Perceptions of quality and satisfaction with primary healthcare in Ukraine

This dissertation focuses on the perceptions of healthcare quality in primary care in Ukraine. Healthcare services in Ukraine, as in other countries, aim to ensure accessible and affordable healthcare of the highest possible quality. This makes quality of healthcare one of the most essential values of the health system. Good quality of healthcare services in terms of healthcare that is effective, safe and patient-centered, and that is accessible and affordable for all, is a known predictor of population health. Quality is a major component of health system performance and quality improvement is an important aim of health policy. To ensure this, health policies at all levels (national, regional, and facility) need adequate instruments to measure, maintain and improve healthcare quality.
During the work on this dissertation, the Ukrainian health system was rapidly changing. Healthcare financing reforms launched changes in managerial and educational practices, triggering different healthcare discussions. In general, healthcare stakeholders became more open and willing to be a part of discussions that had the ability to reshape the health system. Thus, quality perceptions and satisfaction with healthcare services gained more importance.