Primary care is one of the main functions delegated by the state to local self-governments. Hence, communities at the expense of medical subvention allocated to the regions by the state, should ensure 100% implementation of this function. Therefore, local self-governments are interested in ensuring available and high-quality medical service. This was stated by Vice-Prime Minister/ Minister of Regional Development, Construction, Housing and Communal Services of Ukraine Hennadii Zubko in an interview with TV Channel 5.
According to him, the country provides funds, coordinates projects, however construction of new outpatient clinics is the prerogative of local authorities. The technical requirements developed by the Ministry of Regional Development, Construction, Housing and Communal Services of Ukraine are conditions for construction. Local authorities should also buy equipment at the expense of a medical subvention, according to the list approved by the Ministry of Healthcare of Ukraine.
"We are currently working on infrastructure. First and foremost - it should be modern premises equipped with the necessary list of medical equipment, including telecommunication facilities. The most important things that should keep a doctor from leaving the area – provision of housing, decent wages and vehicles", Hennadii Zubko stressed.
The Vice Prime Minister informed about the impact of declarations on earnings of medical workers. "Today, the medical subvention amounts to UAH 225 per inhabitant. After signing a declaration with a family doctor - it increases to UAH 370. This sum may vary, depending on a certain factor. A child under the age of 18 is a coefficient of 1.5, an elderly person, or over 55 years old - 2.0, a person aged from 39 to 65 years old - 1.5 coefficient. This is not a linear dependence", he underscored.
Hennadii Zubko also placed a special emphasis on the fact that at present, more than 15 million Ukrainians have signed declarations with family doctors. The best results are seen in rural areas.
"The rural medicine reform has tight deadlines, 2018 - the beginning of 2019. Therefore, we do not have time for discussion. Today, we must provide a quality service - not only primary health care, but also professional secondary health care", Hennadii Zubko emphasized.