Financing of dental care in Ukraine: current status, comparative aspects with European union countries, and prospects for reform in the context of public health
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STATE INSTITUTION OF SCIENCE «CENTER OF INNOVATIVE HEALTHCARE TECHNOLOGIES» STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE
Publication date: 2026-06-30
Wiadomości Lekarskie 2026;(6):1404-1410
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ABSTRACT
Aim: To assess the state of dental care funding in Ukraine under martial law, compare aspects with the European Union (EU) countries, and identify prospects
from a public health perspective.
Materials and Methods: We analyzed government regulations and scientific sources from the past 20 years regarding the state of dental care provision in
Ukraine and EU countries in terms of sector financing, access to treatment and preventive care facilities, and medical personnel. We utilized time series analysis,
statistical data (the Ministry of Health of Ukraine, National Health Service of Ukraine), and international sources − the World Health Organization (WHO) and
the Organization for Economic Cooperation and Development (OECD). Bibliosemantic, content-analytical, and comparative methods were applied. The search
for primary sources for analysis was conducted in international scientific databases (PubMed, Scopus, Web of Science, ScienceDirect) and national resources
(the V.I. Vernadsky National Library of Ukraine, Google Scholar). Bibliosemantic, content-analytical, and comparative methods were applied.
Conclusions: In Ukraine, a low share (20%) of public institutions was established, along with a 60% reduction during the period 2008–2023. A directly
proportional decline was observed in the availability of dentists (−49%) and in the number of patient visits (−80%) over the same period. The most critical
failure was in the area of prevention (−84.8%). Increased funding in 2023–2025 is redirected to narrowly targeted groups and does not cover the system as
a whole.In comparison with EU countries, Ukraine lags behind on all key indicators. Public coverage of dental costs in Europe is 30–33% and combines public
and voluntary insurance, with partial co-payments — the prevention-driven “shared cost” model. In Ukraine, the state covers less than 10–15%, and the
treatment-driven “pay-out-of-pocket” model, financed by patients, predominates.Dental care in Ukraine is significantly lower compared to European countries,
remains underfunded, narrowly targeted, and dependent on private spending by the population, as evidenced by reductions in staffing, preventive care, and
accessibility. Reform of the financial model is necessary, with an emphasis on preventive care, health insurance, and expanding the role of the National Health
Service of Ukraine (NHSU).