They want to cancel salaries for Ukrainian doctors and make them pay a percentage of their income from patients
The Ministry of Health of Ukraine announced a new brilliant idea - instead of salaries, doctors will be paid income from the services provided.
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This was stated by Deputy Minister of Health Pavel Kovtonyuk in an interview with Interfax-Ukraine.
“We are gradually moving away from the concept of doctors’ salaries and moving to the concept of doctors’ income. Each of them will have different incomes. Now doctors receive money according to the tariff schedule. This is such a flat salary system, where it is standardized which doctor receives how much money, regardless of how many patients he serves. Additionally, the reform we are proposing will help address the local shortage of primary care physicians. Because we are moving to a financing system so that the money goes to real people. That is, so that the doctor earns more money from the amount of patient services he provides. This way, the doctor will have an incentive to provide as much care as possible to patients,” Kovtonyuk said.
Also, according to him, thanks to the new system, doctors will not need to be tied to one or another medical institution.
“They gave me an example that in one of the hospitals in Kyiv there are not enough doctors. But new doctors don’t want to go there, because there is no money for them to work in the institution and they cannot open a full-time position there. In the new medical system there will be no need to open a bet. Since patients will independently come to the doctor. That is, financial mechanisms will help ensure that specialists come to those hospitals where they are currently lacking. In addition, hospital managers will compete with each other for certain doctors,” Kovtonyuk clarified.
The Deputy Minister of Health noted that the regions have already confirmed that they agree that public hospitals pay doctors according to the number of patients who come to them. That is, in essence, doctors will work as individual entrepreneurs.
Earlier, Kovtonyuk said that despite the fact that on average each person contributes approximately 1500 UAH annually to healthcare, it is spent not on the patient, but on the hospital.
“We strive for it to be the other way around,” Kovtonyuk said.
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