O. Dudnyk, A. Shaurenko European Vector in Changes in the System of Health Care of Ukrainian 1991–2001

DOI: 10.20535/2307-5244.53.2021.248565

Pavlo Tychyna Uman State Pedagogical University

The analysis of scientific publications shows that the health care issues in
Ukraine during 1991–2001 have not yet become the subject of active scientific
research of contemporary historical science. Therefore, the aim of the article is to
analyse the processes of transformation of the healthcare system in independent
Ukraine. In this research, the author mainly used statistical, comparative, and
cliometric methods. The author followed the principles of historicism, objectivity
and systemic approach.
At the beginning of Ukraine’s independence, the medical industry faced the
necessity to be transformed according to the new socio-economic and political
challenges, however, this process was accompanied by the severe resistance
both from the people within the healthcare system and from the external actors. Although
during 1991–2001 the legislation on health care in the new socio-economic
conditions was introduced into the medical field, the lack of funds for
healthcare and low political priority of this sphere prevented this area from significant
The economic growth in the second half of the 1990’s led to positive changes
in medical sphere. For instance, infant and mothers’ mortality decreased,
population decline stopped as well as the reformation of primary health care
unit based on family medicine started. On the other hand, the living conditions
of healthcare workers were still low, and the financial and humanitarian assistance
for the development of Ukrainian healthcare system was provided by
international actors.
Keywords: health care, medicine, medical care, public policy, reform.


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