Assessment of the effectiveness of Ukraine’s healthcare system in the context of accelerated development of innovative technologies

Author(s):  
Zoryna Yurynets ◽  
Oksana Petrukh ◽  
Ivanna Myshchyshyn ◽  
Marianna Kokhan ◽  
Lesia Gnylianska

The article proposes scientific and methodological provisions regarding the evaluation of the effectiveness of the health care system of Ukraine in the conditions of accelerated development of medical innovative technologies. This model is based on the application of neural network modeling tools. The application of the developed model of the evaluation of the effectiveness of the health care system makes it possible to identify the state of public financing of health care and the research and development, to cover a large amount of data and to carry out a comparative analysis of national health policy in terms of the developed countries of the world. During the formation of the neural network model, the relationship between the different factors and the level of GDP is established. For the purposes of the present study, the results of the Ukraine’s social, economic, innovation policy for 2000-2017 have been used as the most predictable element of available data on impact on GDP growth. The proposed methodological provisions make it possible to predict the best option for the development of the health care system and the research and development work in Ukraine, facilitate the possibility of making informed decisions regarding the health policy, optimize the management decision-making regarding the future directions of the research and development work. Public healthcare financing and research and development financing have the biggest influence over the GDP growth. The increase of expenditures of the state budget on public healthcare and research and development is important for socio-economic and innovative growth of Ukraine. The main provisions can be adopted by an executive bodies of the government of Ukraine, local and regional authorities of the national economy. The analysis is the basis for formation of methodological approaches to evaluation of the effectiveness of health care system and other spheres of economic activity and creation of strategies and programs for development of health care system and innovative activity of Ukraine at different hierarchical levels.

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Zoe Rose O'Neill

Dr. Danielle Martin is an Associate Professor at the University of Toronto and Executive Vice President and Chief Medical Executive at Women’s College Hospital in Toronto, where she is also a practicing family physician. Her career epitomizes an idea that is often discussed in medical training, but rarely manifests in practice: physicians are both advocates for individual patients and stewards of public health equity at a systems level. Dr. Martin has dedicated her career to improving and strengthening Canada’s universal health care system. She is a public leader in the ongoing debate about health care privatization and founded the organization Canadian Doctors for Medicare. Notably, Dr. Martin spoke about Canadian health care and advocated for single-payer health care in a widely publicized US Senate hearing led by Senator Bernie Sanders. She has also published a book titled, Better Now: Six Big Ideas to Improve Health Care for All Canadians, which breaks down complex health policy into six actionable steps in order to improve the health care system for all Canadians. She continuously advocates for public involvement in health policy through research and public outreach and is a role model for young physicians aspiring to leadership roles in health and health care policy, while simultaneously pursuing a career in clinical practice. In fact, doing both provides a unique framework for improving the individual wellbeing and health of Canadians. Dr. Martin believes that advocacy is a skill that requires practice and training; she advises young trainees that the time to start is now.  


2009 ◽  
Vol 39 (2) ◽  
pp. 271-285 ◽  
Author(s):  
Bo Burström

In international comparisons, the Swedish health care system has been seen to perform well. In recent years, market-oriented, demand-driven health care reforms aimed at free choice of provider by patients and free establishment of doctors are increasingly promoted in Sweden. The stated objective is to improve access and efficiency in health services and to provide more and/or better services for the money. Swedish health policy aims to provide equal access to care, based on equal need. However, the social and economic gradient in disease and ill health does not translate into the same social and economic gradient in demand for health services. A market-oriented, demand-driven health care system runs the risk of defeating the health policy aims and of further increasing gaps between social groups in access and utilization of health care services, to the detriment of those with greater needs, unless it is coupled with need-based allocation of resources and empowerment of these groups.


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