Authors: N. Hrazhevska, Dr Hab., Prof., ORCID ID 0000-0003-2549-8055, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, А. Tyngisheva, Doctor PhD, ORCID ID 0000-0002-1957-4325, Karaganda university of Kazpotrebsoyuz, Republic of Kazakhstan
Annotation: The article examines main models of public administration and regulation of health care systems, assessed with an account for their organizational and financial characteristics: predominantly state, predominantly social and insurance, predominantly private models. The predominantly state model characterized by a significant role of the state is observed in the UK, Greece, Denmark, Norway, Portugal, Sweden, etc., the predominantly social and insurance model is found in Austria, Belgium, Netherlands, Germany, France, Switzerland, and Japan with the predominantly private model followed in the USA, South Korea, and other counties. The international ranking on the effectiveness of health systems is attained in terms of their response to challenges of the global COVID-19 pandemic. Based on the analysis, the critical issues for the health care systems were highlighted: insufficient funding of the public health care system, irrational distribution of health care costs, as well as the fact that health care systems were not designed for an emergency situations. The irrational distribution of public funds is a consequence of the low efficiency of health care management at all levels, which leads to concomitant problems in health care, such as staffing and material support. Based on the study of the main foreign models of public administration and regulation of the health care system, it was shown that for the Kazakh and Ukrainian models of the health-care system public administration, it is feasible to follow Germany and Singapore with their developed health insurance system based on a combination of the principles of individual responsibility and universal affordable medical care, as well as the well-coordinated systemic work of public health authorities in a state of emergency. Thus, further improving the efficiency of health care system management is one of the main tasks for social policy in Kazakhstan and Ukraine. Dealing with this task largely depends on the correct choice of the appropriate model of the health-care system public administration.
Keywords: healthcare system, public administration, healthcare financing, coronavirus pandemic.
1st Revision: 05/01/2021
- Stiglitz. J. E. Economics of the Public Sector / Joseph E. Stiglitz: W. W. Norton, 2000. – 823 р.
- Arrow K. J. Uncertainty and the welfare economics of medical care / Kennet J. Arrow // American Economic Review, 1963. – Vol. 53. – P. 941-973.
- Getzen T.E. Health Economics: Fundamentals and Flow of Funds / T.E. Getzen; John Wiley & Sons, 2012. – 496 p. DOI: 10.1007/BF02304239.
- S.Thomson, J. Figueras, T. Evetovits, M.Jowett, P. Mladovsky, A. Maresso, J. Cylus, M. Karanikolos, H. Kluge. Economic Crisis, Health Systems and Health in Europe: Impact and Implications for Policy. – Open University Press (OUP), 2015. URL: http://www.euro.who.int/data/assets/ pdffile/0009/285993/ Economic-crisis,-health-systems-and-health-in-Europe.- Impact-and-implications-for-policy-ru.pdf?ua=1.
- Rice T. The state of PPOs: results from a national survey / T. Rice // Health Affairs. – 1985. – Т. 4. – №. 4. – Р. 25-40.
- Dranove D., Satterthwaite M. A. The industrial organization of health care markets / D. Dranove, M. A. Satterthwaite // Handbook of health economics. – 2000. – Т. 1. – Р. 1093-1139.
- Enthoven A. C. Market forces and efficient health care systems / A. C. Enthoven // Health Affairs. – 2004. – №. 2. – Р. 25-27.
- Porter M. E., Teisberg E. O. Redefining health care: creating valuebased competition on results / M. E. Porter, E. O. Teisberg; Harvard Business Press, 2006. – 507 р.
- V. Omelyanovskiy, L.V. Maximova, A.P. Tatarinov. Foreign experience: models of financing and health systems. Financial Journal No. 3 p. 2014 p. 23-27.
- Barkina T.V., Semenchuk O.V. The main forms of organization of health care in the countries of the world “Economy and Society” No. 2 (33) 2017.
- Gurina, N.A. Health care organization in Norway / N.A. Gurina // Ros. family doctor. – 2002. – No. 3. – pp. 24–28.
- Die Auseinandersetzung die Digitalisierung des Gesundheitswesens. [Электронный ресурс]. URL: http://www.heise.de/ct/artikel/ Die285 Auseinandersetzung-um-die-Digitalisierung-des-Gesundheitswesens-302570.html (date of reference: 30.10.2013).
- Novikov I.A. Health insurance system in Germany. Economics and Management: Problems of Solutions.
- Aimagambetov E.B., Tyngisheva A.M. Organizational and financial mechanism of public management of the health care system in foreign countries. Journal “Reports of the National Academy of Sciences of the Republic of Kazakhstan” (1) – 2019 – p. 59 -68.
- Khalfin R.I. Organization of the healthcare system in the United States. Healthcare manager. 2012 https://cyberleninka.ru/article/.
- Ulumbekova G. E. Health care reform in the United States: lessons for Russia. Electronic scientific journal “Social aspects of population health” – 2012. No. 5, [Electronic resource] URL: http: //vestnik.mednet.ru/ content/view/429/30/lang,ru/ (date of reference: 02.14.2016).
- Ramesh M. Autonomy and Control in Public Hospital Reforms in Singapore // The American Review of Public Administration. – 2008. – Vol. 38. – № 1. – P. 62–79.
- V.S. Nazarov, K.M. Davis, N.N. Sisigina “Medical savings accounts: prospects for the CHI system.” Financial journal / Financial journal №2 2014 p. 51.
- Massalsky R.I. Health insurance in Singapore Journal “Modern problems of science and education” No. 1 2015.
- Zaretsky A.S. Chin Thi Han Ha Features of the health insurance system in the Republic of Singapore. Topical issues of the innovative economy 12.2015. from 177-178.
- Bloomberg News Agency: World Countries Ranking by Health System Performance 2018.
- Human development report 2020 http://hdr.undp.org/sites/ default/files/hdr2020.pdf.