TRANSFORMATION OF MEDICAL SERVICES IN UKRAINE IN THE CONDITIONS OF MILITARY ACTIONS

Abstract

The development of the health care system in Ukraine on a market basis is a necessary condition today, as the existing medical system until recently could not meet the growing demands of the population in the quality and accessibility of health care given the limited funding of the industry. Determining the priority areas of transformation of the medical  system on a market basis based on SWOT-analysis of the environment of the health care system in Ukraine. Analysis and synthesis, system approach, SWOT-analysis method and generalization were used for this research. The information  base of the study consisted of scientific papers by foreign and Ukrainian researchers on the management of health care  development in Ukraine and the methodology of macro-environmental analysis using SWOT-analysis. The results of the analysis revealed the main obstacles to the transformation of the medical system, such as: lack of financial resources and "shadowing" of the conditions for the provision of medical services; lack of interest in the development of medical services by the population (main consumers) due to the high cost of medical services; logistical and innovative backwardness of health care facilities and low level of professional training, etc. To reform the Ukrainian health care system, it is necessary to improve the system of governance and state regulation of the health care sector by guaranteeing professional autonomy and sustainability; ensure the financial stability of the health care system through the introduction of flexible financing methods and the full formation of the health insurance market; to form networks of health care institutions for the guaranteed provision of basic medical services for low-income groups of the  population; expand primary medical care; to solve the staffing of the health care system; create conditions for the development of public health; ensure the priority of the development of the electronic health care system and guarantee cyber security through the creation of a unified medical information space; implement a quality system for the provision of medical services at all levels, etc.