scholarly journals Problems of the health care system and directions for their solution: a view of science and practice

2020 ◽  
Vol 8 (6) ◽  
pp. 115-131
Author(s):  
Lilia Krynychko
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Health Management ◽  
Local Level ◽  
State Regulation ◽  
Subject Field ◽  
Separate Object ◽  
The City ◽  
Care System

The study allowed us to establish the development of scientific knowledge in public administration, which is to expand its subject-matter scope and methods of studying the processes occurring in the field of health care. In addition, it is proved that the proposals of scientists to expand the forms and content of mechanisms for implementing public administration and public policy in the field of health care are important in the development of methodology and organization of public administration science. The positions of domestic and foreign scientists on the peculiarities of public health management are analyzed. Thus, Bugaytsov S. G. studied the problems of state regulation of the cancer care system, Yarosh N. P. devoted research to regulating the development of social standards in the field of health, Ringach N. O. studied the health care system as a component of national security. Scientific researches of Zhilka K. I. related to the development of cooperation with international organizations in the field of public administration of children's health. Firsova OD improved the mechanisms of geoinformation support of the state health care management in Ukraine. Mokretsov SE studied the problems of public administration of reproductive health in Ukraine in a demographic crisis. Kovalenko T. Yu. developed mechanisms of public administration in the field of sanatorium and resort provision of children in Ukraine. Jafarova D. M. suggested ways to improve the management system of primary health care reform at the local level on the example of the city of Lviv. In general, the scientific achievements of domestic science, allows us to talk about the diversity of the health care system as an object of public administration. As a result, a map of the development of public administration science in the context of a separate object-subject field of the health care system has been formed.

scholarly journals State regulation of the healthcare management system as a strategic imperative in the context of external challenges

2021 ◽  
pp. 5-8
Author(s):  
Oleksandr RADCHENKO
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Regional Governance ◽  
Healthcare Management ◽  
State Regulation ◽  
Medical Services ◽  
State Management ◽  
Medical Sector ◽  
Care System

The study identified key factors in the effective management of the health care system. Emphasis was placed on defining mechanisms and tools for public administration of the national health care system, which determine profound systemic changes in the reform of the industry and developed an improved methodology for assessing the results of effective development of public administration mechanisms through the transformation of procedures and rules governing the interaction of agents. market of medical services of Ukraine. These provisions, in fact, necessitate an analysis of the development of public administration mechanisms in the field of health care in Ukraine as a subject of study, and their interaction in the process of systemic changes in the industry to establish links between major categories. Based on the analysis of the results of the study, the current state of the health care system of Ukraine as a prerequisite for the modernization of the medical sector and increase its competitiveness. State regulation of the health care system should be divided into specific types of regulatory actions that would determine the subject, content, structure of the object of regulation and other parameters. The system of public administration is a set of rules, laws and procedures governing the interaction of participants at the national level. The determinants of the development of mechanisms of state management of the medical sector of Ukraine (socio-political, economic, demographic, socio-cultural) are determined and substantiated. The main reasons that hinder the development of the market of medical services in Ukraine are identified and the main directions and tools for overcoming these obstacles are outlined. The concept of systemic transformation of public administration mechanisms in the field of health care is substantiated, which defines the basic principles, among which are decentralization, democratization, self-regulation, autonomy, intensification, optimization of functions, which provides for diversification of ownership, sectoral governance reform, improving regional governance, financial reform, etc.

Public-private: unequal competition Israeli public hospitals vs the private health-care system following government reforms

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lior Naamati Schneider
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Data Gathering ◽  
State Regulation ◽  
Public Hospitals ◽  
Content Type ◽  
Creative Solutions ◽  
Government Reforms ◽  
Care System

Purpose This study aims to map perceptions and changes in public hospitals in response to competition with the private health system, describes solutions adopted by the public hospitals and considers their implications for the business and strategic management of those hospitals. Design/methodology/approach This paper opted for a qualitative study using the open-ended approach of grounded theory, including 40 in-depth interviews with key figures in the health system and administrators at various levels of management. Findings Public hospitals are constantly adopting changes because of state-mandated reforms and growing competition with private hospitals. Notable measures include making hospitals customer-oriented and adopting business-oriented behaviors and competitive and marketing strategies. However, because public hospitals are unable to institute radical changes, they typically introduce hybrid services (private services within public services) and other creative solutions such as business-funded research foundations operating alongside them. Research limitations/implications The main methodological limitation of this study was the difficulty in obtaining data because of the limited cooperation and lack of transparency of Israel’s health-care system. The interviewees expressed concerns that their department or hospital would appear in a negative light, especially as motivated solely by financial considerations. In anticipation of this difficulty, requests for participation were addressed individually and contained extensive detail regarding the study, the ethics committee’s approval, the data gathering and the strict maintenance of anonymity and confidentiality. Originality/value Adopting business-oriented behaviors in public hospitals is somewhat contrary to the principles of public medicine. Their adaptation to the market is partial, and their creative hybrid solutions require state regulation. The absence of controls leads to duplication and waste, causing various problems, including increased social inequality, costs and deficits.

scholarly journals ESTABLISHMENT OF INFORMATION AND COMMUNICATION RELATIONS IN THE PUBLIC ADMINISTRATION OF THE HEALTHCARE SYSTEM

2021 ◽  
Vol 03 (01) ◽  
pp. 76-91
Author(s):  
Krynychko Liliia Krynychko Liliia ◽  
Vatanov Andrii Vatanov Andrii
Keyword(s):  
Health Care ◽  
Public Administration ◽  
Health Care System ◽  
Communication System ◽  
Communication Theory ◽  
The Public ◽  
Communication Models ◽  
Information And Communication ◽  
Communicative Space ◽  
Care System

The article identifies approaches to communication models and the formation of communication theory considers modern theories and communication models as a basis for the formation of public administration decisions in the health care system. Approaches to the essence of communications in public administration are described. The views of domestic and foreign scholars on the composition of communication functions in public administration are studied. Information flows in public administration are classified. Elements of the information and communication system of public administration in the field of health care have been studied. The levels of information and communication system of public administration of the health care system are analyzed. Keywords: information and communication relations, public administration, health care system, communication, communicative space, communicator, communicator.

scholarly journals Health Care System in the Ukrainian SSR and the Attempts to Reform It

2021 ◽  
pp. 63-73
Author(s):  
Vira Volonyts ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Large Scale ◽  
State Regulation ◽  
Soviet Period ◽  
The Status ◽  
Systemic Crisis ◽  
History Of ◽  
Destructive Processes ◽  
Care System

The purpose of the article is to describe the ways to update the health care system in the Ukrainian SSR in the historical retrospective. The methodological basis of the study is the principles of objectivity, historicism and systematization with the use of general scientific methods of analysis, synthesis, generalization and combination with a special historical (chronological) method. The scientific novelty of the publication lies in a comprehensive analysis of the domestic health care system and ways to reform it in the Soviet period. In order to expand research prospects, it is proposed to include the issues of formation, development, and attempts to reform the health care system to a number of current issues in the history of Ukraine. Conclusions. The Soviet model of the health care system, formed under strict state regulation, was distinguished by the only possible source of budget funding, was free of charge, and was accessible to all, partially was rewarding in conditions of significant socio-political and large-scale biological challenges. It has made it possible to reduce mortality by introducing preventive and anti-epidemic measures and providing access to medical services in the most remote parts of the country. However, all these achievements, under the conditions of extensive type of development of the medical sphere, mainly quantitative growth of indicators and chronic underfunding, vanished very quickly, and the system proved to be ineffective and inconsistent with the requirements of the time. Partially aware of all the risks that could lead to a systemic crisis, the Soviet leaders made several attempts to suspend the inevitable destructive processes. Unfortunately, most of the decisions made to expand possible funding, increase the status of the primary outpatient clinic, the introduction of limited market mechanisms, were mostly declarative in nature as the most important issue remained unresolved - the elimination of the residual principle of financing the industry.

scholarly journals Population Health Management for Diabetes: Health Care System-Level Approaches for Improving Quality and Addressing Disparities

2017 ◽  
Vol 17 (5) ◽  
Author(s):  
Julie A. Schmittdiel ◽  
Anjali Gopalan ◽  
Mark W. Lin ◽  
Somalee Banerjee ◽  
Christopher V. Chau ◽  
...  
Keyword(s):  
Health Care ◽  
Population Health ◽  
Health Care System ◽  
Health Management ◽  
System Level ◽  
Population Health Management ◽  
Care System

scholarly journals Strengthening District Health Care System through Partnership with Academic Institutions: The Social Accountability of Medical Colleges in Nepal

2012 ◽  
Vol 52 (187) ◽  
Author(s):  
A Magar ◽  
K Subba
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Local Level ◽  
Social Accountability ◽  
District Health ◽  
Quality Health Care ◽  
The Social ◽  
The Government ◽  
Care System ◽  
Medical Colleges

Approximately 25-30% of the Nepalese population live below poverty line. Majority of them reside in a geographically inaccessible place while most of the health centers are focused in the urbanized cities of Nepal. Hence, they are deprived of quality health care at that level and need urgent attention by the concerned authorities. The government has not increased its human resource for health in the last two decades, while population has doubled up but the number of doctors serving in public sectors has remained the same as it was in 1990s. We have got 19 medical colleges at the moment. If one district is allocated to each medical colleges, it could help improve district health system at local level in Nepal. This can be accomplished by posting postgraduate resiendts in the peripheral district hospital as a part of their training and later encouraging them to serve for certain years. This could be a perfect example of government envisioned public private partnership in the country. This is a concept that has already been started in many parts of the world that can be moulded further to improve health service at peripheral part of the country. It is also the social accountability of the medical colleges for the development of the nation. Keywords: district health care system; medical education; social accountability.  

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