В Україні стартував другий етап медреформи: що це міняє?

  • 1 Квітня 2020, 15:00
  • 65 Коментарів

Незважаючи на карантин, запроваджений через коронавірус, в Україні стартував другий етап медреформи. Так, з 1 квітня 2020 року в нашій країні стануть безкоштовними 27 пакетів медичних послуг.

Безкоштовними для пацієнта будуть послуги, від яких залежить життя, йдеться про такі пакети послуг:

  • Первинна медична допомога.
  • Екстрена медична допомога.
  • Амбулаторна вторинна (спеціалізована) і третинна (високоспеціалізована) медична допомога дорослим та дітям.
  • Мамографія молочної залози.
  • Гістероскопія.
  • Езофагогастродуоденоскопія.
  • Колоноскопія.
  • Цистоскопія.
  • Бронхоскопія.
  • Лікування хворих методом екстракорпорального гемодіалізу в амбулаторних умовах.
  • Хірургічні операції дорослим і дітям в стаціонарі.
  • Стаціонарна допомога дорослим та дітям без проведення хірургічних операцій.
  • медична допомога при гострому мозковому інсульті.
  • медична допомога при гострому інфаркті міокарда.
  • медична допомога при пологах.
  • медична допомога новонародженим в складних неонатальних випадках.
  • Діагностика та хіміотерапевтичне лікування онкологічних захворювань.
  • Діагностика і радіологічне лікування онкологічних захворювань.
  • Психіатрична допомога дорослим та дітям.
  • Діагностика і лікування дорослих і дітей з туберкульозом.
  • Діагностика, лікування і супроводження осіб з ВІЛ.
  • Лікування осіб з психічними та поведінковими розладами внаслідок вживання опіоїдів з використанням препаратів замісної терапії.
  • Стаціонарна паліативна медична допомога дорослим та дітям.
  • Мобільний паліативна медична допомога.
  • Реабілітація немовлят, які народилися передчасно і/або хворими, протягом перших 3 років життя.
  • Реабілітація дорослих і дітей від 3 років з ураженням опорно-рухового апарату.
  • Реабілітація дорослих і дітей від 3 років з ураженням нервової системи.

Крім того, з 1 квітня у лікарнях діятиме принцип, що вже діє для сімейних лікарів ― «гроші йдуть за пацієнтом». Тобто фінансування лікарні залежатиме не від кількості місць загалом, а від кількості пацієнтів, що користуються її послугами.

Водночас оплата залежатиме не від кількості візитів пацієнтів, а від результату лікування. Тобто відтепер лікарні будуть отримувати гроші з бюджету за кожного вилікуваного пацієнта

Платитиме за послуги не пацієнт, а Національна служба здоров’я України за встановленими тарифами. Щоб отримати гроші, лікарня повинна надати до електронної системи охорони здоров’я звіт про надані медичні послуги та обсяг використаних ліків та інших засобів.

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