THE URGENCY OF THE DEVELOPMENT OF AN EFFECTIVE SYSTEM OF HEALTH PROTECTION OF METROPOLIES IN UKRAINE: STATUS AND PROSPECTS IN THE CONDITIONS OF WAR
Abstract
Introduction. The approaches to assessing the state and prospects of the institutional development of an effective system of health care in metropolises in Ukraine are examined. The relevance is related to
the need to build competitive metropolises of Ukraine and their health care systems as integrators of the state in wartime conditions. The novelty of the study is the proposal to introduce conceptual approaches
to the formation of the institutional environment for the development of the metropolitan health care system.
The purpose. The substantiation of the approaches to the prospects of institutional development of an effective system of health care of metropolises.
Methods. The problem of the development of an effective system of health care of metropolises in Ukraine was investigated on the basis of a systemic approach using scientific methods of analysis and
synthesis.
The results. The peculiarities of the development of the health care system of metropolises in
conditions of decentralization through the prism of the integration of the regions of Ukraine are analyzed.
For this purpose, the materials of the State Committee of Statistics of Ukraine and researches of domestic
and foreign specialists on issues of substantiating the development of metropolises through the prism of
the social sphere were used. Taking into account the assessments of domestic experts, the healthcare
system (HCS) of the metropolitan area should include the infrastructure of healthcare institutions in three
metropolitan gravity zones (the first - 15 km, the second - 60 km, the third - up to 300 km) and be based
on the key role of the National health services of Ukraine for payment of services provided..
Conclusions. For decades, except for the five-year period starting in 2014, Ukraine has
maintained a tightly centralized and at the same time fragmented management system with costly
government funding of health care. It remains a closed corporate structure with its own interests, often
disconnected from the real needs of citizens. Thus, mortality in Ukraine from COVID-19 was one of the
highest in Europe.
Рrospects of the research. The development of mechanisms for building a competitive
metropolitan region and its health care system.
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DOI: https://doi.org/10.35774/rarrpsu2023.28.034
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