EXPERIENCE OF THE PUBLIC ADMINISTRATION OF THE PROVISION OF MEDICAL SERVICES: THE INTERNATIONAL ASPECT

Abstract

The article examines the international experience of public management of the provision of medical services. It was found that there are three main models of the health care system in the world: private, insurance and state. It was noted that the private model of health care is characterized by the provision of medical services at the expense of citizens' own funds and private insurance. It is emphasized that according to this model, the public management of the provision of medical services is carried out in a decentralized manner, and the state satisfies the market and provides medical services only to socially vulnerable sections of the population. It is noted that the insurance model is aimed at the regulation of health insurance and combines the system of state regulation and social guarantees and relations in the market of medical services. Attention is focused on the fact that public management in the insurance model of medical care has signs of decentralization, taking into account the large number of subjects of the insurance market. It is asserted that the state model of the health care system provides for significant participation of state authorities in the process of functioning of the medical sphere. It is noted that the characteristic features of the public management of the provision of medical services under the state model are a high degree of centralization, while the majority of medical services are provided by state medical and preventive institutions. It is argued that the health care system of no country is based on the above model in its pure form and no model is universal. Based on the analysis of many years of international experience, it has been confirmed that direct payment for the treatment of sick people is a very risky and least effective way of financing health care for society, given the high cost of medical services. It is concluded that the international experience of providing medical services proves the rationality of a mixed form of health care, which is based on a harmonious combination of mandatory health insurance and budgetary funding of medicine as an additional source of funding. It has been proven that in Ukrainian realities, the most expedient is to borrow the international experience of the functioning of the mixed model of health care and its financing.