FOREIGN EXPERIENCE OF PUBLIC ADMINISTRATION IN PROVISION OF MEDICAL AND SOCIAL SERVICES: IMPLEMENTATION IN THE UKRAINIAN ENVIRONMENT

Abstract

The article is devoted to the study of foreign experience in the provision of medical and social services and its implementation in the Ukrainian environment. The directions for improving public health management are proposed: the implementation of services for public and individual health, which are made possible by the efforts of medical workers in the use of equipment, medicines and consumables, as well as through the physical and digital infrastructure of the health care system. It is proposed to start with the improvement of primary health care. It is substantiated that the use of all resources is influenced by financial incentives and rules and regulations of the health care system. It was found that in the context of reforming the system of medical and social services, financial support from the Public Budget through the National Health Service is carried out on the principle of “money follows the patient”, that is, the National Health Service as an executive body finances the provision of medical services. population through a medical and social services institution. The powers of local governments include financing of utilities and energy, ensuring the material and technical base of institutions. In addition, local governments can finance local incentive programs, such as the purchase of official housing and additional financial bonuses to the basic salary of employees. That is, at the local level, financial support for the medical and social services industry is carried out on the principle of ensuring the vital activity of the institution. The provision of medical and social services in different countries has its own characteristics. It is concluded that management, together with improved management throughout the system, helps to bring existing elements together to achieve priority health care goals. Ukraine will have the opportunity to transform its health services to meet the expected needs and demands of its citizens in the coming decades, including: the growing burden of noncommunicable diseases with significant avoidable mortality; remaining issues of infectious disease control, including tuberculosis, HIV, and vaccine-preventable diseases; the expanding range of long-term mental health conditions and physical rehabilitation as a direct impact of the war and its aftermath; socio-economic challenges related to physical and mental health problems.