DO PEOPLE EXPECT THE HEALTHCARE REFORM? (RESULTS OF THE NATIONAL REPRESENTATIVE SURVEY «HEALTH INDEX. UKRAINE»)
Journal Title: Вісник Академії праці, соціальних відносин і туризму - Year 2018, Vol 4, Issue
Abstract
We aim to examine the health care reform in Ukraine through the angle of health care users, their perceptions and understanding of the reform. The country overall inherited numerous public institutions and organizational culture from the Soviet Union, which have not been transformed until recent time. The analysis is based on two waves of «Health Index. Ukraine» survey that comprise questions on the perception, whether health care reform is needed and if is taking place in Ukraine (on the opinion of citizens). In 2017 we added new question on the content of the reform. The data has been collected in May - July 2016 and in 2017 in Ukraine with the use of nationally and regionally representative sample of adults 18+ years old. The overall sample size is more than 10 000 respondents per year. Face-to-face interviews based on structured questionnaire have been the mode of data collection. In 2016, 93% Ukrainians believed that health care reform was necessary, while in 2017 the share of the respondents decreased (84%). In most regions the difference between 2017 and 2016 is not statistically significant, but in Volyn (14%), Dnipropetrovsk (12%), Zaporozhia (23%) and Donetsk, Lugansk (30% and 32%) regions fluctuations are high. Only in Ternopil region, the share of those who see the need in health care reform has substantially increased (from 60% in 2016 to 92% in 2017). Still, in 2016 only 15% recognize that the reform takes place. Respondents who report worse health status as well as older people have higher probability of noticing reform implementation. To ensure that policies are effective, they need to be driven by the underlying needs of the population. Data are a critical element for policy design, but lack of availability and poor quality of data often present challenges, which is clearly the case of Ukraine.
Authors and Affiliations
Tetyana Semigina, Tetiana Stepurko, Oleksandra Betliy, Victoriia Tymoshevska
Keywords
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