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II. Dialogue

l. Can you do these tasks on your own?

Yes

No

Need more practice

Talk about the structure and organization of Ukrainian health care

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Define the main priorities of the Ukrainian health care system

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Differentiate primary, secondary and tertiary medical care

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Describe problems facing the health care system at present

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Explain the demographic crisis in Ukraine

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Comment on the reformation of Ukrainian health care

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List the obstacles preventing introduction of so­cial health insurance in Ukraine

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Tell how the cost of care delivery can be covered

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2. Make questions for the answers. Then, in pairs, act out the dialogue.

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— In our country there is a wide network of higher medical institu­tions, which train pharmacists.

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— To enter a pharmaceutical faculty students take written entrance examinations in chemistry, biology, and Ukrainian.

— During the first two years pharmacy students study general subjects, such as botany, physiology, general chemistry, physics.

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— During the third, fourth, and fifth years they have classes in special sciences, like pharmacology, pharmacognosy, pharmaceutical che­mistry.

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— After graduation all pharmaceutical students have a period of in­ternship, which lasts for one year.

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— Today about eight thousand foreign students study medicine and pharmacy at higher medical establishments of Ukraine.

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— At higher medical institutions of Ukraine there is also postgraduate study as a form of training scientific and teaching specialists.

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— Postgraduate education is not compulsory.

III. Writing

1.Complete the sentences by filling in the gaps with the correct words or expressions.

1. There is an understanding that health care improvement in Ukraine will require overall e... in the country.

a. comprise

2. Rural physician ambulatories c... three specialties: in­ternal medicine, pediatrics and dentistry.

b. primary health care

3. The health system is still facing many problems, in­cluding how to administer and finance p... .

с. responsible

4. Specialists in the Sanitary-Epidemiological Service are r... for maintaining preventive and routine sanitary and epidemiological surveillance.

d. occupa­tional dis­eases

5. The reduction of maternal and infant mortality can be achieved

e. mandatory

through improved access to reproductive health services and f... information.

accredita­tion

6. The main causes of death in Ukraine are diseases of the c... followed by neoplasm, injury and poisoning, and respiratory diseases.

f. rates

7. The rapid expansion of the health care system, provid­ing u... to professional health services was very success­ful in improving population health.

g. referral

8. The Ministry of Public Health is responsible for the m... of public and private health facilities.

h. circulatory system

9. Contributions for mandatory social insurance covering temporal disability, o... are determined by legislation.

і. universal access

10. Patients are admitted to hospital either through the emergency department or through a r... by their doctor.

j. economic growth

11. Immunization r... for 2007 for children up to one year old were: tuberculosis, 95 %; diphtheria, pertussis, and tetanus, 96 %; polio, 97 %; and measles, 97 %.

к. family planning

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