Health Financing Reform in Ukraine

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| Health Financing Reform in Ukraine

FIGURE 3.2

Contracting requirements for the service packages under the NHSU Universal requirements to all contractors: • Autonomy of legal status • Open license for medical practice • IT equipment • Connecting to E-Health • Regular data inputs into E-Health • Building features (e.g., wheelchair access, applied in 2011) • Strategic development plan (applied only in 2021)

% of the plan implementation is used to determine the amount of transitional funding Package-specific requirements:

Conditionalities for purchasing the services Requirements to the setting in which services are provided

Requirements to the reason for services to be provided

(inpatient, outpatient)

(referral type, self-referral)

Requirements to organization of service provision • Availability of relevant units and facilities • Links to relevant other organizations (e.g., social services) • Availability of relevant equipment • Medical personnel (number of key positions, qualification) • A program for infectious disease control • Quality, accessibility, and safety of medical services monitoring (applied in 2011)

Specification of purchased services Types of services to be provided (e.g., diagnostic tests, developing treatment plans, treatment, surgical procedures, monitoring, provision of medications, care, rehabilitation)

Service-specific requirements Packages with intensive care (hospital care—except complex neonatal care—two cancer packages, inpatient palliative care)

24-hour visitor access to ICU

All complex care packages, chemotheraphy, mental helath, tuberculosis, inpatient palliative care

License to use narcotic substances

Radiologic cancer treatment

License to use nuclear energy

Treatment of cancer and HIV/AIDS

Data input into respective registers

Specialized license for specific medical care (e.g., license to provide medical care in nephrology for haemodialysis package, applied in 2021)

Source: Original figure for this publication based on analysis of NHSU package contracts.

Note: HIV/AIDS = human immunodeficiency virus/acquired immune deficiency syndrome; ICU = intensive care unit; IT = information technology.