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Оценка медицинской сферы  в Украине: декабрь 2017

Assessment of the state of medical sphere in Ukraine: December 2017

Date posted: 10.01.2018 Print Full version

  • According to the research carried out by the Sociological Group "Rating" in November-December 2017, 43% of the polled stated that over the past two years, the overall quality of the public health services in the country has worsened. Only 11% have mentioned an improvement, 38% believe that the quality level of the public health services has not changed, 8% – were not able to answer. At the same time, the number of those who declare the worsening within this area has decreased over the last year.

54% know their family doctor or physician, 45% – do not know. The greatest awareness was recorded among the women and older people. 31% address their family doctor or pediatrician, 20% – do not address. The most inclined to address the pediatricians are the rural citizens, the residents of the South and Center.
 
One-third of the respondents have used the services of the Ambulance over the last year. The urban citizens, the residents of the Center and South, and the elderly people have contacted the Ambulance service more often. Among the Ambulance service users, 72% are satisfied with the quality of services and the professionalism of the Ambulance service team, a quarter of the respondents – unsatisfied, 3% – have not decided.
 
Among the reforms and changes to certain legislative acts approved by the Verkhovna Rada of Ukraine this autumn, the polled are the most aware of the pension and medical reforms: 86-88% have heard of such initiatives. 69% are aware of the educational reform, 64% – judicial reform.
 
Among the government initiatives in the medical sphere, the respondents are the most aware of the introduction of a free-of-charge (or with a small surcharge) delivery of medicines for diabetes, asthma, and cardiovascular diseases by doctor’s prescription (74%) and the introduction of the national health insurance (71%). Two-thirds of the polled are aware of such initiatives as increasing the doctors’ salaries through the introduction of a contract mechanism and contracting between patients and doctors. 55% of the polled are aware of the establishment of the hospital districts with one multidisciplinary hospital in each oblast and 4-5 intensive care hospitals of the second level (one in each of the hospital districts) for the emergency 24-hours service provision; 53% know about the establishment of the Public Health Centers in each oblast aimed primarily at preventing diseases and epidemics and promoting healthy lifestyle; 51% - about the introduction of the reference pricing for medicines to guarantee fairness and adequacy of retail prices in accordance with the agreements between the Ministry of Health and pharmaceutical companies. The respondents are more likely to be unaware rather than aware of the introduction of a strict control over the public funds for the construction of Okhmatdit (47% are aware). The lowest awareness is recorded in terms of the provision of the medical service subsidies for the internally displaced persons from Donbas and Crimea (39%). At the same time, it should be noted that awareness of the government's initiatives to reform the medical sphere has increased over the past three months.
 
Among the above-mentioned initiatives, the respondents support the most: the introduction of a free-of-charge (or with a small surcharge) delivery of medicines for diabetes, asthma, and cardiovascular diseases by doctor’s prescription and the introduction of the strict control over public funds for the construction of Okhmatdit (86% and 85% respectively). The establishment of the Public Health Centers and the introduction of the reference pricing for medicines are supported by 77% of the polled each; the introduction of the national health insurance – 71%; the increase of the doctors salaries through the introduction of the contract mechanism and the provision of medical service subsidies for the internally displaced persons from Donbas and Crimea – 68% each; the contracts aimed at receiving free treatment at the primary stage – 63%; the establishment of the hospital districts – 48%.
 
The support for all the listed government initiatives constituting the main elements of the medical reform has somewhat decreased as compared to August of this year. Two-thirds of the polled support the bills which include the above-mentioned 9 initiatives, 21% – do not support, 13% – have not decided. The support for these bills is somewhat higher in the West, among urban citizens, young people, and those with higher income. The lowest support is recorded in the East, among elderly people, and rural citizens.
 
Given choice between the standardized protocols, more than a half of the polled (54%) would prefer the international system (more likely young people and urban citizens, the residents of the Center and West), while only a quarter (26%) would prefer domestic one; almost 20% – undecided. Over the last three months, the number of supporters for the domestic system of protocols has slightly increased from 20 to 26%.
 
As compared to August of this year, the number of those who consider the Ministry of Health as important both for themselves personally and their families has increased from 57% to 62%. In its turn, 31% of the polled expressed the opposite opinion in November-December.
 
More than a half of the respondents (56%) are the most likely to trust Ukrainian television when hearing about the medical reform. A quarter of the polled trust Ukrainian websites in this case; 15-16% – social networks and Ukrainian newspapers; 12% – Ukrainian radio; 6% – Western Internet sites; 4% – Western media; 3% – Russian Internet sites; Russian social networks and media – 1% each. Other sources are trusted by 8% of the polled, 14% have not decided.
 
Among the institutions in the context of medical reform, the most trusted are close people (51%) and medical professionals (39%). Colleagues are trusted by 12%, local government officials – 5%, Ukrainian NGOs – 4%, Western NGOs, ministers, and Government members – 3% each, religious leaders and people's deputies – 2% each. Other institutions are trusted by 7%, have not decided – 14%.
 
Among the sources of information, regardless of the information they distribute, almost a half of the polled trust Ukrainian TV (49%), Ukrainian Internet sites – 41%, social networks – 37%, Ukrainian newspapers – 33%, Ukrainian radio – 29%, foreign TV and Internet sites – 15-17%, Russian sources of information (newspapers, radio, Internet sites, television) – 3 to 7%. Ukrainian media are the most trusted in the West, Russian social networks and Internet sites – in the South and East. Moreover, in the East, Russian television, radio, and newspapers are trusted more as compared to other macro-regions. Internet sites are relatively more trusted by young and middle-aged people. Also, among young people, social networks and Western television are relatively more trusted. Older people prefer Ukrainian television, newspapers, and radio.
 
 
Respondents: residents of Ukraine aged 18 and older. The sample is representative in terms of age, gender, regions, and place of residence. Total sample: 1200 respondents. Personal formalized interview (face-to-face). The margin of error does not exceed 2,8%. Period of the survey: 23 November – 4 December 2017

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