The head of the National health service of Ukraine (NSTU) Oleg Petrenko in interview to Agency “Interfax-Ukraine” told about the first results of the pilot project on introduction of the new funding model in hospitals as NCSU audits of healthcare institutions, as expected, the tariffs for medical services and how to control the cost of the treated case.

Part one (available in Ukrainian)

– Scho now vdbase in Poltavsky region, de wprowadzona platni project z reformuvannya statename relief? Chi VI vzhe poradovali vartist medichnih the hotel?

Rosgarten SMI system finansowania receptionists health protection vdbase poetapno respectively to the law. VI Buli swakara pershoho etapu, POV Sanogo s laying dogovor iz the mortgages pervine medicine relief. VIN rozpoczecia s travnia view from the past year, pers pay Buli in lipn. Z 1 quinia 2019 the rock NCSU touched myself administruvannya programs include “Dostupn LCI”, uklad pram contracts s aptechnij the mortgages. Moreover, z 1 Quine on Sahalinenergo run zapratsavau elektronniy recipe, Nova system, which lcar “pervinca” Wipeout electron of recepti and Aptech of Zaklady, yaki take fate in program, h otpuskaet. Dinamka development programs include “Dostupn LCI” duzhe positive number of vipisana rezept Saga hope 5 million, and the number of budinich – hope 4 million, that 80% of vipisana electronic rezept vzhe repaid. Hope osib million christavia tsimi a hotel within the limits of knowledege project rembourser, tobto skin Pact trimas LCI vzhe 3,5-4 times. For our data, blesst koristuvach programs include VCOM people 65+, Yakima potribni preparati for postijno treatment naybilsh polirani hroncich zakhvoryuvan, Sered yakih bertoncini hvoroba, tsukrovyi diabetes of the 2nd type, the bronchial asthma.

Will nastepnym etapom rosgarten Zmin yea “plot” Poltavsky in the region, that the Ter rozpoczecia in CVT. He got on my vapourware mehanna pay the hotel specalty statename relief. TSE redse techni project, he depresivo sama Novi mehandi finansowania, for yakimi W 2020 roku will contractualise pracowali of Zaklady Torino (specalty) that tretino (viscozitate) medicine relief I stazionari, ie us Lorn. Mi maєmo at a time bagato rezultatu, yakimi can podelitsya. The stench Neogen.

– What mean “pogani” Chi “neopagan” results?

– Pogani – TSE if potovanja pokazu scho SMI, that vdbase not prizvodit to pozitivnih zruseni. Ti SMN, that vdbase within the limits of “Plato” in Poltavsky region, prizvodit to pozitivnih zruseni, newt, scamo so, in deyakih points tectonic. Not always TSI SMN vdras vdotn for pactv Chi lcars, but not Bulo of such a challenge, abi vdras h show. Shte times nagolovu: in “plot” in the region Poltawski depreciates mehanizm finansowania, if bet reorganizatsii iz budgete set komunalne necomerciale pdprimstvo (KNP), nabua ostatniego Runa econome samostiynist for propaganda so diyalnosti zgidno s Gospodarskim code.

Here decline moment yea, about that mi b hotel can say. Zgidno s postanovku Kebmo, Yak opisu realsize project in the region Poltawski scrip to “plot” not Bula zbrisana porwnania s poperedni rock, ie project realtors within the limits of stolichnogo budget, that have a PDR region for solvency, sminutes mehanizm finansowania – from utrimannya Lorn to pay for specific wykonano robot for the hospital TSE payment for the specific case of the treatment pant. Occupati respectively, that the limits of Plato zrazy will AKS SATTV SMN, pomt for the population, nemozhlyvo. Ale plot vibroboy same mehanti finansowania, not vivca of effects from zbilshennya finansowania. In fact plot mi bacimo quiet, hto vigra, and quiet, hto not bude wirawati, Bo scrip within the limits of eco pratsyuyut of zakladi not smylsya. Mi periam hto working more and hto effective straight ahead, Ben. Ti, hto effective gospodaru, pochinayuchi otrisovat the result, and the result Tsey POV’yazanyy s Tim scho ydut money for knawin the result of a specific treatment pant.

– Pid “knaven result” Matsa on uwas, if man Vilcabamba?

The result for us what the case of treatment. Naspravdi not all people mozhut wilcomatic, some horobi newicon. The payment of NCSU here zaleite from the case of the treatment properly. Yakscho person of potrapila likarnyu, be that the case of the treatment, that oblsoveta of NCSU, bude oplacheny. Thus for poltavskogo “Plato” Bula zaproponowano scheme, Yak got compensate pawn SMN riziki perechea period. All the scrip koshtiv, Yak videlatsia on the mortgage for finansowania, dlitsa on TV of Chastain: 60% oplaces s global budget, ie the budget of the TSE, yaky rosehouse on snow starichna difference I Lorna Yogo Atria square od addition, skilki won pracupola pactv, and TSE for the first stages compensa Maglev oscillations Runa nadgodziny.

– Starion Dan – TSE for that period?

– TSE Dan for the 2018 year. And 40% finansowania Lorna Atria for knave the result of work, so invited payment for the case of the treatment for Dagostino-sporane groups (DSG). In Vier of the month “Plato” in the region Poltawski mi platili mezclada 422 million UAH, including 286 million UAH from the budget wiggled global , 135 million UAH – Yak payment for case treatment. Tobto skin Lorna otrimali 60% stolichnogo budget and 40% of fallow od efektivnost so of work. VSI TSI Groshi ydut for contract W NCSU.

Chi velinov plot on quality medicine services?

– Novyi method finansowania pokazu scho party pochinayut operate better lkern, and tudi them ydut money. Blsa number most cases treatment zabezpiecze Patrico qualit lcara and TSE pgvisu bespeco the quality treatment. Lorn pochinayut konkurovat for best lcars and vidtak I for pactv. Competition perform to gramotnij investici in obladnannya I staff. So realtors Tsey vpliv. Abi oblasti dogovr W NCSU, whether that bet is guilty Vdovin Bazoviy umowa, he is guilty Buti pretvorenii s budgete install on PPC (komunalne necomerciale pdprimstvo), Mati medicine informatino system (MS), Yak SDATA paklausies to centralino bazi difference (CDB) e system receptionists health protection, dwellers of peragawati of NCSU npharmacy specifically about nadan services pacta otrisovat viplati, and also Vdovin medicine obladnannya TA qualey prank. Bet Atria more koshtiv, yakscho to Demba swertia more pactv. Ti of Zaklady, that wykonawcy more work, ie in most cases yakih more treatment, more trimout koshtiv.

– Chomu finansowania rozdelena for property 60×40%? Chomu not mozhna Bulo b all nanavati within Plato for a new model?

– Rodna Krajina did not broach purehd to Nova model finansowania for a case without treatment czastkowo zberezhennya stolichnogo finansowania. First of all the fact scho SMA model finansowania perform to suttly changes have structur nadanna of the hotel. Yea Lorn, that, according to the z data modelyuvannya, not smooth pracujacy strike most cases, skilki more USPS Lorn, that Radauti accno posluga. Respectively, chastina ltaren without for this reason castke 60% not smogla b Buti stable propanamine on dostaniemy run. For such Lorene TSE mozliwosci Mati hour SMN – m required to actively shukati much Navy their meeting place in the system. Comus required perepravlyaemsya, Comus Optimat structure Chi Ob datesa s how lorney. TSE trivaly, ale neophane process.

– Hto overtime, kudi bude svetalisa past? He himself Chi likar, that wipes napravlena?

– Man can pay itself, kudi zvernutis for napravlennym.. On Priklad “pervinca”, vilny choice lcara vzhe realsauna, if VI obire lcara square from the residence. So needless bude run stazionare relief: if likar “pervinca” wide napravlenny on planova hosptality (TSE bude napravlena electrone), s CIM napravlennym Pact Mauger should be in lornu Ukrainy Yak, Yak got contract W NCSU, navti not in their region. I people will in Homo pereraspredelyatsya middle Lorene, sdisney vilny choice, and, take a look around tudi, de for pewnymi nosologies will Radauti was terminated relief, de pratsyuyut better lcar. Respectively some of zaklada will likuvati more and some – less then pactv. I Tsey rozpodil vdbase , Yak pokazu plot, duzhe Shvydko.

– The proportion of pay 60% stolichnym budget, and 40% for Pracovni the case sberegatelny vsih from the mortgages, that have uvideti reform?

– First year TSE bude sbergami in usih lornah, abi not dopustiti prodani finansowania for quiet zakladu, that not efektivnim, abi Duthie m hour for Adaptec.

– Yak potim?

– And potim proportion bude postupovo zminyuvati: 50×50, 40×60 and potim. TSE our proposition, dwellers compensate riziki perechea period. After three rocky, namoura, mi videmo on those scho all payments budateteny method of payment for Pracovni the case. Although to salsateca pawn Lorn, pawn ViDi relief, that th Nadal finansavimui z global budget for ABO smanip method.

– What power schodo remodels, Yak VIN bude finansowania?

– Remodels – TSE najprostszy answer. Tsogo rock mi primako myself finansowania remodels, VIN to salesasia within the limits of subvent, ie in 2020 rotsi printsipovo nichogo not smytka. Ale z 2021 roku we offer, abi payment remodels vabulas Yak payment for posluga whether yakomu nadawca, yaky Mauger nadachi Qiu posluga I vdova pewnym imogam. Respectively, bodø som one session, Yak vartist pokrovitel for this reason services, ie mi we will kupovati Qiu posluga in quiet, hto , nadvatul.

– Ti, hto Nude posluga remodels, seem, scho z remodels Bulo b najprostszy, the fact scho stink know accurate temperature indication. number pactv, je registration. That chomu would not translate h vdras on finansowania for the case?

– Mi b duzhe hotel dwellers all Wabusaana parallel ale duzhe NCSU razorline in their Rozrahunkova of promejnostei. Respectively, at once mi focuses on pghotos to scho in 2020 rotsi VSI ViDi medicine relief povinn finansowania through NCSU. Ie mi povinn zakontraktovat all of zakladi receptionists health protection, yaki mozhut nanavati of the TSI services. TSE duzhe the great volume of work, to some ViDi the hotel, that will povinn of uvita in reform, rozpodil three rocky. Remodels bude z 2021 rock, mi takozh nsony Planum take in remboursera z 2021 rock, that scho, and in particular, required to do pin d, that POV Asan z ntegrity restru ncoln s electronic system receptionists health protection toscho. That is all budateteny poetapno, ale 2020 year mill with cob realtec programs include medichnih guarantees for usih vidv medicine relief.

– If rotate to Poltavska region, the scho showing “plot”?

– Plot pokazu scho Novyi method finansowania vinogorje quiet, hto more pratsyuє I accne, and, respectively, not vinogorje quiet, hto force RSNA reasons not Mauger pracovat. Not all Lorn demonstrate Positivo Dinamo, ale blesst them koristus mozliwosciami avtonomgaz. For example, we have a lcorn, that duzhe good spracovani I have otrimali more than otrimali storiche. TSE, of the in particular, the third I n’yata MSC clincin Lorn Poltava, that in the pershoho Kvartal was otrimali mayzhe 30% more than for solvency. Pridneprovska Lorna in Kremenchug, Snicka Central district Lorna, Poltavska regional Lorna im. Sqlhosts – TSE ti Lorn, that showed scho h Amiraute party, the stench tbiliseli number pracovnich most cases I his finansowania. TSE m not just delosa, the stench Cheema investovala in sviy rozvytok. That is, investovala not Sami Lorn and msava Vlad, Yak , vlasnikom Lorn. However, TSE of akrama theme rozmowy, that scho in Poltav, Yak, wonder, and in all the country, mi spostiamo nervnogo the situation iz zaluchennya msavi budget.

“Plot” peredacha robot for new mehanna on umovah sputnikovaya s McEvoy possess. Ale viyavilos scho 33 mortgages, that included in the “plot”, MSCI budget tbiliseli finansowania, and 21 – mensili svoï wydatki, versuri, scho yakscho of Zaklady UCLA dogovir with NCSU, the second truncated finansowania bude z NCSU. Ale reformuvannya peredacha sputnikovaya s side msavi budgets at least on RWN 2018 rock. On practic W 60% msciwi communities have silisili ABO tbiliseli its share finansowania and 40% versile scho not zbrisati. For example, Reshetilivs waboose zmenshennya finansowania Lorn s mstioga budget. In total MSCI budget wykonali svoï Zobov’yazannya, and in 2019 year 2018 porwnania h-m Supplement s msavi budget on rozvytok Lorn tbilisias 11%, ale TSE perevazhno stosowanej oblasnyh, mscih Loren I raionnykh great. Nevelik W budget primenili ABO, ABO mensili finansowania.

– And you can yakos uplynuti on maszewo Vlad?

– Dits, je law, Yakima stink Pavin nanavati at least wydatki on energons so I bitrate. Ale law peredacha NavNet programs msavi stimuli, that doomgate the mortgages from the point of Zora investuvannya, REMONTU toscho. Ti of Zaklady, Yakima msava Vlad DOPOMOGA, uspsa spravlyayutsya iz zavdannyam, budut our imogam, zbrisati finansowania th perevodyatsya on USPS clunky, that pochinayut operate party. Ale ere msava Vlad not Rozum so vddlo, although the law about msave samovryaduvannya I “plot” predvajati same sputnikovaya. Identity msava blame Vlad debate about svoï of Zaklady Yak vlasnik. Not just dati dosul Yak on mstioga samovryaduvannya on avtonomgaz that hold rsena through Vdovin Parliament, won guilty dopomogty comp Teresopolis, paklausyti to eHealth and potim of stvoriti MSCI programs include, spreman on perosamine to bet on chotoku to vdovec imogam of NCSU. Lorna im. Sqlhosts in Poltava in the framework of the “Plato” otrimali more koshtiv, the fact scho stink vprodovzh ostanni 1,5 years actively investovala in primaline vdden in MRI, Novi vdden, prority services. I so Lorna vigra.

For rakhunok chogo stench was otrimali more koshtiv?

– Stink pracupola more most cases. Not nabagato more – about 9% ale tbilisias skladnosti most cases CIR and smencils trevally perebuvannya pant in Stazione. TSE main result. Tobto stink not just zainali like and tbiliseli number pracovnich pactv. Trevally perebuvannya on liku smencils 10% prito scho in total in Ukraine won mayzhe VDC blsa than in ºC . Skladnosti pracovnich most cases tbilisias, and pay for skladens wypadki high.

Foretold: yea of Bazovy rate, and a coefcient skladnosti most cases. Chim skladens wypadki, all the more so koshtiv ottima bet that lcw skladens wypadki. Yea zakladu be called a few more, that didn’t otrimali more and approximative strike, Yak Bulo. Ale je grown lcar, that zrozumilo, scho Takeo avtonomnoyi status, if ti himself primas rsena. Not voluntaristic dwellers bought sobi, skamo, Chi auto to do the repair in Cabinet, and if primates rsena on’na koryst development of the mortgage. Zrozumily the stench, the stench pocha. No tarifno stki. No 33 order Pro number Lac. The stench Sami primaute rsena. I stink Sami storyurl kolektivni dogovr I bacati scho TSE duzhe vdden efficient working. Nile number most cases. There ptvisible salary lcars, the stench was kolektivni dogovr target, has target umowy, Yak “perlinc”, that scho ti lcar, that wykonawcy blsu number of work, trimout more. And someone tsogo not zarobiv. TSE rsena cervenka.

– VSI occult aprilynne tariff on medicine services. Chi NCSU vzhe parajubaea scho th skilki bude koshtuvati? On skilki TSI vashi parajunkee varanytsia from parahunt Mose, that kritikovali for duzhe nisic tariffs?

– I want to do be called a few more posting Sauvage. Firstly, people toil to understand, scho mi zhivemo in Ukraine, Yak got pawn economcs features velati koshti on system receptionists health. NCSU Yak upovnovazheni on the first operator of the reigning detritus principu neutralinos koshtiv budget. Zebco mi operum svoimi Zobov declared within the limits of the budget, that we vidella power. Have budgeti declares to 2020 year we have requested dostatno koshtiv for abi zadovoljniji purshia Etap transformats. Hotilosya b, dwellers Tsey request PDR of zadowoleni in pounamu obsas, TSE basically our robot at a time.

Spodvigla scho bude finansowania zbrisana. Mi in NCSU zbilshennya finansowania s budget can pretvoriti have zbilshennya of basovich tariff for vsih vidw of the hotel. Ale je y NSA skladova reformuvannya system finansowania zastosuvannya tariff: navn koshti povinn effective betrachtet. Ie mi maєmo ACUs scrip koshtiv at a time, but won a slim ball rasmusse on velicescu the Trammel zakladu. Our challenge sporulate of zakladi of stavatti econome efektivnim th semusici h vlasnikiv (General description mstioga samovryaduvannya) nvestigate in those, abi Trammel zakladu vapula the real needs pactv.

– If rotate to tariff: skilki castout, for example, appendicitis, childbirth, infarct, insult Chi virska slunko?

– I will explain to you, Yak TSE rosehouse. In Ukraine view from the past rock Bulo 8.5 million hosptality. Umove Kazuki on the TSE treatment through subvention welease 55 billion, plus sputnikowns s msavi budget. If podeliti Qiu bag 8.5 million hosptality, atrimana of serednyachki of Bazovy rate. Naprawd vdbase nabagato skladens rozrahunki, than I at once said, ale is approximative so rajoute bitrate s budget. So formulise average of Bazovy rate, but in the case of the specific Zaklad koshtuvati Mauger Yak more, so I less. The results dozen mineralnih proektu for Poltev, for example, canopies for oblcom vitrat mozhut koshtuvati from 2.5 to 14 thousand UAH.

– TSE Chi rozrahunki realm bitrate?

– TSE realin bitrate. If formulise rate, mi znamo VSI bitrate, a median, Yak vartist pokriva tsogo case in in zakladu. Yea that vartist scho party decuplet – virobi medychne priznachennya, LKI. To serednioho rate dodata I Rozrahunkova sum I mi otimum fare for a fact, that pokriva all. Mi talking about pavemen tariffs scho stolovatets prioritetnyh of hotel Yak mi h bacimo within the limits of programs include medichnih guarantees for example, you mozhu skazati, scho in our rozrahunkiv mill “for now” curtains virtualizati of about 9 tees. UAH: tsya scrip vkluchi VSI neohd skladov. TSE is not this means, scho lyudin got platiti for canopies 9 tees. UAH. This means TSE, scho salad in, yaky bude zakontraktovany of NCSU for Qiu poslug s women nichogo not brachiate hope those. Tsey rate povnistyu pokriva Vidadi the pledge , NCSU h splat.

– VI rosehouse on vvedennya SPOPAT?

– I duzhe tsogo want.

Of NCSU yakos prosvetite Qiu day?

– Dozen, that provodilsya in Ukraine, including Index health the number dozen Swetoha first Bank BOAZ, without, scho about 70% of people Gatow to SPOPAT, yakscho won bude peretrutova th zrozumila. If people resumetime scho for planova relief m required itsuno of doplatit akus I bag them nichogo not vsmall hope those. For tsogo, sweno, required vnesite SMN in the legislation. Mi Yak on scho realty politiku, can vihodit iz zakonodateli the propositions that noradijumi, th now actively precum on the CIM together with the Ministry of health. Je design zakonu, that udoskonalyty sphere reigning finansovih warranties, including by way povernennya to the law SPOPAT.

To vsogo hogo SPOPAT – TSE those scho dodata to garantovano package. VSI razumot scho . part SPOPAT, Yak Mauger Buti mstem zastosuvannya dobrovolnoe medychne Strahuvannya Yogo the development.

– Hto Strahovanie? Bo Strahov compan duzhe not hochut ndial medychne Strahuvannya…

– Stink well not know scho strahovanii. Yakscho bude SPOPAT s itsuno vstanovleni datcom, the Buda CTCI subject to rozrahunkiv tariff. Past satima scho . garantovano power services, but what services, that included in the plot SPOPAT. Identity VIN Mauger zastrahovatsja, and Razi nastana insurance vipadku insurance company to pay the Qiu to the plot. Tobto yea chastina, Yak certainly garantovano power, “” share SPOPAT, Yak compensa insurance company. So working dobrowolne medichne Strahuvannya in in countries Sahana Vropy. If doskonalimy normativno base dwellers wydatki robotodavciv picnic ABO osib, yaki trahautsya, otnosilsya on sacrati, not prybutok, then NavNet itsuno SPOPAT Mauger prizvesti to digit development of rinku dobrovolnoe medychne Strahuvannya (LCA).

And if zaprevajut obov patterns medichne Strahuvannya (OMS)?

– Zagalnogo patterns socalise medichne Strahuvannya realtors in RSNA options. Those scho realsense infections in Ukraine – TSE one of vidw obov’yazkovo General social medychne Strahuvannya. Vono Varanasi tilki Tim, Yak sbiraetsya koshti: Chi TSE direct podatok, that stamps s Fund pay Pratsi Chi sum is taken for z segalini payers. All, scho Robit NSSO data currently, TSE vicono functions of a national insurer. Just Create zastrahovan all th money on Strahuvannya ydut s deliberate. Simply Cauchi, in Ukraine vzhe rokiv 1,5 realtors one of vidw zagalnogo’yazkovo social medychne Strahuvannya.

Tags:

#of NCSU

#Petrenko

#edreform