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@inbook{Dzhygyr:2022,
author = {Dzhygyr, Y and Maynzynk, K and Murphy, A and Propper, C},
booktitle = {Rebuilding Ukraine: Principles and Policies},
editor = {Gorodnickcenko and Sologub},
pages = {361--384},
title = {The health system},
url = {https://cepr.org/publications/books-and-reports/rebuilding-ukraine-principles-and-policies},
year = {2022}
}

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TY  - CHAP
AB  - Russia’s full-scale invasion has had a devastating impact on Ukraine’s health system.Our overall recommendation is that international aid and resources devoted to Ukraine’srecovery should be used to help the system to ‘leapfrog’ – to modernise the healthcaresystem so that it can deliver care more efficiently to meet the goal of universal accessto affordable and high-quality care. To this end, we offer a set of key recommendations.These are presented according to the corresponding WHO Health System Building Blockframework.In terms of financing, we recommend that international aid be channelled through asingle independent agency and aligned with Ukraine’s objectives, and that formal costsharing should be avoided as it may exacerbate the existing problem of informal out ofpocket payments and is unlikely to generate significant revenue. For healthcare delivery,we suggest (1) explicitly defining the basic healthcare benefit package (the Programme ofMedical Guarantees, or PMG) now, to avoid implicit rationing through refusal of care oruse of informal out-of-pocket payments, and to improve efficiency; and (2) introducing amix of public and private provision in the short and longer term, with one central agencyresponsible for contracts.Managing healthcare workforce should focus on (1) careful use of task-sharing to nurses,initially in primary care, supported by training and supervision; and (2) increased effortsto retrain staff in line with European standards and the changing health needs of thepopulation. This should be complemented with investments in staff retention, by meansof better working practices and higher salaries. There should be strong investment inhealth information systems to address issues of security and interoperability betweendifferent healthcare providers. Governance and leadership should aim to achieve two objectives: (1) developing thecurrent purchasing agency, the National Health Service of Ukraine (NHSU), int
AU  - Dzhygyr,Y
AU  - Maynzynk,K
AU  - Murphy,A
AU  - Propper,C
EP  - 384
PY  - 2022///
SP  - 361
TI  - The health system
T1  - Rebuilding Ukraine: Principles and Policies
UR  - https://cepr.org/publications/books-and-reports/rebuilding-ukraine-principles-and-policies
UR  - http://hdl.handle.net/10044/1/105009
ER  -

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