Problem

2.7.2. Patients are unable to receive medical treatment abroad or medical care with the use of transplants, due to corrupt practices caused by insufficiently regulated procedures and non-transparent accounting.

General information about the problem

The legal and regulatory framework for sending Ukrainian citizens for treatment abroad, as well as for transplanting human anatomical materials, needs to be improved, given that the registration of Ukrainian citizens in need of treatment abroad and the sequence of review of relevant applications are not transparent.
A state audit revealed cases of delays in granting permission for treatment abroad to certain citizens, which sometimes leads to delays in medical care.
An electronic register of applications is still being developed. In practice, there are cases when legislatively prescribed timeframes for the review of applications are exceeded.
In addition, the procedure for choosing a foreign healthcare facility to which a Ukrainian citizen is to be sent for treatment remains unregulated, which jeopardizes the effective spending of budget funds and the high quality of medical services provided.
Similar problems exist in the area of human anatomical transplantation. Thus, according to Article 11 of the Law of Ukraine On the Application of Transplantation of Anatomical Materials to Humans, it is necessary to introduce state transplantation information systems, which include the Unified State Information System of Organ and Tissue Transplantation and the State Information System for Transplantation of Hematopoietic Stem Cells.
The Regulation on the Unified State Information System of Organ and Tissue Transplantation was approved by the resolution of the Cabinet of Ministers of Ukraine dated December 23, 2020. No. 1366.
However, it should be noted that the Regulation on the State Information System for Transplantation of Hematopoietic Stem Cells has not yet been approved.
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Implementation of SACP measures within the limits of the problem

The total number of OSR – 3
All measures of the SACP
measures, the implementation of which as of 30.09.2024
is about to begin to be completed
7 1 5
13
Implemented Partially implemented Not implemented
Measures implemented (fully and partially) - 8 (61.5%)

Deadlines for all measures

01.03.2023 - 29.02.2024

Implementation of SACP measures within the scope of the Problem by main main performers

Ministry of Health of Ukraine

61.5%
13

Achievement of ESR within the limits of the Problem

The total number of OSR – 3

SUMMARIZED GENERAL INFORMATION ON THE IMPLEMENTATION OF THE PROGRAM MEASURES IN TERMS OF DIRECTIONS, PROBLEMS AND EXPECTED STRATEGIC RESULTS

Name of the ESR Name of the measure The main implementer Monitoring results (latest) Performance note % виконаних заходів (fully and partially)
1.1. ESR 2.7.2.1 The operation of state transplantation information systems and the automated procedure for maintaining a record of citizens of Ukraine who require treatment abroad has been ensured 2.7.2.1.1. Drafting and submitting to the Cabinet of Ministers of Ukraine a draft resolution of the Cabinet of Ministers of Ukraine on approval of the Regulation on the State Information System for Transplantation of Hematopoietic Stem Cells, which defines, inter alia, the list of registers included in this system, the procedure and conditions for populating them with data, their operation, and access to them Ministry of Health of Ukraine The measure was not implemented on time and in full Implemented
200% 12/ 6
1.2. 2.7.2.1.2. Putting into operation the State Information System for Transplantation of Hematopoietic Stem Cells Ministry of Health of Ukraine The measure was not implemented on time and in full Implemented
1.3. 2.7.2.1.3. Developing a draft order on approval of the Regulation on the Automated System for Maintaining a Record of Citizens of Ukraine Who Require Treatment Abroad, which implements a clear and transparent procedure for maintaining a record of citizens and their waiting list Ministry of Health of Ukraine The measure was implemented on time, but partially Partially implemented
1.4. 2.7.2.1.4. Holding a public discussion of the draft order indicated in subclause 2.7.2.1.3, and ensuring its revision (if needed), issuance, and submission for state registration Ministry of Health of Ukraine The measure has not been implemented Not implemented
1.5. 2.7.2.1.5. Supporting the state registration of the order indicated in subclause 2.7.2.1.3 and its official publication Ministry of Health of Ukraine The measure has not been implemented Not implemented
1.6. 2.7.2.1.6. Putting into operation the Automated System for Maintaining a Record of Citizens of Ukraine Who Require Treatment Abroad Ministry of Health of Ukraine The measure has not been implemented Not implemented
2.1. ESR 2.7.2.2 The procedure for importing, exporting, and transporting human anatomical materials within the territory of Ukraine, the rules for reimbursement of donor expenses and other procedures are regulated by law and do not contain corruption risks 2.7.2.2.1. Conducting an analytical study of the provisions of Articles 19 and 20 of the Law of Ukraine On the Safety and Quality of Donor Blood and Components of Blood, the Procedure for Transporting Anatomic Materials of a Human Being Within Ukraine, Importing Such Materials into the Customs Territory of Ukraine and Exporting Them from the Customs Territory of Ukraine, approved by the resolution of the Cabinet of Ministers of Ukraine dated August 5, 2020, No. 720, other legislative provisions pertaining to the procedure for importing, exporting, and transporting anatomic materials of a human being within Ukraine, the rules for reimbursing donors, and other procedures, to verify their completeness, specific and systemic nature, and check them for any factors fostering corruption Ministry of Health of Ukraine The measure was implemented on time and in full Implemented
200% 8/ 4
2.2. 2.7.2.2.2. Holding a discussion of the analytical study indicated in subclause 2.7.2.2.1 with the participation of representatives of government agencies, the public, and the academic community Ministry of Health of Ukraine The measure was implemented on time and in full Implemented
2.3. 2.7.2.2.3. Drafting and submitting to the Cabinet of Ministers of Ukraine a draft law aimed at improving the normative legal regulation of reimbursement of donors and other procedures, taking into account the findings of the analytical report indicated in subclause 2.7.2.2.1 Ministry of Health of Ukraine The measure has not been implemented Not implemented
2.4. 2.7.2.2.4. Drafting and submitting to the Cabinet of Ministers of Ukraine a draft resolution of the Cabinet of Ministers of Ukraine aimed at improving the normative legal regulation of the procedure for importing, exporting, and transporting anatomic materials of a human being within Ukraine, and other procedures, taking into account the findings of the analytical report indicated in subclause 2.7.2.2.1 Ministry of Health of Ukraine The measure has not been implemented Not implemented
3.1. ESR 2.7.2.3 The List of Recommended Healthcare Institutions in Foreign Countries for the Treatment of Ukrainian Citizens Abroad has been made public 2.7.2.3.1. Developing a draft order on approval of the List of Recommended Healthcare Institutions in Foreign Countries for the Treatment of Ukrainian Citizens Abroad Ministry of Health of Ukraine The measure was implemented on time and in full Implemented
300% 9/ 3
3.2. 2.7.2.3.2. Holding a public discussion of the draft order indicated in subclause 2.7.2.3.1, and ensuring its revision (if needed), issuance, and submission for state registration Ministry of Health of Ukraine The measure was implemented on time and in full Implemented
3.3. 2.7.2.3.3. Supporting the state registration of the order indicated in subclause 2.7.2.3.1 and its official publication Ministry of Health of Ukraine The measure was implemented on time and in full Implemented

Key sources on the state of the problem:

Assessment of the situation by international monitoring mechanisms and organizations: