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Private provision of health services in Ukraine: A qualitative exploration of current policy challenges, and considerations for reform

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Listed:
  • Hellowell, Mark
  • Demeshko, Olga
  • Hrevtsova, Radmyla
  • Roubal, Tomas
  • Fishchuk, Kateryna
  • Kasyanchuk, Solomiya
  • Habicht, Jarno

Abstract

The role of private healthcare providers (PHPs) in Ukraine has increased, despite the ongoing war. As the Government of Ukraine (GoU) continues health reforms, governance mechanisms for PHPs need further examination.

Suggested Citation

  • Hellowell, Mark & Demeshko, Olga & Hrevtsova, Radmyla & Roubal, Tomas & Fishchuk, Kateryna & Kasyanchuk, Solomiya & Habicht, Jarno, 2025. "Private provision of health services in Ukraine: A qualitative exploration of current policy challenges, and considerations for reform," Health Policy, Elsevier, vol. 158(C).
    • Handle: RePEc:eee:hepoli:v:158:y:2025:i:c:s0168851025001058
    DOI: 10.1016/j.healthpol.2025.105349
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    References listed on IDEAS

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    1. Street, Andrew & Sivey, Peter & Mason, Anne & Miraldo, Marisa & Siciliani, Luigi, 2010. "Are English treatment centres treating less complex patients?," Health Policy, Elsevier, vol. 94(2), pages 150-157, February.
    2. J Henry Brems & Andrea E Davis & Ellen Wright Clayton, 2021. "Analysis of conflict of interest policies among organizations producing clinical practice guidelines," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-13, April.
    3. Berta, Paolo & Callea, Giuditta & Martini, Gianmaria & Vittadini, Giorgio, 2010. "The effects of upcoding, cream skimming and readmissions on the Italian hospitals efficiency: A population-based investigation," Economic Modelling, Elsevier, vol. 27(4), pages 812-821, July.
    4. Hunter, Benjamin M. & Murray, Susan F. & Marathe, Shweta & Chakravarthi, Indira, 2022. "Decentred regulation: The case of private healthcare in India," World Development, Elsevier, vol. 155(C).
    5. Uranchimeg Tsevelvaanchig & Indermohan S. Narula & Hebe Gouda & Peter S. Hill, 2018. "Regulating the for‐profit private healthcare providers towards universal health coverage: A qualitative study of legal and organizational framework in Mongolia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 185-201, January.
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