SCIENTIFIC AND THEORETICAL FRAMEWORK FOR RESEARCHING STATE AND PUBLIC HEALTHCARE GOVERNANCE MECHANISMS

Abstract

Topicality. In the context of reforming Ukraine’s healthcare system and post-war reconstruction, the study ofstate and public healthcare management mechanisms becomes particularly relevant, as the effectiveness of the healthcaresystem directly depends on the rational organization of management processes at all levels.The goal of the work is to provide theoretical justification for state and public healthcare management mechanisms inthe context of current challenges and needs of Ukraine’s post-war reconstruction.Materials and methods. The methodological basis of the research is a comprehensive approach that combines: systemanalysis – for studying the healthcare system as a holistic management object; comparative analysis – for comparing different scientific approaches and studying international experience; abstract-logical method – for theoreticalgeneralization and formulation of conclusions. The research materials included statistical data from the Ministry ofHealth of Ukraine, analytical materials from WHO, particularly the «WHO Cooperation Strategy with Ukraine for the period up to 2030,” scientific works on state and public healthcare management, as well as the author’s own research materials on management mechanisms in the medical field.Research results. Modern approaches to defining basic concepts in the field were analyzed: «public administration,” «public management,” «healthcare system.” The peculiarities of state and public management mechanisms in thehealthcare system were investigated, their structural components and functional characteristics were determined.The necessity of implementing strategic management and strengthening intersectoral cooperation was identified. The transformation from state-centric to collaborative management model was substantiated. Directions for improvingmanagement mechanisms were proposed, taking into account international experience and national characteristics. Conclusions. It was established that the effectiveness of state and public healthcare management depends on the rational organization of management processes and coordination of efforts of all stakeholders. In the context of post-war reconstruction, it is necessary to focus on modernizing healthcare facilities, implementing new methodologies forassessing the quality of medical services, and ensuring systematic development of the industry.