ФІНАНСУВАННЯ МЕДИЧНОЇ ГАЛУЗІ УКРАЇНИ В ПЕРІОД СУСПІЛЬНИХ ЗМІН 1990-Х– ПОЧАТКУ 2000-Х РОКІВ
FINANCING OF THE MEDICAL SECTOR OF UKRAINE IN THE PERIOD OF SOCIAL CHANGES OF THE 1990S - EARLY 2000S

Summary/Abstract: The aim of the work is to consider the process of organizing the financing of the medical sector through the prism of macro-social historical processes in the period of social transformations of the 1990s – early 2000s. The research methodology is based on the principles of science, historicism, interdisciplinarity, application of general scientific (analysis, synthesis and generalization) and special scientific (historical-genetic, comparative-historical, typological) methods. Scientific novelty of the work. This issue is considered for the first time in the domestic historical science. Conclusions. It is identified that in the first post-Soviet decade in Ukraine the predominantly Soviet approach to the financing of health care sector was maintained. Residual principles of public funding, combined with the irrational use of resources, testified to the secondary nature of this sector in the system of state priorities. In the 1990s, most medical institutions, according to the Soviet tradition, remained budget-funded entities. The reduction in financial resources in the 1990s affected the budget in the form of long-term deficits, which resulted in reduced government spending on health care sector, which affected the material and technical equipment, infrastructure and staffing. That led to an increase in the share of private household funds in the financing structure of the sector. Attempts to expand funding sources through health insurance funds and charitable foundations did not have the desired effect; as such a mechanism was not fully standardized. Most of the public funds were used to finance human capital and infrastructure payments, and traditionally the cost of quality and volume of medical care was not taken into the account. As a result, medical staff had one of the lowest wages in the sector of the economy, and the medical sector lagged behind in terms of material and technical equipment.

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