Actual problems of innovative economy and law

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Foreign experience: models of financing and organization of health care systems

# 9 53-58 Download/view full article

УДК: 342.951

DOI: https://doi.org/10.36887/2524-0455-2023-5-9

Калініченко Сергій Миколайович,
кандидат економічних наук, доцент, Заступник генерального директора з міжнародного співробітництва, інновацій та розвитку, ДНП «Центр Тестування» МОЗ України, доцент кафедри менеджменту, бізнесу і адміністрування,
Державний біотехнологічний університет,
https://orcid.org/0000-0003-3958-4763
Аврята Андрій Вікторович,
аспірант,
Державний біотехнологічний університет,
https://orcid.org/0000-0002-5100-2298
Харчевнікова Лілія Сергіївна,
доцент кафедри туризму,
Державний біотехнологічний університет,
https://orcid.org/0000-0002-2571-8612
Олійник Ігор Андрійович,
аспірант,
Європейський університет,
https://orcid.org/0009-0005-8403-4252

Each country in the world community creates and develops its health care system models, which are characterized by the peculiarities of the distribution of economic resources for providing medical care and preserving the population’s health. The effectiveness of their application in the health care field is determined by several features: a multifactorial system of political, economic, moral-ethical, cultural, and other relations that have historically developed in the country, etc. The reform process depends on the power vested in the state system organization at all levels of management and what regulatory mechanisms, including legislation, as well as financial incentives and sanctions, can be used by the central government for territorial management bodies. Even though the forms of organization of national health care systems are diverse, their main goal is to improve the quality and availability of medical care, increase life expectancy, develop a patient-oriented health care system by changing the organizational and economic principles of management by market conditions and international standards to ensure equal access of the population to quality medical care and financial protection in case of illness; ensuring the prevention of non-communicable diseases, in particular by strengthening legislation on healthy eating, tobacco, and alcohol control. The article presents models of national healthcare systems of different countries. Features of their formation and functioning are shown. The level of regulation and ensuring equal access of the population to the services received, as well as their quality, adequacy, and appropriateness, depends on the model of financing medical care. It is emphasized that the health care system that has developed in one or another state is a combination of various models, which may change over time due to changes in the political situation in the country or economic factors. It is noted that reforming the health care system is a fundamental change in management’s organizational and economic principles by market conditions and European standards. It is not advisable to single out the most progressive of the above since, in most cases, countries apply the dualism of individual provisions of each existing model to achieve the maximum result in practice.

Keywords: system, model, management, medical care, financing.

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The article was received 15.11.2023