The Nikolaev area – the potential participant of experiment in the sphere of medicine

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Yesterday in regional management of health protection of the Nikolaev regional state administration the working meeting of the deputy minister of health protection of Ukraine in Igor Yakovenko's perspective directions with the management, leading experts of management of health protection, chief physicians regional and city lechebno - preventive establishments took place. At a meeting the deputy minister informed about Ministry intentions concerning introduction of reforms in health protection system, answered questions of the Nikolaev physicians. The day before the same meeting took place in Odessa.

Both visits were connected with preparation of future reform in the medical sphere.
The ministry developed the project plan "25 steps towards to reforms" which separate sections, after synthesis of experience, still it is necessary to improve. For example, one of the main - financially - the economic block, provides change of system of financing, introduction of paid services, introduction of elements of insurance medicine.

At the level of coordination there is a resolution about introduction of university clinic. It is world practice of clinics of the highly specialized help which are based on base of universities and are their divisions.

The most important today, according to the minister, - to solve a problem which was created for medicine by the budgetary code. Because it dominates over medical problems and, actually, defines that form of medicine which we have.

The Ministry still should fulfill many of these actions at the level of experiment which is planned to carry out on the basis of two chosen areas of Ukraine, in compliance to two models which are based on use of already existing experience and concern organizationally - labor, financially economic, lechebno - preventive activities.

Certain practices, in compliance to future experiment, already are available in our area - on the basis of Voznesenskaya of the central regional hospital (the chief physician Nikolay Gomenyuk) by which it is developed a technique and the cost of each medical service is estimated. They proved that on primary link to which the part of local pediatricians and therapists, family doctors belongs, drops out to 70 percent of visits of patients, and on financing on the contrary - fixed assets go to policlinics, and consider it when forming budget. Soon specialists of the Ministry are going to arrive to voznesenets to examine results of the previous calculations. For this reason among potential participants of future experiment the deputy minister called the Nikolaev area.

Present the deputy minister answered questions that till September new edition of bases of the legislation in the form of the medical code has to be prepared, and answered that reforms in branch of health protection are possible only after acceptance by the Verkhovna Rada of new laws.


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