{"id":80851,"date":"2017-08-03T12:54:18","date_gmt":"2017-08-03T12:54:18","guid":{"rendered":"http:\/\/uacrisis.org\/?p=61400"},"modified":"2017-10-17T12:55:39","modified_gmt":"2017-10-17T09:55:39","slug":"61400-la-reforme-medicale-en-ukraine-une-bataille-perdue","status":"publish","type":"post","link":"https:\/\/uacrisis.org\/fr\/61400-la-reforme-medicale-en-ukraine-une-bataille-perdue","title":{"rendered":"La r\u00e9forme m\u00e9dicale en Ukraine: une bataille perdue"},"content":{"rendered":"

En Ukraine, la r\u00e9forme m\u00e9dicale tant attendue a \u00e9t\u00e9 report\u00e9e \u00e0 l\u2019automne. Cette r\u00e9forme comportait des changements fondamentaux de la m\u00e9decine post-sovi\u00e9tique gratuite en th\u00e9orie, mais, dans la r\u00e9alit\u00e9 le patient devait payer de sa poche. Selon les auteurs de la r\u00e9forme, elle pr\u00e9voyait le principe \u00abl\u2019argent suit le patient\u00bb, l\u2019autonomie des h\u00f4pitaux, l\u2019utilisation des protocoles internationaux de soins m\u00e9dicaux, la mise en place de l\u2019institution du m\u00e9decin de famille et l\u2019assurance m\u00e9dicale.<\/p>\n

L\u2019\u00c9tat devait assurer un paquet gratuit de soins \u00e0 tous les citoyens: les soins primaires, les soins d\u2019urgence, l\u2019oncologie, l\u2019accouchement ; les autres soins seraient bas\u00e9s sur le principe du cofinancement.<\/p>\n

Jamais auparavant aucune proposition de r\u00e9forme n\u2019a \u00e9t\u00e9 confront\u00e9e \u00e0 une telle r\u00e9sistance des d\u00e9put\u00e9s et n\u2019a eu autant de soutien dans la soci\u00e9t\u00e9 civile.<\/p>\n

\u00abParfois, il faut livrer plusieurs batailles pour gagner la guerre\u00bb.\u00a0C\u2019est en citant Margaret Thatcher qu\u2019Oulyana Souproune<\/a>, ministre de la Sant\u00e9 de l\u2019Ukraine par int\u00e9rim, a r\u00e9agi \u00e0 l\u2019\u00e9chec du vote pour la r\u00e9forme m\u00e9dicale. La derni\u00e8re \u00e9tape de cet \u00e9chec a \u00e9t\u00e9 le fait qu\u2019Olga Bogomolets, chef du Comit\u00e9 aupr\u00e8s du Parlement, n\u2019a pas pu signer la d\u00e9cision du Comit\u00e9, car elle s\u2019est sentie mal et a d\u00fb partir \u00e0 l\u2019h\u00f4pital. Les syndicats sont aussi venus devant le Parlement pour manifester contre la r\u00e9forme. Les d\u00e9put\u00e9s n\u2019ont rien vot\u00e9: ils sont partis en vacances.<\/p>\n","protected":false},"excerpt":{"rendered":"

En Ukraine, la r\u00e9forme m\u00e9dicale tant attendue a \u00e9t\u00e9 report\u00e9e \u00e0 l\u2019automne. Cette r\u00e9forme comportait des changements fondamentaux de la m\u00e9decine post-sovi\u00e9tique gratuite en th\u00e9orie, mais, dans la r\u00e9alit\u00e9 le patient devait payer de sa poche. Selon les auteurs de la r\u00e9forme, elle pr\u00e9voyait le principe \u00abl\u2019argent suit le patient\u00bb, l\u2019autonomie des h\u00f4pitaux, l\u2019utilisation des […] Plus<\/a><\/p>\n","protected":false},"author":20,"featured_media":80852,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5874],"tags":[],"section":[730],"form":[],"yoast_head":"\nLa r\u00e9forme m\u00e9dicale en Ukraine: une bataille perdue | UACRISIS.ORG<\/title>\n<meta name=\"description\" content=\"En Ukraine, la r\u00e9forme m\u00e9dicale tant attendue a \u00e9t\u00e9 report\u00e9e \u00e0 l\u2019automne. 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