CONCLUSIONS
On the basis of the conducted research, it has been clar-
ified that the mixed model of organization of the health
care system is gradually being introduced in Ukraine,
which will allow the state to formally guarantee every
citizen the right to free medical care, to introduce addi-
tional mechanisms for financing medical care to those,
who fully need it, without increasing the expenses from
the state budget.
In this context, the experience of Germany is useful at
the present time, which proves the expediency of establish-
ing non-governmental insurance funds (like the German
sickness funds) that are purchasers of health services from
state or private health care institutions, which will increase
the level of competition between them, will facilitate more
operational provision of medical care, and the increase in
the number of private medical institutions.
Taking into account the analysis of the experience of dif-
ferent world countries regarding the legal regulation of the
health care system, the main measures for the introduction
of an optimal model of the organization of the health care
system in Ukraine should be:
1) establishment of additional guarantees for financially
disadvantaged citizens through the development and
funding the social programs for the availability of health
care, in line with the model of Medicare and Medicade;
2) application of the marginal maximum prices for health
services provided by private health care institutions;
ORGANIZATIONAL AND LEGAL DETERMINANTS OF IMPLEMENTING INTERNATIONAL EXPERIENCE...
715
3) introduction of a mandatory payment to the insurance
fund from the income of legal entities employing hired
labor in an amount not less than 100 persons or whose
aggregate annual income exceeds UAH 5 million with the
gradual expansion of the group of contributors;
4) further coverage of the whole working population with
the health insurance;
5) development of state programs for the prevention of
diseases, etc.
To basic principles of the health care system, in order to
ensure the right to affordable and quality medical care in
Ukraine, should be the principles of providing compulsory
medical care to all citizens, control by the state over the
exercise of this right, protection of citizens, and the possi-
bility of obtaining of both basic and additional health care
in private medical institutions.
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Authors’ contributions:
According to the order of the Authorship.
Conflict of interest:
The Authors declare no conflict of interest.
CORRESPONDING AUTHOR
Vladyslav I. Teremetskyi
Ternopil National Economic University
11 Lvivska str., Ternopil, 46009, Ukraine
tel: +380677625669
e-mail: vladvokat333@ukr.net
Received:
04.02.2019
Accepted:
05.04.2019
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