THE PECULIARITIES OF THE DEVELOPMENT AND IMPLEMENTATION OF HEALTH INSURANCE IN UKRAINE

Authors

  • R.I. Shchur Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018 https://orcid.org/0000-0001-9945-3939
  • I.I. Plets Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018 https://orcid.org/0000-0002-9649-6770
  • V.V. Matskiv Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018 https://orcid.org/0000-0003-3031-7060
  • M.V. Biloshkursky M.V. Pavlo Tychyna Uman State Pedagogical University, Ministry of Education and Science of Ukraine, Department of finance, accounting and economic security Sadova str., 2, Uman, Cherkasy region, 20300 https://orcid.org/0000-0002-2826-3983
  • V.V. Marusiak Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018 https://orcid.org/0000-0001-5190-4884

DOI:

https://doi.org/10.15330/apred.1.17.204-215

Keywords:

insurance, health insurance, medical services market, health care financing

Abstract

The article substantiates the peculiarities of the development and implementation of health insurance in Ukraine. The aim of the article is to solve the problem of insufficient funding in the field of health care, improve the provision of medical services by analyzing global trends and finding the best way to implement national health insurance in Ukraine. In the process of writing the article, methods of observation, analysis, synthesis, comparison and generalization, grouping, statistical comparison were used to study the theoretical and methodological foundations of health insurance development in Ukraine. An abstract-logical method is used for theoretical generalizations and formation of conclusions. The article analyzes the international models of financing the medical sector. It is established that none of the models functions in absolute form and does not perform all the necessary functions and tasks. It is justified that the modern system of health care has its advantages and disadvantages that affect the quality of medical services. An analysis of the market of voluntary health insurance in Ukraine, which is in the process of development, in particular over the past few years, the interest of the population in this area is growing, but still shows a low level of health insurance. The main aspects of the reform of the medical sector, which are quite successful, are described: the system of organization of levels of medical services has been launched. An analysis of health care financing was conducted, which showed non-compliance with the requirements of the Law of Ukraine "On State Financial Guarantees of Medical Care", which lead to insufficient funding and non-receipt by the medical sector of funds provided by this regulation. It is proposed to continue the reform and improve the provision of health services through the introduction of a national health insurance system, which should be based on a hybrid financing approach, which will combine three types of medical financing and cover the entire population in health insurance. For the successful operation of the hybrid model, it is proposed to accumulate the population’s contributions to the National Health Service of Ukraine through the population insurance mechanism under two programs Standard and Increased, which will create a new market for quality medical services.

Author Biographies

R.I. Shchur, Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018

Doctor of Economics, Professor

I.I. Plets, Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018

PhD  in Economics,  Associate Professor

V.V. Matskiv , Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018

PhD  in Economics

M.V. Biloshkursky M.V. , Pavlo Tychyna Uman State Pedagogical University, Ministry of Education and Science of Ukraine, Department of finance, accounting and economic security Sadova str., 2, Uman, Cherkasy region, 20300

PhD  in Economics,  Associate Professor

V.V. Marusiak, Vasyl Stefanyk Precarpathian National University, Ministry of Education and Science of Ukraine, Department of finance, Shevchenko str., 57, Ivano-Frankivsk, 76018

Student

References

1. Kostenko, T.A., Stokolyuk, V.V., and L.O.Zavoloka. “Status and prospects of health insurance in Ukraine, taking into account foreign experience.” A young scientist, no. 5 (2), 2018, pp. 721-725.
2. Prykazyuk, N.V., Berezina, S.B., and M.I. Romanchenko. “Prospects for the introduction of compulsory health insurance on the way to reforming the health care sector of Ukraine.” Scientific Bulletin of the International Humanities University. Series: Economics and Management, no. 21, 2016, pp. 138-142.
3. Savenko, A.E. “Introduction of compulsory social health insurance in Ukraine: current issues and prospects.” Scientific Bulletin of the Academy of Municipal Administration. Series: Economics, no. 11, 2012, pp. 178-188.
4. Trunova, G.A. “Legal aspects of the introduction of social health insurance in Ukraine.” ScienceRise. Juridical Science, no. 1, 2019, pp. 34–39.
5. Chornomaz, O.B. “Problems and prospects of health insurance in Ukraine.” Bulletin of the National University "Lviv Polytechnic". Legal sciences,no. 824, 2015, pp. 131–134.
6. Skull, A.V. “Practical foreign experience of health insurance.” Sustainable economic development, no. 2, 2013, pp. 17–23.
7. Shtepenko, K.P., and T.I.Borisova. “The state of voluntary health insurance in the context of considering the activities of insurance companies.” Efficient economy, 2019, www.economy.nayka.com.ua/pdf/2_2019/45.pdf. Accessed 02 Oct.2020.
8. Kaminska, T.M. “Global models of health care financing.” Bulletin of the National University "Yaroslav the Wise Law Academy of Ukraine", 2012, dspace.nlu.edu.ua/bitstream/123456789/1908/1/Kaminska_284.pdf. Accessed 01 Dec.2020.
9. Law of Ukraine On State Financial Guarantees of Medical Care. Verkhovna Rada of Ukraine, zakon.rada.gov.ua/laws/show/2168-19#Text Accessed 03 Dec.2020.
10. Official site of the National Commission for State Regulation of Financial Services Markets, www.nfp.gov.ua. Accessed 01 Dec.2020.
11. Social Insurance Fund of Ukraine, www.fssu.gov.ua. Accessed 04 Dec.2020.
12. Klapkiv, Yu. M., Svirsky, V.S., and R.I. Shchur. “Analysis of current trends in the insurance segment of the financial market of Ukraine.” Innovative economy, no. 3-4 (87), 2021, pp. 130-139.
13. Borshch, V., Shchur, R., and O. Chuvakov “Motivation and stimulation mechanism of medical staff in Ukraine: main challenges and ways of its improving.” Baltic Journal of Economic Studies, vol. 4, no. 4, 2018, pp. 56-61.
14. Poberezhets, O., Stepanova, T., and R. Shchur. “Ways to overcome the crisis condition of the ukrainian insurance market: the economic and legal aspect.” Baltic Journal of Economic Studies,vol. 4, no. 3, 2018, pp. 216-221.

Published

2021-11-30

Issue

Section

Development of financial-credit and insurance market of Ukraine