Title:
Struggling with the inheritance of the Soviet Semashko model: Primary Health Care policy and practice in Ukraine
Authors:
Viveen, Suzanne
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2013
PAGE:
vi, 45
Language:
En
Subject:
Health and Poverty
Keywords:
Ukraine, Primary Health Care, Health Care Reform, Health Sector.
Abstract:
Objective and methods: Since its independency (1991) Primary Health Care reform has been a stated priority in Ukraine, aiming to increase the efficiency of its health system and subsequently improve the low health status of its population. However, recent evidence indicates the reform is still in the beginning of its transition. In order to explain the stagnation, in this study a review was made of the former and current state of primary care in Ukraine. The results were compared with the latest governmental plans and two frameworks were used to identify what factors contributed to the differences found. Results: The results show significant differences between the promising governmental plans and the current state of primary care in Ukraine. As a possible explanation for these differences, the framework of Roberts et al.. (2008) shows that almost none of the five ‘control knobs’ (funding, finance, organisation, legislation, behaviour) of the system have been changed. The framework of Sondorp and Percival (2011) leads to question the governmental motivation for and dedication to the reform plans. Moreover it identifies political instability and medical professional resistance as other significant hindering factors for the implementation of reforms. Conclusions: In order to implement an effective primary care reform in Ukraine, the involvement of governmental and regional policymakers, physicians as well as international stakeholders in the development of plans is indispensible. Hopefully, this will strengthen their long term commitment to the reform and enable to institutionalise General Practice in Ukraine and gain the confidence of the population to use it.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
The Netherlands/ New Zealand
Region:
Amsterdam / Oceania
Training:
Master of Public Health
Category:
research
Right:
© 2013 Viveen
Document type:
Thesis/dissertation
File:
6OSEzLEijY_20171119145939847.pdf