Sending Ukrainian citizens abroad for treatment during the period of martial law. What are the criteria and who makes the decision?

Categories of citizens entitled to treatment abroad:

• Patients with injuries sustained as a result of the armed aggression of the Russian Federation against Ukraine who need highly specialised medical care.
• Patients with combustiological pathology (e.g., third-degree burns with an area of more than 35% of the body surface for adults).
• Children with neoplasms requiring highly specialised medical care.
• Adult patients with neoplasms who:
• have a satisfactory functional condition;
• require highly specialised medical care.
• Children with rare (orphan) diseases in need of highly specialised medical care.

Procedure for determining eligibility:

• A doctor fills out an extract from the medical record (form No. 027/о ‘Extract from the medical record of an outpatient (inpatient) patient’), which confirms the need for treatment abroad.

Who makes the decision:

• The decision to refer for treatment abroad is made by a family doctor or a hospital attending physician, guided by the Order of the Ministry of Health No. 574 of 5 April 2022.

Routes for referral for treatment abroad:

• Through the regional health department:
• Each department has a responsible person for referring Ukrainian citizens for treatment abroad.
• Through a personal application on the website of the Ministry of Health:
• In case of absence of communication with a family doctor or health department, an application can be submitted independently through the website of the Ministry of Health of Ukraine in the section ‘For citizens’.
• For wounded military personnel:

Applications for evacuation of wounded soldiers are submitted through the Command of the Medical Forces of Ukraine.

A platform for finding foreign medical facilities:

• The Early Warning and Response System (EWRS) platform is used to search for foreign medical institutions that provide assistance to Ukrainian citizens.