DRUG PROCUREMENT POLICY IN UKRAINE: IS THERE A «WINDOW OF OPPORTUNITY»?
Journal Title: Вісник Академії праці, соціальних відносин і туризму - Year 2017, Vol 1, Issue
Abstract
Using documentary analysis and other qualitative methods we analysed current policies on state procurement, pricing, and health technology assessment, as well as historical aspects of drug reimbursement in Ukraine. The analysis was done through a prism of the Multiple Streams Framework or Kingdon’s model. Ukraine currently has a generic-oriented market of drugs (medicines, vaccines, and supplements for diagnostics), characterized by insecure patent protection, bureaucratic and unstable procurement regulations, corrupt practices and an unstable economic background. The research shows that over the past 15 years Ukraine has made multiple attempts to develop and implement health insurance and a drug reimbursement system, while the main mechanisms for drug procurement remained in the form of centralized and regional tenders. Health technology assessment is being considered, but not used formally. Incremental policy changes initiated by the Ministry of Health in 2014-2016, have not yet reshaped the post-Soviet system of healthcare financing. The implementation of the modern approaches recommended by the international organisations and the fight against corruption were doomed to failure by disagreements among multiple stakeholders, many of whom with vested interest. Similar challenges to health policy elaboration and implementation are observed in other Central European and former Soviet states.
Authors and Affiliations
Tetyana Semigina, Olena Mandrik
Keywords
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