National health expenditure trends, 2000 to 2019

Lekhan, Valery N. and Zaiarskyi, Mykola I. and Vudvud, Viktoriia V. and Kovalevych, Daria A. (2022) National health expenditure trends, 2000 to 2019. Wiadomości Lekarskie, 75 (5 p 1). pp. 1141-1147. ISSN 0043-5147 (Print), 2719-342X (Online)

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Abstract

The aim: To assess the lo n g-term dynam ics o f health spending in Ukraine from the standpoint o f readiness to m ake progress in the universal health coverage (UHC) Materials and methods: Data from the Global Health Expenditure D atabase, European H ealth for All database, World Bank Open Data, collected du rin g 2 000-2019 were used. The research w as conducted using bibliosem antic, historical m ethods and benchm arking. Results: All indicators o f health spending in Ukraine show ed som e gro w th: total and governm ent health spending o f % Gross D om estic Product (GDP) by 3 4 % (9 5 % CI 13-55) and 2 8 % (9 5 % CI 8 -4 8 ), total and governm ent health sp en d in g per capita in US $ by 7.1 and 6.5 tim es and in Purchasing pow er parity (PPP) - by 4 and 3.8 tim es. Growth was interrupted during the glo b al (2008) and national (2017-2019) financial crises. O u t-of-pocket sp en d in g in Ukraine grew and am ounted to 5 1 .1 % in 2019, w h ich is by 2.1 tim es m ore than in the European region - 2 4 .0 % (15.5; 36.6). In 2019 Ukraine ranked am o n g 1 0 % o f the countries w ith the worst com bination o f governm ent health spending per share o f GDP and share o f OOPS in total health spending. Conclusions: The study found an u nsustainable upw ard dyn am ic in health spen d in g. In the last decade, there has been a clear trend tow ards an increase % OOPS in total health sp en d in g a gain st low, aim ed at reducing governm ent health sp en d in g as % o f GDP, w h ich could n egatively affect UHC.

Item Type:	Article
Uncontrolled Keywords:	health spending of % GDP, health spending per cap ita, % OOPS, universal health coverage
Subjects:	Social medicine
Divisions:	Faculty of Postgraduate Education > Department of social medicine, public health and health care management
Depositing User:	Елена Шрамко
Date Deposited:	30 Mar 2023 11:11
Last Modified:	17 Jul 2023 18:23
URI:	http://repo.dma.dp.ua/id/eprint/8272

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