{"id":80971,"date":"2017-10-19T17:11:25","date_gmt":"2017-10-19T14:11:25","guid":{"rendered":"http:\/\/uacrisis.org\/?p=61502"},"modified":"2017-11-02T17:35:33","modified_gmt":"2017-11-02T15:35:33","slug":"61502-medical-reform-2","status":"publish","type":"post","link":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2","title":{"rendered":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli"},"content":{"rendered":"

WATCH IN ENGLISH<\/a><\/p>\n

Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par 240 voix. Cependant, les d\u00e9put\u00e9s n\u2019ont pas adopt\u00e9 une partie des amendements \u00e0 la r\u00e9forme, notamment celui qui pr\u00e9voyait la prise en charge par l\u2019Etat d\u2019une partie des frais m\u00e9dicaux. Finalement, les frais m\u00e9dicaux seront pay\u00e9s soit enti\u00e8rement par le patient, soit par l\u2019\u00c9tat. Le paragraphe sur l\u2019introduction directe des protocoles m\u00e9dicaux a aussi disparu.<\/p>\n

\u00ab\u00a0Il s\u2019agit d\u2019un \u00e9v\u00e9nement historique pour l\u2019Ukraine, car des changements dans le domaine de la sant\u00e9 entreront en vigueur pour la premi\u00e8re fois depuis 26 ans\u00a0\u00bb, a d\u00e9clar\u00e9 Ulana Suprun, ministre de la Sant\u00e9 par int\u00e9rim, lors d\u2019une conf\u00e9rence de presse \u00e0 l\u2019Ukraine Crisis M\u00e9dia Center.<\/p>\n

Ce qui changera pour les m\u00e9decins<\/strong><\/span><\/p>\n

L\u2019un des changements principaux consiste en l\u2019introduction d\u2019un syst\u00e8me de fonds accumul\u00e9s par les m\u00e9decins. Gr\u00e2ce \u00e0 la r\u00e9forme, le m\u00e9decin a la libert\u00e9 de choisir le mode et le lieu de son travail\u00a0: il peut \u00eatre soit un employ\u00e9 engag\u00e9 par le biais d’un contrat de travail collectif, soit un m\u00e9decin priv\u00e9. En outre, le salaire fixe d’un agent de sant\u00e9 dispara\u00eet: le revenu du m\u00e9decin d\u00e9pendra du nombre de ses patients et de la qualit\u00e9 des services qu\u2019il proposera. \u00ab\u00a0Selon nos calculs, si un m\u00e9decin priv\u00e9 est efficace, il pourrait gagner jusqu\u2019\u00e0 15\u00a0000 hryvnias (environ 600 dollars en comparaison avec les 150-200 dollars qu\u2019il gagne aujourd\u2019hui)\u00a0\u00bb, explique Pavlo Kovtonuk, adjoint d\u2019Ulana Suprun.<\/p>\n

Ce qui changera pour les patients <\/strong><\/span><\/p>\n

Avec l\u2019adoption de la r\u00e9forme, \u00e0 partir de l\u2019ann\u00e9e prochaine, le patient pourra choisir lui-m\u00eame son m\u00e9decin traitant ind\u00e9pendamment de son lieu de r\u00e9sidence. L\u2019argent, fourni par l\u2019\u00c9tat, sera d\u00e9compt\u00e9 pour chaque patient et donc le traitement m\u00e9dical ne sera plus payant pour lui. La clinique tiendra des registres de tous les services fournis et facturera directement le Service national de sant\u00e9.<\/p>\n

\u00ab\u00a0Chaque service aura son tarif et le Service national de sant\u00e9 garantit qu\u2019il remboursera les cliniques pour chaque service m\u00e9dical\u00a0fourni\u00bb, a pr\u00e9cis\u00e9 Pavlo Kovtonuk.<\/p>\n

L\u2019enseignement de la m\u00e9decine comme condition n\u00e9cessaire pour les changements<\/strong><\/span><\/p>\n

Olexandre Lintchevskiy, un autre adjoint d\u2019Ulana Suprun, a soulign\u00e9 qu\u2019une des conditions n\u00e9cessaire pour les changements dans le syst\u00e8me m\u00e9dical de l\u2019Ukraine est un enseignement de qualit\u00e9 pour les futurs m\u00e9decins. La r\u00e9forme pr\u00e9voit donc \u00e9galement des exigences plus strictes pour les \u00e9tudiants en m\u00e9decine.<\/p>\n

La responsabilit\u00e9 civique du patient <\/strong><\/span><\/p>\n

D\u00e9sormais, beaucoup de choses d\u00e9pendront du m\u00e9decin, mais aussi du patient. \u00ab\u00a0Les patients doivent devenir plus courageux. Suffisamment courageux pour ne pas donner de pot-de-vin, pour d\u00e9terminer quels services sont r\u00e9ellement gratuits, suffisamment courageux pour \u00e9crire une d\u00e9claration ou une plainte contre un agent qui demande un pot-de-vin, courageux pour ne pas aller chez un mauvais m\u00e9decin. Ceci ne peut pas \u00eatre un mouvement en sens unique. Si les m\u00e9decins changent, nous, les patients, nous devons changer aussi\u00a0\u00bb, a soulign\u00e9 Iryna Litovtchenko, fondatrice du fonds \u00ab\u00a0Tabletotchki\u00a0\u00bb.<\/p>\n

Lisez plus de d\u00e9tails sur la r\u00e9forme m\u00e9dicale en Ukraine en fran\u00e7ais sur le site de l\u2019UCMC.<\/p>\n

 <\/p>\n

 <\/p>\n

\n\t\n\t\t\"\"\t\t\n\t\t\tView Gallery<\/span>\n\t\t\t\n\t\t\t\t1 image\t\t\t<\/span>\n\t\t<\/span>\n\t<\/a>\n<\/figure>\n\n","protected":false},"excerpt":{"rendered":"

WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par 240 voix. Cependant, les d\u00e9put\u00e9s n\u2019ont pas adopt\u00e9 une partie des amendements \u00e0 la r\u00e9forme, notamment celui qui pr\u00e9voyait la prise en charge par l\u2019Etat d\u2019une partie des frais m\u00e9dicaux. Finalement, les frais m\u00e9dicaux seront pay\u00e9s soit […] Plus<\/a><\/p>\n","protected":false},"author":20,"featured_media":80972,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"video","meta":[],"categories":[625,5885],"tags":[25788,25788,23684,23684,7306,9894],"section":[730],"form":[31959],"yoast_head":"\nLe premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli | UACRISIS.ORG<\/title>\n<meta name=\"description\" content=\"https:\/\/www.youtube.com\/watch?v=P_1lTApdvd8; WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par | Uacrisis.org\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli | UACRISIS.ORG\" \/>\n<meta property=\"og:description\" content=\"https:\/\/www.youtube.com\/watch?v=P_1lTApdvd8; WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par | Uacrisis.org\" \/>\n<meta property=\"og:url\" content=\"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2\" \/>\n<meta property=\"og:site_name\" content=\"Uacrisis.org\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uacrisis\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-10-19T14:11:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-11-02T15:35:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uacrisis.org\/wp-content\/uploads\/2017\/10\/ASS8515.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uacrisis\" \/>\n<meta name=\"twitter:site\" content=\"@uacrisis\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"\u0417\u0430\u0445\u0430\u0440 \u0411\u0443\u0442\u043a\u043e\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture est.\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli | UACRISIS.ORG","description":"https:\/\/www.youtube.com\/watch?v=P_1lTApdvd8; WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par | Uacrisis.org","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2","og_locale":"fr_FR","og_type":"article","og_title":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli | UACRISIS.ORG","og_description":"https:\/\/www.youtube.com\/watch?v=P_1lTApdvd8; WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par | Uacrisis.org","og_url":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2","og_site_name":"Uacrisis.org","article_publisher":"https:\/\/www.facebook.com\/uacrisis\/","article_published_time":"2017-10-19T14:11:25+00:00","article_modified_time":"2017-11-02T15:35:33+00:00","og_image":[{"width":1024,"height":683,"url":"https:\/\/uacrisis.org\/wp-content\/uploads\/2017\/10\/ASS8515.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_creator":"@uacrisis","twitter_site":"@uacrisis","twitter_misc":{"\u00c9crit par":"\u0417\u0430\u0445\u0430\u0440 \u0411\u0443\u0442\u043a\u043e","Dur\u00e9e de lecture est.":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Organization","@id":"https:\/\/uacrisis.org\/uk\/#organization","name":"Ukraine crisis media center","url":"https:\/\/uacrisis.org\/uk\/","sameAs":["https:\/\/www.facebook.com\/uacrisis\/","http:\/\/youtube.com\/UACrisisMediaCenter","https:\/\/twitter.com\/uacrisis"],"logo":{"@type":"ImageObject","@id":"https:\/\/uacrisis.org\/uk\/#logo","inLanguage":"fr-FR","url":"https:\/\/uacrisis.org\/wp-content\/uploads\/2019\/10\/header_logo-1.png","contentUrl":"https:\/\/uacrisis.org\/wp-content\/uploads\/2019\/10\/header_logo-1.png","width":250,"height":90,"caption":"Ukraine crisis media center"},"image":{"@id":"https:\/\/uacrisis.org\/uk\/#logo"}},{"@type":"WebSite","@id":"https:\/\/uacrisis.org\/uk\/#website","url":"https:\/\/uacrisis.org\/uk\/","name":"Uacrisis.org","description":"Ukraine crisis media center","publisher":{"@id":"https:\/\/uacrisis.org\/uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/uacrisis.org\/uk\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"fr-FR"},{"@type":"ImageObject","@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#primaryimage","inLanguage":"fr-FR","url":"https:\/\/uacrisis.org\/wp-content\/uploads\/2017\/10\/ASS8515.jpg","contentUrl":"https:\/\/uacrisis.org\/wp-content\/uploads\/2017\/10\/ASS8515.jpg","width":1024,"height":683,"caption":"[:ua]\u0414\u043e\u043a\u0442\u043e\u0440 \u0423\u043b\u044f\u043d\u0430 \u0421\u0443\u043f\u0440\u0443\u043d, \u0432.\u043e. \u043c\u0456\u043d\u0456\u0441\u0442\u0440\u0430 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432\u2019\u044f[:]"},{"@type":"WebPage","@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#webpage","url":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2","name":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli | UACRISIS.ORG","isPartOf":{"@id":"https:\/\/uacrisis.org\/uk\/#website"},"primaryImageOfPage":{"@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#primaryimage"},"datePublished":"2017-10-19T14:11:25+00:00","dateModified":"2017-11-02T15:35:33+00:00","description":"https:\/\/www.youtube.com\/watch?v=P_1lTApdvd8; WATCH IN ENGLISH Le 19 octobre, le Parlement ukrainien a adopt\u00e9 en premi\u00e8re lecture la r\u00e9forme m\u00e9dicale par | Uacrisis.org","breadcrumb":{"@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/uacrisis.org\/fr\/61502-medical-reform-2"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430","item":"https:\/\/uacrisis.org\/fr"},{"@type":"ListItem","position":2,"name":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli"}]},{"@type":"Article","@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#article","isPartOf":{"@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#webpage"},"author":{"@id":"https:\/\/uacrisis.org\/uk\/#\/schema\/person\/31691010a01129c86dc9dc11eebe8df9"},"headline":"Le premier pas vers un changement du syst\u00e8me de sant\u00e9 en Ukraine a \u00e9t\u00e9 accompli","datePublished":"2017-10-19T14:11:25+00:00","dateModified":"2017-11-02T15:35:33+00:00","mainEntityOfPage":{"@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#webpage"},"wordCount":609,"publisher":{"@id":"https:\/\/uacrisis.org\/uk\/#organization"},"image":{"@id":"https:\/\/uacrisis.org\/fr\/61502-medical-reform-2#primaryimage"},"thumbnailUrl":"https:\/\/uacrisis.org\/wp-content\/uploads\/2017\/10\/ASS8515.jpg","keywords":["riforma sanitaria","riforma sanitaria","\u043c\u0435\u0434\u0440\u0435\u0444\u043e\u0440\u043c\u0430","\u043c\u0435\u0434\u0440\u0435\u0444\u043e\u0440\u043c\u0430","\u041c\u041e\u0417","\u0423\u043b\u044f\u043d\u0430 \u0421\u0443\u043f\u0440\u0443\u043d"],"articleSection":["la s\u00e9curit\u00e9","M\u00e9decine"],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/uacrisis.org\/uk\/#\/schema\/person\/31691010a01129c86dc9dc11eebe8df9","name":"\u0417\u0430\u0445\u0430\u0440 \u0411\u0443\u0442\u043a\u043e"}]}},"wps_subtitle":"","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/posts\/80971"}],"collection":[{"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/comments?post=80971"}],"version-history":[{"count":0,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/posts\/80971\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/media\/80972"}],"wp:attachment":[{"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/media?parent=80971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/categories?post=80971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/tags?post=80971"},{"taxonomy":"section","embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/section?post=80971"},{"taxonomy":"form","embeddable":true,"href":"https:\/\/uacrisis.org\/fr\/wp-json\/wp\/v2\/form?post=80971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}