions of medical workers, and also will create possibilities for changing the economic relations, that is a basis for creating the new, rational mechanism for efficient utilization of the public health services’ resources.