Suchergebnisse

Problem statement. Medical tourism, one of new directions of the tourist industry, promptly develops in the world in recent decades. Nowadays, it is already seen the growing number of countries which specialize in providing this type of service, that was caused by economic, social and other advantages. These are not always developed countries, but they are interesting to foreign patients by low-cost of medical care and high quality of providing medical services. Ukrainian medical tourism has recently begun to be the special direction. But there are questions on organization and policy implementation of governmental regulation in this branch of business activity. This is connected with necessity of streamlining of legal framework, economic and organizational basis, infrastructure upgrade, etc.Analysis of last researches and publications. The research of development problems of medical tourism in Ukraine, its influence on the development of countries and its regions, was devoted many scientific works of domestic authors, such as: V. Baiev, T. Bezverkhniuk, M. Bil, O. Bordun, I. Vakhovych, K. Didenko, V. Zhuchenko, V. Malimon, M. Malska, A. Postianyi, A. Romanova and others. But not all answers to questions on governmental regulation of the development of medical tourism are given in these scientific works.Nowadays, opinions on organization of medical tourism in the country are contradictory; methodology of strategic development of destinations of this direction is developed insufficiently. Incomplete means of governmental regulation do not allow to perform practically purposeful planning of sustainable development of medical tourism.The purpose of an article is identification of problems on implementation of the role of the state in the development of medical tourism and definition of necessary changes in regulatory framework, economic and social system in ensuring the regulating influence of the state on this type of business activity.Statement of basic materials. Nowadays, medical tourism is a specific type of the tourist industry which is between, at first, two various spheres - health care and tourism. Medical institutions of its development are medical centres and companies on providing tourist facilities. This type of tourism already brings a considerable part of profit to the budget of touristically developed countries and is extremely perspective for Ukraine in the question of European integration. Development of this industry will cause socio-economic growth of regions and will improve investment image of the country.As the main clause of development of medical tourism and its target point in Ukraine is quantity input of foreign tourists that will promote receipt of considerable financial flows to the country, it is necessary to carry out justification of functions of state authorities and their opportunities of regulation of this sphere.It is noted that medical tourism is the whole system of interrelated main basic and infrastructure institutes of the country which influence on the development of this direction and provide its competitiveness. Special legislation, in many countries, is developed on support of medical tourism, but this sphere practically is outside state policy in Ukraine.There are organizational and legal problems in the country, that have negative effect on development of medical tourism, because of imperfection of available enactments and absence of follow-up. Nowadays, there is no connection between healthcare institutions and travel agencies that considerably complicates the process of arrangement of the medical direction of the tourist industry. Certain slowdown of development of medical tourism in Ukraine is also connected with low-level of services, old infrastructure. The absence of specialized tour operators leads to cooperation with intermediaries that causes excess expenses and treatment process detention. Concerning public health facilities, one of the main problems is outdated plant, underfunding for acquisition of new equipment and insufficiency of highly professional personnel.It is also necessary to note that such fixed assets of regulation and influence of the state on activity of menage entities as licensing, grant of patent, certification, standardization and so forth need details in the context of development of medical tourism.Conclusions. Medical tourism provides outlook of socio-economic development of the country in tourist and medical spheres, creation of workspaces not only in the sphere of health care, but also in other industries. But real development of medical tourism is possible only with the assistance of the state, in particular, during solutions of following questions: 1. Improvement of normative legal documents with accurate distribution of powers, functions, duties and responsibilities of all participants of development process of medical tourism. 2. Ensuring interaction of the Ministry of Health and the Ministry of Economic Development, Trade and Agriculture, in particular the Department of Tourism concerning development of medical tourism. 3. For the purpose to increase the attention of domestic public and private medical institutions to foreign patients, to develop and resolve organizational and technical issues of accreditation by analogy to JCI and ISO 9001. 4. Solutions of questions of issue of «the accelerated medical visa» to foreign citizens who arrive in Ukraine concerning medical tourism. 5. Creation of a system of medical insurance to people, who receive medical services within and beyond Ukraine. This is connected with risks which can arise during treatment and after it. 6. Creation of conditions for ensuring participation of representatives of Ukrainian health sector during international events of medical tourism for promoting of achievements and opportunities of domestic medicine. ; Наукова стаття присвячена теоретичному дослідженню ролі держави щодо розвитку медичного туризму в Україні. В роботі визначені основні передумови та проблеми становлення цієї галузі в нашій країні. Проведено аналіз літератури з питань регулюючого впливу держави на розвиток медичного туризму з погляду спеціалістів економічної та юридичної сфери.

Problem statement. Medical tourism, one of new directions of the tourist industry, promptly develops in the world in recent decades. Nowadays, it is already seen the growing number of countries which specialize in providing this type of service, that was caused by economic, social and other advantages. These are not always developed countries, but they are interesting to foreign patients by low-cost of medical care and high quality of providing medical services. Ukrainian medical tourism has recently begun to be the special direction. But there are questions on organization and policy implementation of governmental regulation in this branch of business activity. This is connected with necessity of streamlining of legal framework, economic and organizational basis, infrastructure upgrade, etc.Analysis of last researches and publications. The research of development problems of medical tourism in Ukraine, its influence on the development of countries and its regions, was devoted many scientific works of domestic authors, such as: V. Baiev, T. Bezverkhniuk, M. Bil, O. Bordun, I. Vakhovych, K. Didenko, V. Zhuchenko, V. Malimon, M. Malska, A. Postianyi, A. Romanova and others. But not all answers to questions on governmental regulation of the development of medical tourism are given in these scientific works.Nowadays, opinions on organization of medical tourism in the country are contradictory; methodology of strategic development of destinations of this direction is developed insufficiently. Incomplete means of governmental regulation do not allow to perform practically purposeful planning of sustainable development of medical tourism.The purpose of an article is identification of problems on implementation of the role of the state in the development of medical tourism and definition of necessary changes in regulatory framework, economic and social system in ensuring the regulating influence of the state on this type of business activity.Statement of basic materials. Nowadays, medical tourism is a specific type of the tourist industry which is between, at first, two various spheres - health care and tourism. Medical institutions of its development are medical centres and companies on providing tourist facilities. This type of tourism already brings a considerable part of profit to the budget of touristically developed countries and is extremely perspective for Ukraine in the question of European integration. Development of this industry will cause socio-economic growth of regions and will improve investment image of the country.As the main clause of development of medical tourism and its target point in Ukraine is quantity input of foreign tourists that will promote receipt of considerable financial flows to the country, it is necessary to carry out justification of functions of state authorities and their opportunities of regulation of this sphere.It is noted that medical tourism is the whole system of interrelated main basic and infrastructure institutes of the country which influence on the development of this direction and provide its competitiveness. Special legislation, in many countries, is developed on support of medical tourism, but this sphere practically is outside state policy in Ukraine.There are organizational and legal problems in the country, that have negative effect on development of medical tourism, because of imperfection of available enactments and absence of follow-up. Nowadays, there is no connection between healthcare institutions and travel agencies that considerably complicates the process of arrangement of the medical direction of the tourist industry. Certain slowdown of development of medical tourism in Ukraine is also connected with low-level of services, old infrastructure. The absence of specialized tour operators leads to cooperation with intermediaries that causes excess expenses and treatment process detention. Concerning public health facilities, one of the main problems is outdated plant, underfunding for acquisition of new equipment and insufficiency of highly professional personnel.It is also necessary to note that such fixed assets of regulation and influence of the state on activity of menage entities as licensing, grant of patent, certification, standardization and so forth need details in the context of development of medical tourism.Conclusions. Medical tourism provides outlook of socio-economic development of the country in tourist and medical spheres, creation of workspaces not only in the sphere of health care, but also in other industries. But real development of medical tourism is possible only with the assistance of the state, in particular, during solutions of following questions: 1. Improvement of normative legal documents with accurate distribution of powers, functions, duties and responsibilities of all participants of development process of medical tourism. 2. Ensuring interaction of the Ministry of Health and the Ministry of Economic Development, Trade and Agriculture, in particular the Department of Tourism concerning development of medical tourism. 3. For the purpose to increase the attention of domestic public and private medical institutions to foreign patients, to develop and resolve organizational and technical issues of accreditation by analogy to JCI and ISO 9001. 4. Solutions of questions of issue of «the accelerated medical visa» to foreign citizens who arrive in Ukraine concerning medical tourism. 5. Creation of a system of medical insurance to people, who receive medical services within and beyond Ukraine. This is connected with risks which can arise during treatment and after it. 6. Creation of conditions for ensuring participation of representatives of Ukrainian health sector during international events of medical tourism for promoting of achievements and opportunities of domestic medicine. ; Наукова стаття присвячена теоретичному дослідженню ролі держави щодо розвитку медичного туризму в Україні. В роботі визначені основні передумови та проблеми становлення цієї галузі в нашій країні. Проведено аналіз літератури з питань регулюючого впливу держави на розвиток медичного туризму з погляду спеціалістів економічної та юридичної сфери.

Стаття присвячена актуальним питанням реформування системи охорони здоров'я України у контексті Європейської політики «Здоров'я – 2020». Розглянуто різні наукові погляди щодо визначення сутності та змісту публічної політики стосовно охорони здоров'я. Визначено розуміння важливості розбудови системи охорони громадського здоров'я в Україні як одного з пріоритетів публічної політики. Акцентується увага на необхідності створення відповідних правових умов для впровадження системи охорони громадського здоров'я в Україні як альтернативи існуючої системи збереження, укріплення та відновлення здоров'я населення. ; Problem setting. The aim of the new European Health Policy 2020 strategy is to significantly improve health and improve the well-being of the population, reduce inequalities in health, strengthen public health and ensure the availability of sustainable health systems focused on needs of people. Compliance with these principles in the process of radical transformations in the socio-economic sphere of Ukraine and in the context of reforming the national health care system is a rather complicated task. The complexity of this task is due to the need to clearly define the priorities of public policy and to involve the public authorities of Ukraine in the implementation of the basic functions of the health care administration. The main role in this belongs to the state, which is responsible for the health of its citizens. The state determines the priorities and forms the health care policy of Ukraine and ensures its implementation.Recent research and publications analysis. Studies of issues of various components of public health policy are devoted to the work of M. M. Bilinskaya, Yu.V. V. Voronenko, T. S. Gurzev, D. V. Karamyshev, O. V. Power, Ya.F. Radhka, I. M. Solonenko, V. G. Shevtsova and others. The importance of scientific research on the implementation of public health policy is underlined by O. M. Dzyuba, Yu. V. Zhalinskaya, L. O. Kachala, O. D. Korvetsky, V. V. Korolenko, V. I. Mironyuk, I. F. Radish, N. O. Ringach, O. R. Sitenko, G. O. Slabki, N. D. Solonenko and others. Inherited from the Soviet period, the model of the health care system in Ukraine almost did not take into account the needs of the healthy population, which did not allow to restrain and systematically influence the growth of non-communicable diseases. This is why there is an urgent need to reorganize the healthcare system, which is to seek alternative strategies for a more effective public policy in this area.Identification of previously unsettled parts of the general problem. The analysis of studies has shown that in the presence of an understanding of the importance of developing public health protection as an alternative to the actual functioning of the public health system and its legislative provision, the legal and organizational conditions for the implementation of such an alternative have not yet been established in the state.Paper objective. The purpose of the article is to assess the compliance of the public health policy in Ukraine with the main directions of the new European health policy «Health -2020» and to define in this context an alternative strategy for a more effective public health policy on the basis of the priority of the development of the public health system in Ukraine and its legislative support.Paper main body. Thus, an alternative strategy for more effective health care policy is the development of a public health system in Ukraine in line with the European Capacity Building and Public Health Services Action Plan, as well as the values and principles laid out in the foundations of the European politics «Health 2020». The basic principle of the public health system is its social nature, as well as the fact that it focuses mainly on the health of the population as a whole. The public health system can be seen as a key aspect of a wider interpretation of the health care system in the sense that it not only plays an important role in ensuring the efficiency and effectiveness of the work of the health system itself but also significantly affects the socio-economic development of society and state. In Ukraine, there are certain political and legal foundations for the development of the health care system. At the same time, since the Law of Ukraine «On the system of health care» has not yet been adopted, public authorities and local self-government bodies at the level of each region independently determine the model of the regional health care center and its stages of activity. expanding the implementation of its operational functions of health, which leads to certain errors and significantly complicates the process of extremely necessary transformations.Conclusion from this research and perspectives of future development in current area. Thus, it can be assumed that healthcare reform in Ukraine is carried out taking into account modern strategies of effective state policy in this area and is consistent with the main directions of the new European Health Policy «Health 2020». At the same time, the development of the public health system in Ukraine has not yet become a priority of public health policy. One of the necessary steps towards the development of a national public health system and the creation of favorable conditions for the implementation of the European Action Plan for Capacity Building and Public Health Services in Ukraine approved by the WHO Regional Office for Europe is the adoption of the draft Law of Ukraine «On Public Health System» I. Adoption of this Law will ensure the implementation of public policy in public health at the level of the state, regions and community levels and will promote the adaptation of domestic legislation in this area to the legal system of the European community.

Стаття присвячена актуальним питанням реформування системи охорони здоров'я України у контексті Європейської політики «Здоров'я – 2020». Розглянуто різні наукові погляди щодо визначення сутності та змісту публічної політики стосовно охорони здоров'я. Визначено розуміння важливості розбудови системи охорони громадського здоров'я в Україні як одного з пріоритетів публічної політики. Акцентується увага на необхідності створення відповідних правових умов для впровадження системи охорони громадського здоров'я в Україні як альтернативи існуючої системи збереження, укріплення та відновлення здоров'я населення. ; Problem setting. The aim of the new European Health Policy 2020 strategy is to significantly improve health and improve the well-being of the population, reduce inequalities in health, strengthen public health and ensure the availability of sustainable health systems focused on needs of people. Compliance with these principles in the process of radical transformations in the socio-economic sphere of Ukraine and in the context of reforming the national health care system is a rather complicated task. The complexity of this task is due to the need to clearly define the priorities of public policy and to involve the public authorities of Ukraine in the implementation of the basic functions of the health care administration. The main role in this belongs to the state, which is responsible for the health of its citizens. The state determines the priorities and forms the health care policy of Ukraine and ensures its implementation.Recent research and publications analysis. Studies of issues of various components of public health policy are devoted to the work of M. M. Bilinskaya, Yu.V. V. Voronenko, T. S. Gurzev, D. V. Karamyshev, O. V. Power, Ya.F. Radhka, I. M. Solonenko, V. G. Shevtsova and others. The importance of scientific research on the implementation of public health policy is underlined by O. M. Dzyuba, Yu. V. Zhalinskaya, L. O. Kachala, O. D. Korvetsky, V. V. Korolenko, V. I. Mironyuk, I. F. Radish, N. O. Ringach, O. R. Sitenko, G. O. Slabki, N. D. Solonenko and others. Inherited from the Soviet period, the model of the health care system in Ukraine almost did not take into account the needs of the healthy population, which did not allow to restrain and systematically influence the growth of non-communicable diseases. This is why there is an urgent need to reorganize the healthcare system, which is to seek alternative strategies for a more effective public policy in this area.Identification of previously unsettled parts of the general problem. The analysis of studies has shown that in the presence of an understanding of the importance of developing public health protection as an alternative to the actual functioning of the public health system and its legislative provision, the legal and organizational conditions for the implementation of such an alternative have not yet been established in the state.Paper objective. The purpose of the article is to assess the compliance of the public health policy in Ukraine with the main directions of the new European health policy «Health -2020» and to define in this context an alternative strategy for a more effective public health policy on the basis of the priority of the development of the public health system in Ukraine and its legislative support.Paper main body. Thus, an alternative strategy for more effective health care policy is the development of a public health system in Ukraine in line with the European Capacity Building and Public Health Services Action Plan, as well as the values and principles laid out in the foundations of the European politics «Health 2020». The basic principle of the public health system is its social nature, as well as the fact that it focuses mainly on the health of the population as a whole. The public health system can be seen as a key aspect of a wider interpretation of the health care system in the sense that it not only plays an important role in ensuring the efficiency and effectiveness of the work of the health system itself but also significantly affects the socio-economic development of society and state. In Ukraine, there are certain political and legal foundations for the development of the health care system. At the same time, since the Law of Ukraine «On the system of health care» has not yet been adopted, public authorities and local self-government bodies at the level of each region independently determine the model of the regional health care center and its stages of activity. expanding the implementation of its operational functions of health, which leads to certain errors and significantly complicates the process of extremely necessary transformations.Conclusion from this research and perspectives of future development in current area. Thus, it can be assumed that healthcare reform in Ukraine is carried out taking into account modern strategies of effective state policy in this area and is consistent with the main directions of the new European Health Policy «Health 2020». At the same time, the development of the public health system in Ukraine has not yet become a priority of public health policy. One of the necessary steps towards the development of a national public health system and the creation of favorable conditions for the implementation of the European Action Plan for Capacity Building and Public Health Services in Ukraine approved by the WHO Regional Office for Europe is the adoption of the draft Law of Ukraine «On Public Health System» I. Adoption of this Law will ensure the implementation of public policy in public health at the level of the state, regions and community levels and will promote the adaptation of domestic legislation in this area to the legal system of the European community.