Section 1. Monitoring of the implementation of recommendations on reform priorities for 2020 - May 2021
The monitoring revealed that, despite efforts to implement changes in health care in Ukraine, no significant progress was made in key areas during 2020–2021 (the “Partially done” label mostly means only the presence of fragmentary changes, which only partially cover the relevant recommendations). Therefore, the preliminary list of recommendations (for 2020–2021) remains relevant in the future.
The priority steps in the reform of the health care system in the near future should be:
To assess the quality of primary care. To introduce quality indicators for the provision of primary health care and link them to adjustment factors.
To develop and approve patient routing.
To complete the reform of emergency medical care that would meet international standards, develop qualification requirements and training for the operators.
To develop a strategy for staffing the health care system at all levels.
To introduce the position of a nurse with extended powers.
To conduct an audit of the system of continuous professional development of doctors, to define clear criteria for certification of medical personnel.
To promote the development of professional associations.
To introduce changes into the directory of qualification characteristics of professions (especially in the section on health care managers), coordinating them with management training programs (229 - public health; 073 - health care management and 281 - public administration and administration).
To complete the implementation of the medical technology assessment system, which will allow making effective strategic decisions in the field of health care based on indicators of clinical effectiveness and evidence.
To adopt bills on public health, on biological safety and biological protection, on protection of public health from the harmful effects of tobacco (№ 4358), as well as other regulations in the public health system.