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Medifarma running: what to expect ordinary Ukrainians

Медреформа запущена: чего ждать простым украинцамPublished a useful infographic.

The Council adopted madrepora. For the adoption of the document in the second reading voted by 240 MPs.

The law on madrepore is called “On the state financial guarantees for providing medical services and medicines.”

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It involves changing the funding model, introduces international protocols of treatment, medical insurance, fee-for-service physicians. The reform creates a system of state social medical insurance.

From now on, insured persons receive medical services and medications fully or partially at the expense of the state solidarity health insurance. This rule applies to medical institutions of any pattern of ownership, and entrepreneurs. Medical institutions are divided into three strands: family out-patient clinic dedicated medical services, highly specialized hospitals.

According to the law, in the framework of guaranteed free medical (fully or partly) for citizens, foreigners and persons without citizenship remains:

call emergency medical care;
primary health care;
secondary (specialized) medical care;
tertiary (highly specialized) medical care;
palliative care;
medical rehabilitation;
medical assistance to children under 16 years of age;
medical assistance in connection with an emergency childbirth.

With regards to secondary and tertiary medical care, the law establishes that its payment will carry out partly patient, partly – gosudarstvo. The proportion of the payment until the Parliament is not established. The budget also provides a program of public health, epidemics, conducting medical-social examination, activities related to forensic and forensic psychiatric examinations. Medical safeguards approved by the Verkhovna Rada of Ukraine every year as money that will be not targeted. The amount of funds can not be less than 5% of GDP.

With regards to family doctors, he gets 370 UAH per year per patient. For the money it needs:

– to observe the health status of patients with various studies, diagnoses and treats the most common diseases, injuries, poisoning, pathological and physiological (during pregnancy);
– accompany patients with chronic diseases;
– to provide emergency assistance;
to refer a patient for the provision of secondary (specialized) or tertiary (highly specialized) medical care;
– prophylaxis: vaccination, screening and examination of patients from risk groups;
– to provide advice.
– to observe uncomplicated pregnancy and monitor healthy child
– to provide a separate palliative care services. For example, to assess the degree of pain, to prescribe and write prescriptions for narcotic drugs, psychotropic substances for treatment of pain syndrome. To write a prescription for a medication.

The money patients have the right to hematological examination (General analysis of blood leukocyte formula), biochemical and immunochemical studies of blood serum (blood glucose, total cholesterol, urine analysis, urine analysis), instrumental examinations (electrocardiogram (ECG) at rest, sputum microscopy), rapid tests (rapid tests for HIV, hepatitis, syphilis).

We will remind, the payment for medical services for every Ukrainian will be produced in three packages. First — “green”, which will be free to call the ambulance, General practitioner or family doctor and to be treated in hospices. All of this, the government plans to allocate UAH 370 per year for each patient. Everything else will have to pay.

For example, partially from the budget and partly from the pocket of the patient is paid for the “blue” package, which includes labor, operations and treatment in hospital. The “red” package includes aesthetic medicine and aesthetic dentistry that the patient will have to pay from their own funds.

Under the reform, each of doctors will be no more than 2000 patients, but now many of them twice exceeded the standards. In Ukraine plan to cancel the mandatory call doctors on the house. Instead, patients want to consult by phone or Skype, and the doctor himself will solve, to whom to go, and who enough to see remotely.

Медреформа запущена: чего ждать простым украинцам

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