IDEAS home Printed from https://ideas.repec.org/a/rom/terumm/v15y2020i2p23-38.html
   My bibliography  Save this article

Local Self-Government In The Focus Of The Medical Reform In Ukraine: Analysis Of Powers

Author

Listed:
  • Iryna KHOZHYLO

    (Dnipropetrovsk Regional Institute for Public Administration, National Academy for Public Administration under the President of Ukraine, Ukraine)

  • Zinoviy NADYUK

    (Lviv Regional Institute for Public Administration, National Academy for Public Administration under the President of Ukraine, Ukraine)

  • Olga ANTONOVA

    (Dnipropetrovsk Regional Institute for Public Administration, National Academy for Public Administration under the President of Ukraine, Ukraine)

  • Tetiana TARASENKO

    (Dnipropetrovsk Regional Institute for Public Administration, National Academy for Public Administration under the President of Ukraine, Ukraine)

  • Tetiana SEROHINA

    (Dnipropetrovsk Regional Institute for Public Administration, National Academy for Public Administration under the President of Ukraine, Ukraine)

Abstract

This article considers power distribution issues in scientific discourse and searches for available solutions to implement by local authorities in the field of healthcare in the conditions of authority decentralization. Importance of solving this scientific issue lies in the fact that not all communities have financial capacity to maintain on their own a network of medical institutions, since most of Ukrainian regions are financially depressed, and before the reform the network of social facilities (schools, houses of culture, clinics) had been funded through subsidies from the budget of a higher level. The network of financial institutions that are subject to reformation and are owned by local communities at present totals around 10,000 all over Ukraine, which demands for an incremental implementation of structural and functional changes (pilot start of reforms, active phase, reformation completion). Desk research method and secondary analysis of literary, research and analytical sources and regulatory methods have been selected as methodological tools for the conducted research. The research period covers years 1991 through 2019. The object of the research is power of local self-governments (their own as well as delegated), since almost 80% of medical services are provided on the territorial community level. The article presents results of empirical analysis regarding distribution of financial power in the new model of healthcare management, which proves that in its essence it remained budget-funded, as it had been before the reform. The research empirically confirms and theoretically proves that the course of reforms, in general, has been chosen correctly, and the first conclusions of international experts also give positive assessment of the reform management. Results of the conducted research can be useful to local authorities, who directly represent the interests of territorial communities, and local executive authorities involved in implementation of these reforms and declaring their interest in Ukraine’s commitment to the course towards European integration changes.

Suggested Citation

  • Iryna KHOZHYLO & Zinoviy NADYUK & Olga ANTONOVA & Tetiana TARASENKO & Tetiana SEROHINA, 2020. "Local Self-Government In The Focus Of The Medical Reform In Ukraine: Analysis Of Powers," Theoretical and Empirical Researches in Urban Management, Research Centre in Public Administration and Public Services, Bucharest, Romania, vol. 15(2), pages 23-38, May.
    • Handle: RePEc:rom:terumm:v:15:y:2020:i:2:p:23-38
    as

    Download full text from publisher

    File URL: http://um.ase.ro/no152/2.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Baldwin, Robert & Cave, Martin & Lodge, Martin, 2011. "Understanding Regulation: Theory, Strategy, and Practice," OUP Catalogue, Oxford University Press, edition 2, number 9780199576098, Decembrie.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. AlHussaini, Wissam & Molz, Rick, 2009. "A post-Keynesian regulatory model of privatization," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 38(2), pages 391-398, March.
    2. Panasiuk Aleksander, 2020. "Policy of Sustainable Development of Urban Tourism," Polish Journal of Sport and Tourism, Sciendo, vol. 27(2), pages 33-37, June.
    3. Luc Baumstark & Claude Ménard & William Roy & Anne Yvrande-Billon, 2005. "Modes de gestion et efficience des opérateurs dans le secteur des transports urbains de personnes," Post-Print halshs-00103116, HAL.
    4. Jan Fischer & Simon Guy, 2009. "Re-interpreting Regulations: Architects as Intermediaries for Low-carbon Buildings," Urban Studies, Urban Studies Journal Limited, vol. 46(12), pages 2577-2594, November.
    5. Maciej Czaplewski, 2015. "Oddziaływanie regulacyjne Unii Europejskiej na rynek usług telekomunikacyjnych," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 5, pages 65-87.
    6. Parker, David, 2001. "Economic Regulation: A Preliminary Literature Review and Summary of Research Questions Arising," Centre on Regulation and Competition (CRC) Working papers 30616, University of Manchester, Institute for Development Policy and Management (IDPM).
    7. Ogus, Anthony, 2001. "Regulatory Institutions and Structures," Centre on Regulation and Competition (CRC) Working papers 30704, University of Manchester, Institute for Development Policy and Management (IDPM).
    8. Ojo, Marianne, 2006. "Financial regulation and risk management: addressing risk challenges in a changing financial environment," MPRA Paper 32409, University Library of Munich, Germany, revised Jul 2011.
    9. Amaral, Miguel & Saussier, Stéphane & Yvrande-Billon, Anne, 2009. "Auction procedures and competition in public services: The case of urban public transport in France and London," Utilities Policy, Elsevier, vol. 17(2), pages 166-175, June.
    10. Jeroen van der Heijden & Jitske de Jong, 2009. "Towards a Better Understanding of Building Regulation," Environment and Planning B, , vol. 36(6), pages 1038-1052, December.
    11. Tapia Herbas, Mauricio, 2013. "Determinación de un adecuado precio del gas natural para el sector eléctrico boliviano," Revista Latinoamericana de Desarrollo Economico, Carrera de Economía de la Universidad Católica Boliviana (UCB) "San Pablo", issue 19, pages 99-123, Mayo.
    12. repec:ilo:ilowps:403814 is not listed on IDEAS
    13. Tonci Bakovic & Bernard Tenenbaum & Fiona Woolf, 2003. "Regulation by Contract : A New Way to Privatize Electricity Distribution?," World Bank Publications - Books, The World Bank Group, number 15078.
    14. Emilie Cloatre & Robert Dingwall, 2013. "“Embedded regulation:” The migration of objects, scripts, and governance," Regulation & Governance, John Wiley & Sons, vol. 7(3), pages 365-386, September.
    15. John Alford & Richard Speed, 2006. "Client focus in regulatory agencies," Public Management Review, Taylor & Francis Journals, vol. 8(2), pages 313-331, June.
    16. Bärbel R. Dorbeck‐Jung & Mirjan J. Oude Vrielink & Jordy F. Gosselt & Joris J. Van Hoof & Menno D. T. De Jong, 2010. "Contested hybridization of regulation: Failure of the Dutch regulatory system to protect minors from harmful media," Regulation & Governance, John Wiley & Sons, vol. 4(2), pages 154-174, June.
    17. Elizabeth Spencer, 2008. "Conditions for effective disclosure in the regulation of franchising," International Review of Applied Economics, Taylor & Francis Journals, vol. 22(4), pages 509-525.
    18. Cyril Benoît, 2021. "Politicians, regulators, and regulatory governance: The neglected sides of the story," Regulation & Governance, John Wiley & Sons, vol. 15(S1), pages 8-22, November.
    19. Marzano, Riccardo, 2015. "One more ride on the merry-go-round! Public ownership and delayed competition in local public services," Journal of Comparative Economics, Elsevier, vol. 43(4), pages 981-996.
    20. Juan Carlos Henao & Carmen Eloísa Ruiz López, 2018. "Corrupción en Colombia Tomo 3 Corrupción privada," Books, Universidad Externado de Colombia, Facultad de Derecho, number 1026, August.
    21. Marques, Rui Cunha & Berg, Sanford V, 2010. "Revisiting the strengths and limitations of regulatory contracts in infrastructure industries," MPRA Paper 32890, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:rom:terumm:v:15:y:2020:i:2:p:23-38. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Colesca Sofia (email available below). General contact details of provider: https://edirc.repec.org/data/ccasero.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.