Transcript Громадське обговорення концепції нової

Constructive Suggestions for a Viable Ukrainian
Health System
Eliot J. Pearlman, Head of the Board
INGO “International HIV/AIDS and TB Institute”
Оцінка проекту Стратегії (1)
 Good start with a robust overhaul of the
system!
 Access to care and openness “..to fertilizing
equity, the necessary debates…” (15);
 Concepts of transparency (30), equity, and
access; and
 Identification of the high burden of the
morbidity and mortality from NCD.
Оцінка проекту Стратегії (2)
 Identification of corruption and inefficiencies;
 Patient-centered approach
outcomes
oriented;
 Identification of redundant systems
(Ministries and disease- specific hospitals).
Оцінка проекту Стратегії (3)
 “…Legitimate aspirations…”(13);
 Parochial interests – need to have a more
robust series of broad-based public health
packages.
Пропозиції до проекту Стратегії (1)
-
What can Ukraine afford (GDP)?
How to sell!
Bundling disease packages together, e. g. TB
and Diabetes;
Point of attack
Decrease the high burden of
diseases, especially NCD: measure and DALYS.
Пропозиції до проекту Стратегії (2)
 Strong National Center of Disease Control and
Public Health managing:
• A strong Nationwide Health Promotion
Program;
• A strong and robust SES;
• A recommended group of well-funded Clinical
Preventive Medicine Services via community
activities (Health Fairs) and school programs
with MOE&S;
 Outsource procurement of Essential Medicines;
 Very strong emphasis on Primary Health Care.
Пропозиції до проекту Стратегії (3)
 Cannot look at Health System in isolation;
 Revision of tax code:
- more incentives
- more charitable deductions
 Ownership – self-regulating physician groups;
 Devolution, multitasking
 Trial with Joint Commission on Accreditation
of Healthcare Organizations (ICAHO);
“MOHs should steer and not row” – R. Saltman
Резолюція
C) Support under sufficient changes;