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Состояние медицинской сферы в Украине

The state of medical sphere in Ukraine

Date posted: 31.01.2017 Print Full version

 According to the research carried out by the Sociological Group "Rating" in December 2016, two-thirds of the polled do know who their family doctor or therapist are, other one-third – do not know. The older the respondents, the higher their awareness of the family doctor. Women are more aware as compared to the men. 

53% of the polled trust their family doctor, instead, 21% – do not trust, 26% – were not able to answer this question. The level of trust is directly related to the frequency of respondents’ visits to the doctors and their level of awareness of them – among those who know their family doctor almost 80% do trust him/her. The women and older people are more likely to trust the doctor as compared to the men and younger people. 

Almost the half (48%) reported that their family doctor had provided them with advice on diseases prevention or recommendations on the healthy way of life. At the same time, the same number assures that they have not been provided with such recommendations. Among those who have been provided with such advice, 82% do trust their family doctor. 
 
37% of the polled consult with the doctor or any medical specialist concerning the state of their health or receiving any recommendations on to the state of their health less than once a year. The quarter uses such service once a year, 17% – consult with the doctor at least every 6 months, 10% – every 3 months, 5% – monthly. The women contact the medical specialists regarding their health or recommendations more often as compared to the men. Also, older people tend to visit the doctors more often than young people.
 
42% of the respondents declared having one to three diseases currently disturbing them. 17% mentioned suffering from more than four diseases. Instead, one-third reported having no problems with their health currently. The state of health depends on age – the older the respondents, the more of those who suffer from diseases among them. The men are less likely to complain about the health as compared to the women.
 
27% of the polled have checked up their heart and vessels this year, other 16% reported passing such examinations in the last year, 20% − more than two years ago, and 12% − more than four years ago. 18% have not checked up the state of their cardiovascular system at all. The biggest number of those who have checked up for the cardiovascular diseases this year was among the citizens of the South (31%) and East (40%). Instead, the quarter of the polled in the West has never passed such examinations at all. Once again, among the older people, there were more of those who have passed such procedures this year than among the young people. Also, the number of such respondents is bigger among the women than among the men.
 
Two-thirds of the polled do not take medications or vitamins for treatment or prevention of heart diseases, one-third – do take. 42% of the females take "heart" medications, among the males there were only 22% of such. Half of the polled aged 51 and older also takes such medications. Among those who often contact the doctors or have passed the cardiovascular system examination this year, the number of such is almost two-thirds.
 
39% of the polled trust news about the changes in the medical industry that are spread on the television, instead, 56% – do not trust. 36% of the respondents trust such information on the Internet, 39% do not trust, 26% were not able to estimate their level of trust to the medical news from the World Wide Web. 29% of the polled trust such information provided in the printed press, 56% – do not trust: medical news on the radio is trusted by 27% of the respondents, not trusted – by 52%. Among the citizens of the West, there was the biggest number of those who trust the news about the healthcare industry changes in all types of media. The smallest number of such was among the residents of the East. The young people are more likely to trust such information from the Internet, the older generation – from the television. The women are somewhat more inclined to trust the news on television than the men.
 
76% of the respondents trust the firefighting and rescue service in their region, 14% − do not trust. The ambulance service is trusted by 74% of the respondents, not trusted – by 22%. Medical institutions (clinics, hospitals) are trusted by 57%, not trusted – by 36%; pharmacies are trusted by 55%, not trusted – by 38%; police is trusted by 48% of the respondents, not trusted – by 45%.
 
There is a situation when people, on the one hand, are not satisfied with the state of medicine and believe that the overall quality of the government health services in the country deteriorates or does not change, while on the other – continue to trust medical institutions and doctors.
 
Among the recent government initiatives related to the medical sphere reforms, the most supported by the respondents are the initiatives on refunding of the costs of treatment for diabetes, asthma, and cardiovascular diseases (84%) and introduction of the obligatory medical insurance (64%). The creation of the Public health centers is supported by 58%, not supported  – by 21%, 22% – could not decide; the introduction of the standardized treatment protocols is supported by 57%, not supported – by 12%, 30% – could not decide; the adoption of the concept of public health system development is supported by 57%, not supported – by 22%, the same number – were unable to rate; the introduction of the mechanism of contracts determining doctors’ salaries increase is supported by 44% of the respondents, not supported – by 35%, 21% – did not answer this question; the contracts with the guaranteed price for treatment are supported by 38% of the respondents, not supported – by 42%, 20% – were unable to rate; the foundation of the hospital districts is supported by 36%, not supported – by 44%, 20% – were unable to rate.
 
From 64% in October of this year to 69% in December has increased the level of support for the initiative on creation of the medical service aimed at providing first aid in case of traumatic situations in order to save the patient's life until he/she receives a full and independent treatment in the emergency department. At the same time, the level of support for the Order No.33 cancellation almost has not changed (according to this Order state budget funds were allocated to medical institutions based on the number of hospital beds). This initiative, just as it used to be in the autumn, is supported by somewhat more than the half of respondents (58%).
 
The application of the procedures of competitive and transparent tenders for certain medications public procurement is supported by 68% of the respondents, not supported – by 17%.
 
Only 27% of the respondents believe that the introduction of the mechanism of signing contracts between the patient and doctor along with the doctor’s minimum 30% salary increase will improve the quality of medical care. 36% declare that it will have no impact, while 16% even think it will worsen the quality of care. 21% could not answer this question. The biggest number of the optimists was recorded in the West (33%) and the smallest – in the East (17%). At the same time, in the Eastern regions there was the biggest number of those who just could not estimate these changes in any way (37%). Also, the greatest support for this mechanism was found among those who visit the doctors quite often.
 
77% support the vaccination of children against such diseases as polio, measles, tuberculosis, hepatitis B, diphtheria, etc. 12% do not support this kind of prevention measures, 11% – were unable to rate. The level of support for vaccination is somewhat higher among the urban population, women, older people, and those who trust the medical establishments.
 
71% of the polled support the introduction of the compulsory children vaccination against such diseases as polio, tuberculosis, measles, hepatitis b, diphtheria, etc. (provided that these diseases could threaten public health), 13% – do not support, 16% – were unable to rate. Once again, this initiative is somewhat more supported by the urban residents, women, and those who trust the medical establishments.
 
 
Respondents: residents of Ukraine aged 18 and older. The sample is representative in terms of age, sex, region, and place of residence. Total sample: 1500 respondents. Personal formalized interview (face-to-face). The margin of error does not exceed 2,5%. Period of the survey: 12-22 December 2016

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