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Delivering psychiatric services in primary care: is this the right way to go for Ukraine?

Published online by Cambridge University Press:  02 January 2018

Igor Martsenkovsky ,
Volodymyr Martyniuk  and
Dennis Ougrin
Igor Martsenkovsky
Affiliation:
Department of Medical-Social Rehabilitation of Children and Adolescents with Mental and Behavioural Disorders, Ukrainian Institute of Social and Forensic Psychiatry and Drug Misuse, Kiev, Ukraine
Volodymyr Martyniuk
Affiliation:
Department of Child Neurology and Medical-Social Rehabilitation of the P. L. Shupik National Medical Academy of Postgraduate Education, Kiev, Ukraine
Dennis Ougrin
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, London, UK, email dennis.ougrin@iop.kcl.ac.uk
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Ukraine is a newly independent state with a population of about 48 million. It inherited its national health system from the USSR. The Soviet system was conceived as part of a massively expensive socialist planning economy that was generally delivering poor value for money. Some aspects of the Soviet health system were, however, undoubtedly sound and certain public health measures were superior to those in the West. For example, infant mortality, despite possible underreporting, was probably lower in the USSR than in many Western countries (Anderson & Silver, 1986). The health system became increasingly corrupt and inefficient during the final years of the USSR's existence. Since independence, the health system has not been a state priority and has been chronically under-funded. In the past few years of rapid economic development in Ukraine, the share of the state budget allocated to the health system has remained static, leaving Ukraine in a disadvantaged state compared with other European countries (United Nations, 2007).

Type
Thematic Papers - Services in the Former Soviet Union
Information
International Psychiatry , Volume 6 , Issue 1 , January 2009 , pp. 2 - 4
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2009

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