SOME RESULTS OF HEALTHCARE REFORMING
Series of health reforms carried out over the past decades have failed to achieve the targets by all parameters. There is a need for a deeper elaboration of approaches to planning changes in the sector, detailed scientific framework for reforms, and development of the structure of care organization on the basis of evidence-based standards of care volumes of all types. The purpose of this work was to evaluate effectiveness of the previous healthcare reforming and their effect on demographic situation in the country, morbidity rates and resources in the sector. Methods. Analytical, statistical, comparative analysis and expert evaluation methods have been used. Results. The study results show that reforms aimed at improving healthcare effectiveness, strengthening its infrastructure, improving conditions of the patient stay in medical organizations, improving quality of medical care, and improving health of the population have failed to achieve the targets. Morbidity and total mortality rates remain high against the background of decreased births. There is an unacceptable ratio between primary and specialized care with a focus on developing the specialized care; staffing problem remains a challenge. As of today outpatient health facilities are not able of delivering quality and accessible care in volumes necessary for becoming the prime care provider to the population and the focal point in addressing medical and demographic issues and preserving and promoting health. Conclusion. To make healthcare reforming effective it is necessary to revise priorities and strategy of transformations. Structural changes in the network and hospital bed stock should be implemented only on the basis of the evidence-based standards. New models of care organization should be tested in pilots prior to dissemination. Unsatisfactory results of the previous healthcare reforming are a challenge to the new reforms aimed at positive changes in the sector.