Institutional and Legal Components of Public Administration of Healthcare Development in Ukraine
Abstract
The article provides a systematic analysis of the institutional and legal components of public management of healthcare development in Ukraine through the prism of the interconnection between legal norms, the competences of entities (authorized public authorities) and means of public administrative influence that ensure the implementation of citizens’ constitutional right to healthcare. It is argued that the effectiveness of public administration is determined not so much by the number of normative acts as by their hierarchical consistency and ability to translate constitutional and legislative provisions into understandable procedures for financing, procurement, digital accounting, and quality control of medical services. It is shown that basic laws, in particular the Fundamentals of Ukrainian Legislation on Health Care and the Law of Ukraine on State Financial Guarantees for Medical Care for the Population, set the framework for the state’s obligations and the logic of the transition to a model in which the state acts as a guarantor and strategist, while contracting and tariff-setting mechanisms ensure the distribution of available resources and the appropriate quality of medical services.
Based on the analysis of contemporary scientific publications on this issue, the institutional architecture of public health management has been refined and typical «gaps» between norms, powers, and results have been identified, which manifest themselves in inconsistencies between levels of public management, personnel and financial imbalances, and uneven digital infrastructure. Priority areas for improvement have been formulated, consisting of codifying accountability and evaluation procedures, unifying crisis protocols, developing cross-sectoral coordination, and institutional improvement of public administration in conditions of martial law and post-war recovery. It is emphasized that the communication component of public administration, in particular the use of digital platforms and feedback mechanisms, can be seen as a tool for increasing the legitimacy of reforms and trust in public institutions, while recognizing public health as an integral indicator of national interests strengthens the argument in favor of prioritizing further improvement of the institutional and institutional components of healthcare development as a guarantee of strengthening national security.
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