The chosen course of healthcare transformation will be continued. The money for patient financing model will be maintained at all levels of health care delivery. Such agreements were reached during the event – open dialogue between patients, authorities and international organizations “Medical Reform for the Benefit of the Patient“, which took place in Kyiv on October 1, 2019.
The event was attended by patient organizations, the head of the profile committee, Mykhailo Radutskyi, MPs and Minister of Health, Zoryana Skaletska. Representatives of more than 10 international organizations have been involved in discussing the transformation of Ukraine’s health care system. These include EU Delegations in Ukraine, the European Commission in Ukraine, WHO representatives, the World Bank, UNDP and others.
Other agreed positions include increasing funding for healthcare, increasing access to medicines and the development of transplantation. These points were enshrined in the Resolution by the signatures of the patient community, the head of the MOH, Deputies of the Committee on Public Health, Medical Assistance and Medical Insurance.
At the same time, the conversation highlighted topics that need further discussion, including the introduction of a co-payment model for medical services and the development of private health insurance, and that is quite natural, as any changes will require their constant communication and reconciliation of the interests of all stakeholders.
“A new political season in our country with new political players is always a window of opportunities, but at the same time new challenges for us, the patient community. Further transformation of the health care system is a strategic issue that is currently relevant and extremely important for patients. The initiated reform of medicine is a response to the collapsed soviet health care system and its inability to exist in the old format, and therefore, reversion is unacceptable. With this Resolution we want to fix those basic directions of development of medicine and at the same time to place red lines for which it is impossible to stand up” — commented Inna Ivanenko, Executive Director of Patients of Ukraine Charity Foundation.
The purpose of such event is a constructive dialogue with government officials, to hear each other and to identify common priorities for the next 3-5 years.
“As the Chairman of the Committee on Public Health, I see the development of successes and elimination of the shortcomings of previous medical reforms, increasing public access to the health care system; improving the quality of medical services and medicines; ensuring the rational use of funds in the healthcare system; demonopolization, public-private partnerships and competition for the benefit of patients as priorities for the transformation of the health care system of Ukraine.
The cooperation of the Committee with the patient organizations is very important, so we are always ready for a constructive dialogue with all stakeholders and together to remove the obstacles that are obstructing, and to create “rules of the game” that will help to develop health care system in Ukraine, ”said the Chairman of the Committee, Mykhailo Radutskyi.
Patients voiced their vision of further changes, outlined in the Manifesto, their concerns, updated the painful issues of availability of treatment. They also raised pressing questions during the discussion, including cuts in funding for the purchase of drugs for patients with orphan diseases and the risks of returning corruption schemes as a result of entering the arena of odious figures associated with medical corruption in the run-up to the Revolution of Dignity.
“We have been fighting for the rights of patients since 2001,” emphasized Dmitro Sherembeyi, Head of the Coordination Council of CO “100% Life”, “our organization has always been uncomfortable for the authorities because we have zero level of tolerance for corruption. Because the price of corruption in the medical field is the lives of patients. That is why we will continue to be uncomfortable for the authorities in everything related to the health of patients in case of return to corruption.”
The international community has expressed its support for the reform course that has been chosen and looks forward to continuing it with new health care managers.
According to Olexander Sushko, Executive Director of the International Renaissance Foundation, the key values of the Foundation are embodied in medical reform today – transparent and equitable access to medical care for all citizens: “We strongly support the fact that the primary purpose of this transformation should remain the creation of a cost-effective and non-discriminatory model of health care system, transparent and rational use of budgetary funds, ensuring equal access to vital medicines for all citizens, including representatives of vulnerable groups to vital medicines and appropriate treatment.”
Patients of Ukraine Charity Foundation gathered more than 100 participants of the event, a dialogue with all parties took place and this gives hope that the position of patients will be taken into account. For our part, we are open to cooperation on all topics of health care with representatives of the deputy corps and the Ministry of Health. We are ready to provide our expertise and comprehensive support in the drafting process. At the same time, we plan to control and carefully monitor that the signed provisions of the Resolution are complied with.