GENESIS OF DEVELOPMENT OF LEGAL REGULATION IN THE FIELD OF HEALTH CARE IN UKRAINE IN TIMES OF INDEPENDENCE

Abstract

he article analyzes the genesis of the development of legal regulation in the field of health care in Ukraine in times of independence. Four stages of normative and legal base creation of system of medical care of the population as the leading link of the state social policy are considered. The first stage in 1991–2000 was the most difficult, on one hand it was necessary to preserve the health care system, that was left over from the old government, and on another hand - to start reforming the normative and legal framework to further ensuring of a minimum level of social guarantees for population on health care provision. At the second stage in the period 2000–2010 of the development of the health care system in Ukraine the implementation of the Concept started, activities were carried out to identify the main directions and approbation of key mechanisms for reforming of the medical sector. During the third period in 2010-2013, a large-scale reform of the health care system in some regions was launched as part of a pilot project. The fourth stage began in 2014 and continues till today. In August 2014 the Ministry of Health initiated the development of a National Strategy for Health Care Reform in Ukraine. By means of the new strategic approaches in improving of the quality and availability of aid and reducing financial risks for people a new impetus to industry reform was required. It is emphasized that the third and fourth stages, from the standpoint of reforming the medical system, were the most productive. It is emphasized that the provisions of the National Strategy for Health Care Reform in Ukraine are currently being implemented. The document has two main objectives: first of all to stimulate the proper reforms, but at the same time to demonstrate to the decision-makers that health and health care are powerful tools in politics. The strategy clarifies the horizon for reform, provides it with structures and demonstrates the potential of various measures aimed at the effective development of health care services. Based on the strategy, the Ministry of Health has also developed a Concept for reforming the financing of the health care system and bills that will launch a reform of Ukrainian medicine. The strategy should be the basis for creating a detailed action plan for reforming of Healthcare with proposals for the short, medium and long term perspective.