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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 [email protected]
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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

References

Anderson, B. & Silver, B. (1986) Infant mortality in the Soviet Union: regional differences and measurement issues. Development Review, 12, 705–737.Google Scholar
Cabinet of Ministers of Ukraine (2000) Postanova Kabinetu Ministriv Ukrayiny vid 20 chervnia 2000 roku N 989 pro komplekshi zakhody vprovadzhennia simeynoyi medytsyny v systemu okhorony zdorovya. [Comprehensive plan of the development of family medicine in the health system, N989, 20 June 2000.] Official Journal of Ukraine, 25, 130. Available at http://uiph.kiev.ua/ua/.%5Cua%5Cextra%5Crez_5.html (last accessed 18 March 2008).Google Scholar
Department of Health (2007) Our NHS Our Future: NHS Next Stage Review - Interim Report. Available at http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/dh_079077 (last accessed 18 March 2008).Google Scholar
Lipelis, G. (2007) Obosnavannoye primeneniye antidepressantov v terapii depressivnykh rosstroystv. Natsionalnoye soveshchanije ekspertov. [Evidence-based use of antidepressants in the management of depression. National experts' meeting.] Neuronews, 5, 40. Available at http://neuro.health-ua.com/article/40.html (last accessed 18 March 2008).Google Scholar
Mikhailov, B., Serdyuk, O. & Kanischev, A. (2001) Shliakhy rozvytku konsultatyvnoyi psykhiatriyi v Ukrayini [Ways of developing consultation psychiatry in Ukraine.] Ukrainian Psychoneurology Journal, 4, 62–63.Google Scholar
Ministry of Health of Ukraine (2001) Instruction of the Ministry of Health ‘About approval of certain documents regarding family medicine’, N7, 23 February 2001. Available at http://www.kmu.gov.ua (last accessed 18 March 2008).Google Scholar
Saxena, S. & Maulik, P. K. (2003) Mental health services in low- and middle-income countries: an overview. Services research and outcomes. Current Opinion in Psychiatry, 16, 437–442. Serdiuk, O. (2006) Psykhiatrychna dopomoha v praktytsi spetsialistiv zahalnoyi praktyky ta simeynoyi medytsyny. [Psychiatric services in the practice of general physicians and family doctors.] Neuronews, 1, 8–11.Google Scholar
Supreme Rada of Ukraine (2000) Zakon Ukrayiny pro Psychiatrychnu Dopomohu. [Law of Ukraine on Psychiatric Aid.] Supreme Rada of Ukraine Journal, 19, 143–165. Available at http://zakon.nau.ua/eng/doc/?uid=3020.133.0 (last accessed 18 March 2008).Google Scholar
United Nations (2007) World Population Prospects (2006 revision). Available at http://www.un.org/esa/population/publications/wpp2006/WPP2006_Highlights_rev.pdf (last accessed 18 March 2008).Google Scholar
Yudin, B. (2007) Pravovyye aspekty okazaniya psikhiatricheskoy pomoshchi vrachami somaticheskogo profilia. [Legal aspects of delivering psychiatric services by general physicians.] Neuronews, 5, 21. Available at http://neuro.health-ua.com/article/21.html (last accessed 18 March 2008).Google Scholar
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