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The document ceased to be valid since  November 27, 2019 according to item 4 of the Resolution of the Cabinet of Ministers of Ukraine of  November 27, 2019 No. 1074

RESOLUTION OF THE CABINET OF MINISTERS OF UKRAINE

of November 30, 2016 No. 932

About approval of the Procedure for creation of hospital districts

According to part eleven of Article 35-2 of Bases of the legislation of Ukraine on health care the Cabinet of Ministers of Ukraine decides:

1. Approve the Procedure for creation of hospital districts which is applied.

2. Determine that hospital districts begin to function with approval date of their list and structure the Cabinet of Ministers of Ukraine.

3. To Council of Ministers of the Autonomous Republic of Crimea, regional public administrations to provide to the Ministry of Health of the offer on the list and structure of hospital districts according to the Procedure approved by this resolution in a month.

4. To the Ministry of Health:

approve in a month approximate regulations on the hospital district;

develop and submit to the Cabinet of Ministers of Ukraine till February 1, 2017 the draft of the regulatory legal act about approval of the list and structure of hospital districts.

5. Declare invalid the resolution of the Cabinet of Ministers of Ukraine of October 24, 2012 No. 1113 "About approval of the Procedure for creation of hospital districts in the Vinnytsia, Dnipropetrovsk, Donetsk regions and Kiev" (The Official Bulletin of Ukraine, 2012, No. 92, the Art. 3736).

Prime Minister of Ukraine

V. Groysman

Approved by the Resolution of the Cabinet of Ministers of Ukraine of November 30, 2016, No. 932

Procedure for creation of hospital districts

General part

1. This Procedure establishes criteria for determination and borders of hospital districts, and also determines the mechanism of their creation.

2. The terms used in this Procedure have the following value:

multi-profile hospital of intensive treatment of the first level - healthcare institution which provides provision of secondary (specialized) medical care and the emergency medical care to the population in case of pathological conditions, life-endangering, and the victim during emergency situations;

multi-profile hospital of intensive treatment of the second level - healthcare institution which provides provision of secondary (specialized) medical care in the conditions of the round-the-clock hospital, day hospital or out-patient conditions to the population in sharp condition of disease or with chronic diseases, needing intensive treatment and leaving, with obligatory availability of departments of the emergency (urgent) medical care;

the hospital district is functional merging of the healthcare institutions located in the corresponding territory which provides provision of secondary (specialized) medical care to the population of this territory.

3. Hospital districts are created for the purpose of the organization of network of healthcare institutions by method which will allow to provide:

the guaranteed timely access to the population to services of secondary (specialized) medical care of proper quality;

effective use of the budgetary funds aimed at providing financing of secondary (specialized) medical care;

creation of conditions for preparation of the healthcare institutions providing secondary (specialized) medical care to functioning in the conditions of managerial and financial autonomy and delivery of health care within contracts on medical attendance of the population with the main manager of budgetary funds.

4. Hospital districts are created on the basis of the criteria established by this Procedure and are effective according to approximate Provision which affirms the Ministry of Health.

5. Creation of hospital districts is performed on the basis of combination of the following principles:

safety and quality of medical care on the basis of evidential medicine;

timeliness of access to medical care;

cost efficiency - ensuring the greatest possible quality of medical care on condition of rational and economical use of budgetary funds.

6. Creation of hospital districts is performed taking into account:

proper operational load for healthcare institutions which promotes ensuring level of safety and quality of medical care;

observance of regulations of temporary availability of necessary medical care;

current demographic indicators, structure of incidence, population shift tendencies, and also their forecast;

the settled clinical routes of patients in the healthcare institutions providing secondary (specialized) medical care;

institutional capability of acceptance of the management decisions directed to increase in efficiency of use of resources of health care system, including decisions on reshaping of the existing healthcare institutions or their further specialization.

Criteria of determination of structure and borders of the hospital district

7. Hospital districts are created by the Cabinet of Ministers of Ukraine within the Autonomous Republic of Crimea, area.

8. Also other healthcare institutions are part of the hospital district at least one multi-profile hospital of intensive treatment of the first and/or second level.

9. The amount of provision of secondary (specialized) medical care which shall be provided with multi-profile hospitals of intensive treatment of the first and second level affirms the Ministry of Health.

10. Equipment of the healthcare institutions providing secondary (specialized) medical care is performed according to approximate sheets of material equipment which affirm the Ministry of Health.

11. The multi-profile hospital of intensive treatment of the first level shall provide delivery of health care at least 120 thousand people.

12. The multi-profile hospital of intensive treatment of the second level shall provide delivery of health care at least 200 thousand people.

Procedure of delimitation and zone of servicing of the hospital district

13. The structure, borders and zone of servicing of the hospital district shall be determined so that the inhabitants living in its limits had access to secondary (specialized) medical care within the hospital district.

14. The center of the hospital district determines the settlement, as a rule, the city with the population more than 40 thousand people in which the multi-profile hospital of intensive treatment of the second level is placed.

The settlement which geographically is the next to the center of the district where the multi-profile hospital of intensive treatment is located can be the center of the hospital district.

15. The zone of servicing of the hospital district is determined by timeliness of arrival in multi-profile hospitals of intensive treatment that shall not exceed 60 minutes, and shall be equivalent to the radius of zone of servicing of 60 kilometers on condition of availability of roads with hard surface.

The zone of servicing can be less in the absence of means of communication or features of relief which significantly complicate communications (the rivers without bridges, the mountain).

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