Article in Wiadomo ś ci lekarskie (Warsaw, Poland: 960) · April 2019 doi: 10. 36740/WLek201904140 citations reads 126 authors

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;

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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: [phone]
e-mail: [e-mail]
Received: 
04.02.2019
Accepted: 
05.04.2019
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