iMoRe №139: Hospital Districts and Support for the Creative Industries

The Index for Monitoring Reforms (iMoRe) is +0.5 points for the period from 13 to 26 July 2020 from possible on a scale of -5.0 to +5.0.

Author:

In the previous round, the index was +0.6 points.

Chart 1. iMoRe Dynamics

Chart 2. іMoRe and its components in the current round

The order of establishment of hospital districts with support (hub) hospitals, +2.5 points

A hospital district is a network of medical facilities that provide care on a specific territory. This network may include hospitals and doctors who practice their own medical practice. Rational organization of hospital districts is one of the conditions for successful implementation of medical reform.

Back in 2012, when regional health reform pilot projects were launched, parliament passed a law requiring the government to lay down rules for the formation of hospital districts. In 2016, the government set the rules for formation of such districts. He established that the composition and boundaries of the district should be defined so that residents have access to secondary (specialized) medical care. There must be at least one multidisciplinary hospital in the hospital district. The time of arrival of residents to the hospital should not exceed an hour.

In 2019, parliament decided to establish support hospitals within each district, and the government set rules for the management and operation of hospital districts. According to these rules, the regional state administrations, the administrations of Kyiv and Sevastopol, the Council of Ministers of the Autonomous Republic of Crimea must submit proposals for the definition of  support hospitals. The list of support hospitals was to be approved by the Cabinet of Ministers of Ukraine at the request of the Ministry of Health.

Recently, in Resolution № 589 of June 19, 2020, the government established a new procedure for determining support hospitals. After receiving proposals from the health departments in the regions, Kyiv, Sevastopol and the Council of Ministers of the ARC, the Ministry of Health forms a commission to consider them. The commission may include representatives of government agencies, the public and international organizations. The Ministry of Health also posts proposals on the website, and within a month, hospitals and local governments can submit reasoned objections to the Ministry of Health. Based on the results of their consideration, the Ministry of Health prepares and submits to the Cabinet of Ministers proposals on the list of base supporting hospitals.

Changes to the election legislation allow parties to recall their deputies, and the Central Election Commission of Ukraine to conduct experiments with electronic voting, 0.0 points

By Law 805-IX, Parliament laid down a number of new rules for the conduct of elections. Experts’ assessments of this law differed. Some evaluated positively and some negatively (from -2.0 to +0.5 points), the median score was 0.0 points.

Law on support of creative industries, +1.0 point

Quarantine measures have negatively affected the activities of companies working in the creative fields. Parliament and government have begun to implement business support measures, but the current legislation has shown that there are not enough tools in place to support the creative industries.

Law 692-IX introduces new tools to support creative industries.

In particular, the law expands the possibilities of grant support through the Ukrainian Cultural Foundation. It will be able to provide grants of institutional support – this is a new format, because previously grants through this fund were issued only for cultural and artistic projects.

New support tools have appeared through the Ukrainian Book Institute. It will now provide grants for projects

  • translation of foreign literature into the state language;
  • translation of Ukrainian literature into foreign languages;
  • preparation and publication of book editions  of Ukrainian literature;
  • writing by authors of new literary works;
  • organization and holding of programs and events to promote reading (book exhibitions, fairs, literary festivals, competitions, thematic actions, promotional and communication campaigns);
  • replenishment of library funds of ATH libraries with books.

The Book Institute will also be able to provide institutional support in the form of grants, for businesses engaged in publishing.

In addition, the law contains a number of temporary measures to support the creative industries, which will run until 31.12.2020.

Experts’ assessments of this law differed. Some evaluated the law positively, and some negatively (from -4.0 to +3.0 points), the median of evaluations was +1.0 point. Although support for creative industries is important, experts point out that these tools are targeted and do not yet systematically address the industry’s challenges. There is also no clear definition of creative industries in the law.

Chart 3. Value of іMoRe components and number of events

Note: Index for Monitoring Reforms (iMoRe) from VoxUkraine aims to provide a comprehensive assessment of reform efforts by Ukraine’s authorities. The Index is based on expert assessments of changes in the regulatory environment in five areas:

  1. Governance
  2. Public Finance
  3. Monetary system
  4. Business Environment
  5. Energy

For details please visit imorevox.org.

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