What people think about the Ukrainian medicine
Go back
What people think about the Ukrainian medicine
03.07.2015

What people think about the Ukrainian medicine

Negative assessments prevail among the Ukrainian people concerning a current state of medical service in Ukraine and perspectives of development in the coming year

 

  • 45% of the surveyed Ukrainians assessed the state of their health as good, 38% – satisfactory, 15% – weak. As compared with the other world countries, where survey was conducted within the International Social Survey Programme, Ukraine is on one of the last positions along with Russia and Asian countries. Survey was not conducted in Africa.
  • For comparison, more than 80% assessed their health condition as good in Canada, Sweden and Argentina, over 70% – in the USA, majority of the European states, Australia and India. Ukraine is relatively close to such countries as Poland, Bulgaria, Latvia and Lithuania, where more than 60% of the people are satisfied with their health condition.
  • Only 10% assessed quality of medical service in Ukraine as a good one (comparison of the survey results of Eurobarometer and Rating Sociological Group). For comparison, medicine was assessed as good by 20% to 40% of respondents in Poland, Romania, Bulgaria and Greece. The best assessment of medical service was given by respondents living in Seeden, Finland, Germany, France, Great Britain and Austria – over 85%.
  • Only 4% of Ukrainian citizens think that the quality of medical service in Ukraine got better during the last 5 years, 38% – think that nothing has changed, and majority (55%) – think that it has worsened. Only 5% expect improvement during the next year. At the same time, more than one third expect deterioration.
  • Among regional centers of Ukraine the best assessment of medical facilities is given at Chernivtsi, Ternopil, Uzhhorod and Kharkiv, the worst – in Mykolaiv, Dnipropetrovsk and Sumy.

 

 

  • Along with it, direct work of doctors is assessed much better that the state of the medicine in general.
  • So, 40% of the people, who visited an inpatient department of a state/municipal/departmental hospital (28%), assessed work of doctors as good, hospital (64%) – 42%, and those who called for an ambulance (25%) – 67%.
  • Two third of the people are satisfied with the work of their family doctor.
  • It is obvious that the healthcare system of Ukraine has extremely negative image and people most likely divide a personal level, where doctors are "rather good" and general, where there is a "bad system". It is important that the people, who visited a hospital, polyclinic, called for an ambulance and gained positive experience during the last year, assess general state of things in the medicine better than those who did not visit.
  • Almost 90% of the people, who visited a private medical facility in the last year (approximately 20%), assess work of doctors as good.
  • The survey revealed that lack of responsibility for treatment results and solicitation of funds impacted a negative assessment the most and it is equally topical both for hospitals and polyclinics.
  • Among the problems patients of an inpatient department of a hospital faced the most were lack of basic medicines (44%), outdated or missing equipment (36%), solicitation to buy certain drugs and at certain drug stores (34%), solicitation of funds (30%), lack of doctor's responsibility for treatment results (29%), poor nutrition (29%) and uncomfortable conditions (28%).
  • Among problems people, who visited a polyclinic faced, the most common ones are queues (57%), outdated or missing equipment (30%), solicitation to buy certain drugs and at certain drug stores (24%), multiple re-referrals from one doctor to another one (23%), lack of a possibility to register for a visit to a doctor at certain time (21%), lack of doctor's responsibility for treatment results (22%).
  • Among the problems people, who called for an ambulance, faced the most common were that they waited for it too long (21%), no basic medicines possessed by doctors (19%), non-availability of a stretcher, equipment and other items in the ambulance (12%).
  • Changes in the healthcare system – the most anticipated reform among the Ukrainians.
  • Like 5 years ago, healthcare remains a leader (74%) by request for reforms. However, belief (16%) in successful reformation of medicine by the government decreased in 1.5 times as compared with 2010. 46% of respondents think that the healthcare system in Ukraine required major changes, 42% – complete replacement.
  • Most people think that today we need reforms of the pension system (61%), housing (54%), judicial system (54%), law enforcement (53%) and defence (51%). Furthermore, it is necessary to reform agriculture (56%) and industry (54%).
  • From among all the spheres, belief in success of reforms for the last 5 years grew only in terms of defence and law enforcement system.
  • If two or three years ago the majority thought that Ukraine should have kept a valid system of free medicine, the majority (50%) support the implementation of insurance medicine today and only one third support a valid free medicine.
  • In spite of the "growth" of support of the insurance medicine implementation, understanding of it has not changed – majority of the people keep thinking that insurance contributions for a person should be partially (43%) or fully (29%) paid by the state. Only every fifth person thinks that a person should independently insure personal health and use medical aid, when appropriate.
  • The higher education and income of respondents, the more understanding and support of insurance medicine.
  • Majority (76%) think that the existing healthcare system of Ukraine is more paid than free-of-charge, and it should be more free-of-charge, partially free-of-charge (47%) or fully free-of-charge (34%). 14% of respondents support paid medicine.
  • Paid medicine is supported in Western Ukraine the most. The higher education of respondents, the higher their income, the younger their age, the more they support paid medicine. Men are more loyal to paid medicine than women.
  • During the last year 29% of surveyed Ukrainians paid to doctors for medical services. Moreover, respondents, who visited an inpatient department of a hospital in the last year, did it more frequently (49%) than those who visited a polyclinic (37%).
  • 17% of respondents financially "thanked" for medical services on voluntary basis, another   17% – mentioned that it had been required so by a doctor, where 5% refused to do it and 12% paid.
  • It is important that respondents, who remained satisfied with the work of a doctor, "thanked" for medical services mainly on voluntary basis, and those, who were not satisfied – as required by a doctor in most cases. Even though at least half of them did it voluntarily.
  • One fourth consider it as voluntary financial "thanks" to a doctor for medical services, 29% – rather negatively but they admit such situation under certain conditions, almost 40% have totally negative attitude to it and consider it inadmissible.
  • People, who visited a doctor and assessed his/her work as a "good" one, are twice as loyal to financial "thanks" as those, who assessed doctor's work "poorly". Thus, it can be assumed that in case of improving quality of medical care, support of implementation of paid medicine in Ukraine will also grow.
  • Nevertheless, only 14% support the implementation of paid medicine, half of them suggest possible "thanks" to a doctor, where most of them support official payment at a cash desk according to a price list or in a form of a charitable donation (depending on who is capable of paying a certain sum). Along with it, it would be more acceptable to directly "thank" a doctor financially for every sixth person.
  • It is interesting that those, who choose a form of gratitude to a doctor as a direct payment, do not support the implementation of paid medicine the most and it is supported by those, who think that payment should be made officially according to a relevant price list at a cash desk – "as it should be". Furthermore, both the former and latter, in principle, are loyal to "thanks", where the former pay directly to doctors most often and do it for the most part voluntarily It turns out that, in practice, they implement a paid medicine but support it less, if it will be implemented by a system because they have low trust to it. So, they pay for the result and control it on their own. That is why, implementation of targeted payment to a doctor can considerable expand a circle of those supporting paid medicine. On the other hand, it will increase competition among doctors, which will increase quality of services, which will make a circle of supporters wider. In addition, satisfaction with quality, comfort and efficient management will return general trust to the system.
  • So, seemingly an unpopular reform may result in adding some popularity.
  • Persons, who support Ukraine's joining the EU, comprise three times as many supporters of paid medicine as among those supporting the Customs Union and support of insurance medicine is twice higher. If 28% of those supporting the European integration support a free-of-charge medicine, 50% – among supporters of the Customs Union. If supporters of the EU more support official payment at cash desks, supporters of the Customs Union are for direct gratitude subject to keeping a "free-of-charge" medicine. Furthermore, in practice, supporters of the European integration pay to doctors more frequently than those supporting the Customs Union.

The survey was implemented by RATING Pro, Information and Analytical Center. In this survey the results of surveys implemented by Eurobarometer, International Social Survey Programme, municipal survey of International Republican Institute and specifically made national survey of Rating, Sociological Group, implemented in June 2015 (2,000 respondents) initiated and ordered by RATING Pro, were used.

Contact us
Contact us
We are in the social networks
Write to us