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

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.

2020 ◽  
Vol 8 (6) ◽  
pp. 115-131
Author(s):  
Lilia Krynychko

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.


Author(s):  
A.O. Nagoriyanskii

Objective of the study: to substantiate the theoretical approaches and develop priority areas for improving public administration to ensure the system of medical rehabilitation and recreation in Ukraine. Material and methods. To achieve this goal, a set of interconnected and complementary general and special research methods was used, in particular, specific search methods (detection, selection, theoretical analysis, synthesis, updating, classification) were used to summarize regulatory, documentary, printed and electronic sources of information on public administration of the system of medical rehabilitation and sanatorium services. Results. Theoretical principles of public administration of the medical rehabilitation system are investigated. The current state of medical rehabilitation and sanatorium treatment in the health care system of Ukraine is analyzed, namely: regulatory and legal support of medical rehabilitation and sanatorium treatment in the health care system of Ukraine. The priority directions of improvement of the state administration concerning maintenance of system of medical rehabilitation and recreation in Ukraine are substantiated and the ways of improvement of the state management of system of medical rehabilitation as a component of the state policy in the field of public health services are offered. Findings. Support for the development of sanatorium-resort activities should be carried out using the methodology of program-targeted management, which provides for the development and adoption of comprehensive programs aimed at implementing specific measures to develop resort potential, improve quality and efficiency of sanatorium-resort services, strengthen the material and technical base of resort management at the level of the state and regions.


Economical ◽  
2019 ◽  
Vol 2 (2(21)) ◽  
pp. 170-177
Author(s):  
Anzhela Bairak ◽  

The article examines the problems of private medicine in the health care system of the country. The aim of the article is to determine the structural components of the mechanism of activation of the private medical sector as a reserve for the provision of quality and affordable medical services and a driver for the development of the medical industry. The descriptive-analytical method, methods of analysis and synthesis, comparison, statistical, analysis and scientific generalization were used in the paper. The study substantiates the strengthening of the role of the private medical sector in the health care management system. The key problems of the domestic private medical sector and the restraining factors of its development are identified. It is concluded that it is necessary to develop a mechanism to promote the development of private medicine through a policy of active change in the health care system. The directions of activation of the private medical sector as a target reference point in the process of determining the structural elements of the organizational and economic mechanism are outlined. The structural detail of the mechanism of activation of the private medical sector for optimization of the health care system is offered. The practical significance of the obtained results is that the results of the research presented in the article are a practical basis for the development and improvement of mechanisms of public administration in the field of health care.


2020 ◽  
Vol 73 (10) ◽  
pp. 2261-2264
Author(s):  
Tatiana V. Peresypkina

The aim: Of this article was analysis of the existing health care system for school-age children in Ukraine and the identification of ways to improve and develop the school health care system like a topical issue of pediatrics. Materials and methods: The analysis of the state of health of children in Ukraine, the questionnaire of the participants of the educational process regarding the expedient and expected types of medical care, the WHO publications on the medical provision of schoolchildren were analyzed. Conclusions: The analysis of the legal framework in Ukraine in the period of reforming the medical sector has allowed to identify the problematic issues, the solution of which will contribute to ensuring the quality of the medical aid system for school-age children, improving the level of health, shaping the health behavior of health behavior. These include improving the legal framework on some issues, defining the functional authority and structure of the school health care system.


Author(s):  
Elena AKSENOVA ◽  
◽  
Alexandr ZUDIN ◽  
Anastasiya METELSKAYA ◽  
◽  
...  

The article discusses some theoretical aspects of using the concept of "lean manufacturing" in the implementation of the practice of management of the health care system and medical services. The main problems of functioning of polyclinic institutions and tasks solved by implementing the "lean polyclinic" system are highlighted.


Author(s):  
Constantin Etco ◽  

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.


Author(s):  
Subhas C. Misra ◽  
Sandip Bisui ◽  
Kamel Fantazy

Among the emerging areas in health-care system, the implementation of Electronic Medical Record system and the discovery of Personalized Medicine are occupying top positions. While some of the personalized drugs have already been discovered, implementing this new medicare system requires a lot of changes in the traditional health-care system. This paper aims at identifying these critical changes required in the adoption of the Personalized Medicine system. A systemic attempt has been made to prepare a list of possible changes required for the adoption based on available literature. This research study shows that changes from reactive to efficient medical care, from trial and error to right treatment for right person at right time, from narrow mind-set to open mindedness, from open information of patients to secure information, from less emphasis on IT infrastructure to more emphasis on IT infrastructure are some of the significant changes that are necessary for implementing the revolutionary medicare system of personalized Medicine.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lior Naamati Schneider

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.


2021 ◽  
Vol 03 (01) ◽  
pp. 76-91
Author(s):  
Krynychko Liliia Krynychko Liliia ◽  
Vatanov Andrii Vatanov Andrii

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.


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