Organization and funding of mental health care in Ukraine – an example of people affected with schizophrenia and hospitalized in Lviv

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Tomasz Zaprutko, Krzysztof Kus, Dorota Koligat, Piotr Ratajczak, Elżbieta Nowakowska

3 (44) 2015 s. 143–146
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Fraza do cytowania: Zaprutko T., Kus K., Koligat D., Ratajczak P., Nowakowska E. Organization and funding of mental health care in Ukraine – an example of people affected with schizophrenia and hospitalized in Lviv. Polski Przegląd Nauk o Zdrowiu. 2015;3(44):143–146.

Introduction. Schizophrenia is a mental disorder, which apart from health consequences is characterized by a significant economic burden for the patient, his family and for the whole society as well. Schizophrenia requires chronic treatment. Although comprehensive and individualized therapy is indicated as cost‑effective the availability of modern treatment schedules and the range of medical services related to mental health care are limited in some countries. Aim. To present the model of organization and funding of inpatient care provided to patients with schizophrenia and hospitalized in Lviv (Ukraine). Furthermore, the objective of this study was to evaluate the implementation of statutory assumptions concerning the manner and scope of the provision of psychiatric care in Ukraine. Material and methods. The study was conducted between October 2013 and December 2014, in cooperation with the Clinic of Psychiatry, Psychology and Sexology of National Medical University in Lviv (Ukraine). The analyzed data concerned the funding of the hospitalization affordability to the pharmacotherapy within remission stage. Results. The organization of psychiatric care in Ukraine is characterized by constraints affecting the availability and the range of medical services related to the treatment of schizophrenia. Patients have to, in many cases, buy medicines individually even during hospitalization. Neuroleptics are not reimbursed in Ukraine, and due to low salaries patients are primarily treated with older neuroleptics. Conclusions. Mental health care in Ukraine requires reorganization and financial support. Comprehensive and modern treatment should be available to all patients regardless of their financial situation. The reimbursement of medicines should be to introduced. The non‑pharmacological therapies both during hospitalization and within outpatient care should be promoted.

Key words: schizophrenia, treatment, Ukraine.



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