The oretical foundations of research on implementation mechanisms for public policy in the healthcare sphere in the context of reform

doi:10.26565/1992-2337-2025-1-14

Vitalіі Shymushovskyi National Academy of Medical Sciences of Ukraine”, Pediatric Anesthesiologist of the Department of Anesthesiology and Intensive Care of Children 32, Platona Maiborody str., Kyiv, 04050, Ukraine https://orcid.org/0009-0001-9850-7867

DOI: https://doi.org/10.26565/1992-2337-2025-1-14

Keywords: public policy, healthcare sphere, digital technologies in healthcare, accessibility and quality of medical care (services), eHealth, transformational changes, armed aggression, medical services, human resources

Abstract

The article provides a comprehensive theoretical analysis of the implementation mechanisms for public policy in the healthcare sphere in the face of transformational changes. It examines the current challenges facing Ukraine's healthcare system due to socio-economic instability, demographic decline, and the ongoing armed aggression by the russian federation. It is emphasized that in such circumstances, the formation and implementation of public healthcare policy must be grounded in the principles of systemic coherence, scientific justification, adaptability, and strategic foresight.

The study analyzes life expectancy indicators in Ukraine for 2020-2021 and provides a comparative assessment of the inertial development scenario versus the change scenario outlined in the Strategy for the Demographic Development of Ukraine until 2040. The article outlines key research areas pursued by Ukrainian scholars in public healthcare policy, specifically regarding legal and regulatory frameworks, the quality, accessibility, and safety of healthcare services, institutional modernization, and digital transformation. The authors emphasize developing legal mechanisms to address healthcare delivery challenges, institutional support for reform, and optimizing public sector management in healthcare.

Significant attention is given to the role of digital technologies in enhancing healthcare governance, strengthening Ukraine’s eHealth system, supporting evidence-based decision-making, developing human resources, and monitoring the quality of medical services. The article emphasizes the importance of a theoretical analysis of the mechanisms used to implement public healthcare policy. This analysis is crucial for understanding the reasoning behind changes, identifying key directions for transformation, predicting outcomes, and outlining strategic priorities and development scenarios for the healthcare sphere. This is especially relevant in light of the government's Strategy for Healthcare System Development until 2030.

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Author Biography

Vitalіі Shymushovskyi, National Academy of Medical Sciences of Ukraine”, Pediatric Anesthesiologist of the Department of Anesthesiology and Intensive Care of Children 32, Platona Maiborody str., Kyiv, 04050, Ukraine

MPA, State Institution “Romodanov Neurosurgery Institute of the National Academy of Medical Sciences of Ukraine”, Pediatric Anesthesiologist of the Department of Anesthesiology and Intensive Care of Children

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