Integration of public health project management into the healthcare sector development system of Ukraine
The article develops a conceptual approach to the process of strategic planning of long-term development of the health care sector, determination of strategic and tactical goals of such development. The development of the concept of the development of the health care sector uses the following result...
Saved in:
| Published in: | Економічний вісник Донбасу |
|---|---|
| Date: | 2025 |
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Published: |
Інститут економіки промисловості НАН України
2025
|
| Subjects: | |
| Online Access: | https://nasplib.isofts.kiev.ua/handle/123456789/212366 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Journal Title: | Digital Library of Periodicals of National Academy of Sciences of Ukraine |
| Cite this: | Integration of public health project management into the healthcare sector development system of Ukraine / І. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko // Економічний вісник Донбасу. — 2025. — № 4 (82). — С. 156-163. — Бібліогр.: 18 назв. — англ. |
Institution
Digital Library of Periodicals of National Academy of Sciences of Ukraine| _version_ | 1860283733597224960 |
|---|---|
| author | Shyshka, І. Yushkov, P. Bakum, I. Kramarenko, A. |
| author_facet | Shyshka, І. Yushkov, P. Bakum, I. Kramarenko, A. |
| citation_txt | Integration of public health project management into the healthcare sector development system of Ukraine / І. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko // Економічний вісник Донбасу. — 2025. — № 4 (82). — С. 156-163. — Бібліогр.: 18 назв. — англ. |
| collection | DSpace DC |
| container_title | Економічний вісник Донбасу |
| description | The article develops a conceptual approach to the process of strategic planning of long-term development of the health care sector, determination of strategic and tactical goals of such development. The development of the concept of the development of the health care sector uses the following results: the results of SWOT analysis, which justify the feasibility of applying recovery, restructuring and reengineering strategies; the results of the analysis of global trends in the development of the health care sector (increasing demand for care outside hospitals, shortage and exhaustion of medical workers, deterioration of mental health, increasing the role of personal relationships between the patient and doctor, increasing demand for affordable and safe treatment, remote monitoring and interaction between health care institutions, increasing use of mobile applications and information technologies); the results of identification and assessment of the impact of fundamental and specific risks; the key values and guiding principles of industry reform determined by the Ministry of Health of Ukraine. A system of factors affecting the development of a long-term strategy for the development of the healthcare sector of Ukraine is built. The article determines that the most important priorities of the health care sector are the further reform of the sector, ensuring European integration and post-war reconstruction. The indicated priorities are strategic goals, within each of which tactical goals are developed (digitalization of management and medical processes; formation and development of medical personnel; development of institutions of the health care system; creation of effective hospital districts; development and improvement of the management efficiency of medical facilities; improvement of quality the development of the public health system, the implementation of the public health system, the alignment of the processes of the provision of medical services with the EU standards provision of basic medical services; provision of physical and mental health of the population; measures to achieve the specified tactical goals are proposed: development of comprehensive strategies anti-crisis programs; ensuring a sufficient amount of funding; social development of collectives and social protection of employees; increasing the efficiency of communication processes in medical institutions; creation of conditions for employees' motivated improvement of their own qualifications; solving organizational problems of the formation of hospital districts, promoting the improvement of the efficiency of the management of medical institutions.
У статті розроблено концептуальний підхід до процесу стратегічного планування довгострокового розвитку сектору охорони здоров'я, визначення стратегічних та тактичних цілей такого розвитку. У розробці концепції розвитку сектору охорони здоров'я використано такі результати: результати SWOT-аналізу, які обґрунтовують доцільність застосування стратегій відновлення, реструктуризації та реінжинірингу; результати аналізу світових тенденцій розвитку сектору охорони здоров'я (зростання попиту на медичну допомогу поза лікарнями, дефіцит та виснаження медичних працівників, погіршення психічного здоров'я, підвищення ролі особистих стосунків між пацієнтом та лікарем, зростання попиту на доступне та безпечне лікування, дистанційний моніторинг та взаємодія між закладами охорони здоров'я, розширення використання мобільних додатків та інформаційних технологій); результати ідентифікації та оцінки впливу фундаментальних та специфічних ризиків; ключові цінності та керівні принципи реформування галузі, визначені Міністерством охорони здоров'я України. Побудовано систему факторів, що впливають на розробку довгострокової стратегії розвитку сектору охорони здоров'я України. У статті визначено, що найважливішими пріоритетами сектору охорони здоров'я є подальше реформування сектору, забезпечення європейської інтеграції та післявоєнна відбудова. Зазначені пріоритети є стратегічними цілями, в рамках кожної з яких розроблено тактичні цілі (цифролізація управління та медичних процесів; формування та розвиток медичного персоналу; розвиток установ системи охорони здоров'я; створення ефективних госпітальних округів; розвиток та підвищення ефективності управління медичними закладами; підвищення якості розвитку системи охорони здоров'я; впровадження системи громадського здоров'я; узгодження процесів надання медичних послуг зі стандартами ЄС щодо надання базових медичних послуг; забезпечення фізичного та психічного здоров'я населення); запропоновано заходи для досягнення зазначених тактичних цілей: розробка комплексних стратегій антикризових програм; забезпечення достатнього обсягу фінансування; соціальний розвиток колективів та соціальний захист працівників; підвищення ефективності комунікаційних процесів у медичних закладах; створення умов для мотивованого підвищення власної кваліфікації працівниками; вирішення організаційних проблем формування госпітальних округів, сприяння підвищенню ефективності управління медичними закладами.
|
| first_indexed | 2026-03-19T04:56:47Z |
| format | Article |
| fulltext |
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
156
ISSN 1817-3772 Економічний вісник Донбасу № 4 (82), 2025
https://doi.org/10.12958/1817-3772-2025-4(82)-156-163
UDC 33.012:005.52:005.33:331.47
Іhor Shyshka,
DrHab (Economics), Associate Professor,
ORCID 0009-0003-4365-8638
e-mail: shyshka0908@gmail.com
Classic Private University, Zaporizhzhia
Pavlo Yushkov,
PhD (Economics),
ORCID 0009-0003-1380-2782
e-mail: mbaz@online.ua
Zaporizhzhia State Medical and Pharmaceutical University, Zaporizhzhia
Iryna Bakum,
PhD (Economics), Associate Professor,
ORCID 0009-0009-8716-1002
e-mail: bakumiryna@gmail.com
Private Higher Education Institution «Rauf Ablyazov East European University», Cherkasy
Alla Kramarenko,
Postgraduate student,
ORCID 0009-0002-5768-8304
e-mail: allamykkramarenko@gmail.com
Research Center for Industrial Problems of Development of the NAS of Ukraine, Kharkiv
INTEGRATION OF PUBLIC HEALTH PROJECT MANAGEMENT
INTO THE HEALTHCARE SECTOR DEVELOPMENT SYSTEM OF UKRAINE
Introduction. A conceptual approach to the devel-
opment of a health care development strategy allows us
to determine key directions, priorities and development
technologies taking into account key values, the influ-
ence of a number of factors of the external and internal
environment, modern global development trends and
potential risks of achieving strategic and tactical goals.
Developed in 2023, the draft of «Strategies for the de-
velopment of the health care system until 2030» does
not provide a holistic and systematic understanding of
the priorities of the long-term development of the indus-
try.
Analysis of recent researches and publications.
Ukrainian and foreign communities of scientists pay a
lot of attention to the issues of further development of
the health care system of Ukraine, which is connected
both with significant gaps in the measures of pre-war re-
form of the industry, and the need for its post-war recon-
struction. Among the authors are: Y. Horodnichenko,
I. Sologub, B. Veder di Mauro, Y. Dzhigyra, K. Main-
zyuk, A. Murphy, K. Propper, K. Bredenkamp, T. Dmy-
trachenko, O. Doroshenko, K. Fishchuk, Ya. Habikhta,
O. Hutsaliuk, D. Katsina, O. Yanovska, P. Pavlenko,
B. Zinnera, T. Yurochko, O. Bablyaka, T. Badikova,
V. Skibchyka, D. Kupyru, V. Kurpitu.
Developing strategic and tactical goals for the
long-term development of the field of protection, the
following normative legal acts were also developed: the
Law of Ukraine «On the Public Health System» dated
June 9, 2022 No. 2573-IX [6], the Law of Ukraine «On
Amendments to Certain legislative acts of Ukraine on
improving the provision of medical care» dated July 1,
2022 No. 2347-IX [7], the Law of Ukraine «On Insu-
rance» dated November 11, 2021 No. 1909-IX [8], De-
cree of the Cabinet of Ministers of Ukraine «Some is-
sues of organizing a capable network of institutions of
Health Care» dated February 28, 2023 No. 174 [9] and
two revisions of the «Health Care System Development
Strategy until 2030» dated February 23, 2022 and Feb-
ruary 13, 2023 [1-2].
Despite the considerable amount of work carried
out by the developers of strategic plans for the develop-
ment of the industry and the authors of analytical re-
ports, the authors consider it necessary to offer a con-
ceptual approach to the process of strategic planning for
the long-term development of the health care sector of
Ukraine.
The purpose and objectives of the study. Under-
standing the potential directions of directing efforts to
ensure long-term development of the health care sector
requires the determination of strategic priorities and tac-
tical goals and objectives, which should be indicated in
the corresponding strategic plan. Currently, there are
two editions of the «Health Care System Development
Strategy until 2030» [1-2], which have the same short-
comings, as: the lack of consideration of the influence
of factors of the external and internal environment of the
industry, the most widespread global trends in the de-
velopment of the health care system, the influence of
current external and internal risks, the full range of nec-
essary actions to ensure European integration, the main
gaps in the process of reforming the industry.
© Publisher Institute of Industrial Economy of National Academy of Sciences of Ukraine, 2025
© Publisher State Higher Education Institution «Luhansk Taras Shevchenko National University», 2025
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
157
Економічний вісник Донбасу № 4 (82), 2025 ISSN 1817-3772
The purpose of the article is to develop a concep-
tual approach to the process of strategic planning of the
long-term development of the health care sector, to de-
termine the strategic and tactical goals of such develop-
ment.
Presentation of the main results.
Factors of influence on the development strategy of
the health care sector of Ukraine. The results of the
SWOT analysis determine that the optimal strategies for
the further development of the health care sector of
Ukraine are the strategies of the «Weakness and
Threats» field of the SWOT matrix, since it is the exter-
nal threats and weaknesses of the industry that have a
numerical advantage. It is substantiated that the most ap-
propriate strategies in this case are recovery, restructur-
ing and reengineering strategies. The essence of these
strategies is to improve the regulatory and legal support
for the functioning of the industry; implementation of
organizational, economic, technological and social
transformations in order to improve the quality of med-
ical services and manage the assets of medical institu-
tions; radical rethinking of the processes of managing
the activities of medical institutions.
The development of a strategy for the development
of the industry requires taking into account certain
global trends in the development of the health care sec-
tor, among which are: the growing demand for care out-
side hospitals, the shortage and exhaustion of medical
workers, the deterioration of mental health, the increas-
ing role of trusting personal relationships between the
patient and the doctor, the growth demand for affordable
and safe treatment, remote monitoring and interaction
between health care institutions, increasing use of mo-
bile applications (telemedicine, digital prescriptions and
medical records, remote monitoring of patients using
wearable devices, personalized medicine and genomics,
game applications, retail security health, clinical and fit-
ness solutions, FinTech, mental health care) and infor-
mation technology (big data, artificial intelligence, In-
ternet of things, augmented and virtual reality, cloud
computing, predictive analytics, chatbot, cyber security
and data privacy , nanotechnology, 3D bioprinting and
implants). The most intensive growth is expected for the
volumes of medical technologies, the telemedicine sec-
tor, predictive analytics and the volumes of use of arti-
ficial intelligence.
To ensure the viability of the strategy, it is also nec-
essary to take into account the influence of external and
internal risks of its implementation, among which socio-
political, personnel and production-financial risks have
the greatest weight. At the same time, it is determined
that socio-political and personnel risks have a tendency
to increase during the next two years.
Acceptance as development priorities (strategic
goals) of the health care system of the directions indi-
cated by the Chairman of the Verkhovna Rada Commit-
tee on National Health, Medical Care and Medical
Insurance M. Radutsky [10], which provide for the
continuation of reform, ensuring the processes of Euro-
pean integration and post-war recovery, as well as tak-
ing into account the above-mentioned factors, create the
basis of a conceptual approach to the development of a
long-term strategy for the development of the industry.
Also, a mandatory condition for the development and
implementation of a strategy for the long-term develop-
ment of the health care sector is the observance of key
values and guiding principles, namely: human-cen-
teredness, equality and justice, joint production of med-
ical services, biopsychosocial approach, evidence and
formation of the market for services in health care sector
(Fig. 1).
Fig. 1. A system of factors affecting the develop-
ment of a long-term strategy for the development of
the health care sector of Ukraine
Source: developed by the authors
Strategic priorities and tactical goals of the devel-
opment of the health care sector of Ukraine. In our opin-
ion, the strategic goal of «Continuing the reform of the
health care sector of Ukraine» is to provide for the
achievement of the following results: digitization of the
processes of managing the health care system and
providing medical services; ensuring the formation and
development of medical personnel; ensuring the devel-
opment of institutions of the health care system; restruc-
turing of the industry by creating efficient hospital dis-
tricts; stimulating and supporting the development and
increasing the efficiency of the management of medical
facilities; creation of conditions and appropriate re-
source provision for improving the quality of medical
services; development of the public health system; en-
suring sufficient amounts of funding for the health care
sector (Fig. 2).
Long-term
development
strategy
Characteristics of
the external and
internal
environment of the
industry
Global trends
in the
development
of the health
care system
Strategic priorities for the
development of the health
care sector of Ukraine:
1. Reforming the SHC
2. European integration
3. Post-war reconstruction
The level of influence of socio-political, personnel and
production-financial risks on the development of the
industry and the dynamics of the development of risks
Key values and guiding
principles: human-
centeredness, equality and
justice, joint production of
medical services,
biopsychosocial approach,
evidence, formation of the
medical services market
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
158
ISSN 1817-3772 Економічний вісник Донбасу № 4 (82), 2025
Fig. 2. Strategic priorities and tactical goals
for the development of the health care sector
of Ukraine until 2030
Source: developed by the authors
The specified tactical goals correspond to the es-
sence of restructuring and reengineering strategies (Ta-
ble 1). To specify the content of tactical goals, it is nec-
essary to specify the appropriate list of measures. All
measures to achieve tactical goals indicated in the
table involve the performance of a number of opera-
tional tasks, but listing them in a strategic plan is im-
practical, as it overburdens the content of the document.
It is advisable to apply the main methodological
approaches and methods of the reengineering strategy in
the areas of finding sources of financing for the devel-
opment of the industry, ensuring the digitization of the
processes of management and provision of medical ser-
vices, the development of medical workers, increasing
the efficiency of the management of medical institutions
and improving the quality of medical services, since all
these processes require a radical rethinking.
One notes that the issues of financing and introduc-
tion of IC-technologies are to be considered during the
planning of any of the operational measures. However,
the determination of the main tactical goals and tasks in
the indicated directions allows to ensure the systematic-
ity of further actions.
The second strategic priority for the development
of the health care sector of Ukraine until 2030 is to en-
sure the implementation of European integration pro-
cesses. As a result of the initial assessment of the state
of implementation of the legal acts of the European Un-
ion, among the directions of European integration activ-
ities in the field of health care, the Ministry of Health
identified: public health (sanitary and phytosanitary
measures, living environment, biological threats, to-
bacco, precursors and drugs, workers' health), the phar-
maceutical industry (visa-free pharmacy, preclinical and
clinical trials, pharmacovigilance, drug registration,
drug verification, medical technology assessment,
proper laboratory practice, medical products, cosmetic
products), medical services (transplantation, blood sys-
tem, cross-border medical assistance, the quality of
medical services, the fight against cancer) and medical
education (adjustment of the duration of postgraduate
studies with EU standards, introduction of residency,
convergence of educational programs of Ukraine and
EU countries) [11]. That is, the legal framework of the
specified directions and their components needs appro-
priate coordination with the normative acts of the Euro-
pean Union.
Table 1. Tactical goals according to the strategic priority «Continuation of the reform
of the health care sector of Ukraine»
The type
of stra-
tegy
Tactical goals Measures to achieve the tactical goal
1 2 3
R
es
tr
u
ct
u
ri
n
g
Ensuring the de-
velopment of in-
stitutions of the
health care sys-
tem
To strengthen the institutional stability of the NSHC by increasing the level of its autonomy
Create and ensure the effective functioning of an independent state body that will be responsible for
drug registration and market control of drugs and medical products
Review the functions of the Public Health Center to ensure decentralization of public health system
management
To ensure optimization of the apparatus of the Ministry of Health by removing extraneous functions
Define and normatively ensure roles and responsibilities for governance in the health care system at
the national, regional and local levels
Strategic priorities for the development of the health care
sector of Ukraine
Continuation of
industry reform
processes
Strengthening
and optimization
of the functions
of branch
institutes
Creation of an
optimal network
of hospitals
Development of
the public health
system
Digitalization of
management and
service provision
processes
Formation and
development of
medical
personnel
Improvement of
the quality of
medical services
Ensuring
sufficient
funding
European
integration
Post-war
reconstruction
European
integration
of public
health
system
functioning
processes
Implementat
ion of EU
legal acts in
the
pharmaceuti
cal industry
Approaching
the
processes of
providing
medical
services to
EU
requirements
Coordination
of
educational
processes
with EU
standards
Restoration
of basic
medical
services
Institutional
and
resource
provision of
correction
of physical
and mental
health of
the
population
Creation of
optimal
conditions
for medical
procedures
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
159
Економічний вісник Донбасу № 4 (82), 2025 ISSN 1817-3772
End of table 1
1 2 3
Restructuring the
industry through
the creation of hos-
pital districts
To ensure the formation of capable networks of hospitals taking into account the existing needs of
the population during martial law and in the post-war period
Development of the
public health sys-
tem
Ensure the performance of basic public health functions by creating a network of disease control
and prevention centers with the appropriate resource base
To ensure the timely implementation of measures to prevent the occurrence and overcome the con-
sequences of emergency situations
Create conditions for the formation and maintenance of a valuable attitude to health
R
ee
n
g
in
ee
ri
n
g
Ensuring sufficient
funding for the
health care sector
Create conditions for attracting investments and increasing the economic attractiveness of the medi-
cal industry
To contribute to the development of regulatory and legal regulation of public-private partnership in
the health care system
To develop clear rules for the development of the voluntary medical insurance market
Develop and implement an effective model of mandatory state health insurance
Introduce additional mechanisms for ensuring financing of the health care system
Digitization of
health care system
management pro-
cesses and provision
of medical services
To meet the infrastructural needs of digitalization of medicine
Introduce standardization and technical regulation
electronic medical information systems
Ensure information protection and cyber security
Create conditions for increasing the level of cyber literacy and cyber hygiene of doctors and patients
Ensuring formation
and development of
medical staff
Create a register of human resources for health care
Expand the qualification requirements for nurses/nurses and involve non-medical workers at the
community level in the provision of medical services
To introduce effective mechanisms for encouraging medical workers working in rural areas
Introduce tools for professional liability insurance of medical workers
Introduce individual licenses for doctors and specialists for medical practice
Creation of condi-
tions for improving
the quality of medi-
cal services and
corresponding re-
source provision
Regulate educational models of training managers of medical facilities
Normatively regulate the mechanisms of licensing and accreditation of health care institutions
Implement effective tools for monitoring the quality of medical services and the effectiveness of
medical institutions
Create conditions to ensure the capacity of national science and technology parks to carry out re-
search and development in the field of health care
Create appropriate conditions for the involvement of the private sector as a full-fledged participant in SHC
Expand the list of medical services within the PMC and pay for actually provided services
Prioritize prevention and early detection services based on a proactive approach
Provide financial protection of people when receiving state-guaranteed medical services
Source: developed by the author
The above-mentioned directions of European inte-
gration processes essentially determine tactical goals,
the achievement of which will ensure the achievement
of the strategic goal. The content and methods of imple-
menting tactical measures aimed at achieving tactical
goals correspond to strategies of recovery, restructuring
and reengineering (Table 2).
The third strategic goal of the long-term develop-
ment of the health care sector is the post-war reconstruc-
tion of the health care system. Currently, several recov-
ery plans are developed. They are:
«Plan for the recovery of the health care system of
Ukraine from the consequences of the war for 2022-
2032. Version 2.4 (July 21, 2022)» [12], developed by
specialists of the Ministry of Health;
«Priorities in restoring the health care system of
Ukraine. Joint document for discussion» [4], developed
in December 2022 by experts from the WHO, the Dele-
gation of the European Union to Ukraine, the United
States Agency for International Development in
Ukraine (USAID Ukraine) and the World Bank for the
next 18-24 months;
«Reconstruction of Ukraine: principles and policy.
Paris Report 1» [3], compiled by experts from the
Center for Economic Policy Research (CEPR), who are
specialists in public finance, global health, social psy-
chology, public economics and health economics.
The plan of the Ministry of Health includes all as-
pects of further reform of the industry as priorities for
recovery, while the developers emphasize the need to
meet the special needs of people, including IDPs and
war veterans. According to WHO experts, the main pri-
orities of post-war reconstruction should be the restora-
tion of basic medical services, correction of the physical
and mental health of the population, and the creation of
optimal conditions for medical manipulations.
Experts of the Economic Policy Research Center
emphasize the need to increase external sources of fund-
ing, clearly define the Medical Guarantee Program, mod-
ernize the outdated system of medical education, divide
tasks between doctors and nurses, invest in staff retention
and use of electronic medical records and information
technologies, concentration of international funding at the
disposal of an independent central agency, the transfor-
mation of the National Health Service into an autono-
mous strategic purchaser, the introduction of publicly
available performance indicators at the level of national
health care authorities and medical service providers.
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
160
ISSN 1817-3772 Економічний вісник Донбасу № 4 (82), 2025
Table 2. Tactical goals on the strategic priority «Ensuring the implementation
of European integration processes»
The type
of stra-
tegy
Tactical goals Measures to achieve the tactical goal
Restora-
tion
European integra-
tion of public health
system functioning
processes
To ensure the normative and legal regulation of legislative acts on the prevention and control of
diseases in accordance with EU acts
Reengi-
neering
Create an operational information mechanism for early warning of risks and emergency situations
in the field of public health, integrated with other structures involved in emergency response and
international operational warning systems (WHO, EU and others)
Restora-
tion
Implementation of
EU legal acts in the
pharmaceutical in-
dustry
Ensure harmonization of the regulation of production, registration and circulation of medicinal prod-
ucts with EU legislation
Continue taking measures to harmonize the system of clinical trials in accordance with EU standards
and directives
Restruc-
turing
To ensure the conditions of operation of the laboratory network that meet WHO standards
Introduce tools for pharmacovigilance, registration and verification of medicinal products in accord-
ance with EU standards
Restora-
tion
Approaching the
processes of provid-
ing medical services
to EU requirements
Strengthen the mechanisms of cross-border exchange of information, international cooperation and
scientific cooperation
Ensure harmonization with EU legislation of the principles of development, adaptation and adoption
of clinical recommendations in the health care system
Restora-
tion
Approaching the
processes of provid-
ing medical services
to EU requirements
Strengthen control over the observance of intellectual property rights, including by fully introducing
the Bolar principle and other modern tools into national legislation
Restruc-
turing
Approaching the
processes of provid-
ing medical services
to EU requirements
To ensure the functioning of the national blood system to guarantee equal and timely access of
patients to safe and high-quality components of donor blood by the state
Ensure the removal of national and regional barriers to the development of transplantology
Reengi-
neering
Start using paper express test systems for screening and diagnostic programs
To contribute to the regulation and development of the field of medical tourism in Ukraine
Restora-
tion
Coordination of ed-
ucational processes
with EU standards
Bring educational programs of higher medical education institutions into line with European re-
quirements and ensure their regular review
Reengine-
ering
Introduce a modern model of residency based on international experience
Integrate educational and scientific activities in the field of health care in accordance with the mod-
ern international context
Ensure monitoring of the quality of educational activities of institutions of higher education and
improve the system of independent assessment of the quality of training of education seekers
Source: developed by the author
We consider the WHO proposals to be the most ap-
propriate priorities for the post-war reconstruction of the
health care sector (Table 3).
At the same time, the priority measures are to be:
organization of monitoring of international aid inflows;
increasing the number of family doctors; improving ac-
cess to medicines; ensuring supervision of public health;
reduction of maintenance costs of multidisciplinary hos-
pitals thanks to energy-efficient building design tech-
nologies, use of actual data to take into account the
needs of the population during martial law and in the
post-war period. All these measures are in line with the
recovery strategy.
The development of new business processes is nec-
essary for: comprehensive consideration of the needs of
veterans, the population located in the liberated territo-
ries and internally displaced persons; development of an
integrated model of providing rehabilitation assistance;
development of mental health services that are close to
people and communities; developing a procurement
model for integrated services that require coordination
of medical and social services, including long-term care,
child protection, and mental health support services.
Creating optimal conditions for conducting medi-
cal manipulations thanks to the formation and develop-
ment of networks of traumatological, orthopedic, burn
centers, reconstructive surgery centers, and intensive
care services; the development of aeromedical evacua-
tion, palliative care and access to effective pain relief
will require the implementation of organizational, eco-
nomic, technological and social transformations.
There are measures to minimize the socio-political risks
of implementing the health care development strategy
(such as the instability of the political situation in the
country, high level of corruption, inhibition of economic
reforms, international and internal population migration,
population aging) such as political, economic, infra-
structural and social settlement by developing compre-
hensive anti-crisis programs. The minimization of per-
sonnel risks, namely the inappropriate level of remuner-
ation of employees, resistance to changes, reduction of
personnel potential, personnel turnover, ineffective mo-
tivation is possible thanks to the provision of a sufficient
amount of funding, social development of teams, social
protection of employees, increasing the efficiency of
communication processes in medical institutions, creat-
ing conditions for employees motivated improvement of
their own qualifications. The management of production
and financial risks, among which the article determines
insufficient amounts of funding, organizational and
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
161
Економічний вісник Донбасу № 4 (82), 2025 ISSN 1817-3772
Table 3. Tactical goals on the strategic priority «Ensuring post-war reconstruction
of the health care system»
The type
of stra-
tegy
Tactical goals Measures to achieve the tactical goal
R
es
to
ra
ti
o
n
Restoration of basic
medical services
Develop a system for monitoring humanitarian inflows to Ukraine
Expand networks of primary medical care
Improve access to medicines
Create public health oversight bodies
Reduce maintenance costs of multidisciplinary hospitals thanks to an ecological approach to
building design
Ensure the use of factual data, consideration of the needs of the population during martial law
and in the post-war period when planning and implementing measures for the restoration, de-
velopment and reform of the health care system
R
ee
n
g
in
ee
ri
n
g
Ensure comprehensive consideration of the needs of veterans, the population located in the ter-
ritories liberated from occupation and internally displaced persons
To ensure the development of a multi-level integrated model of providing rehabilitation care, its
proper financing and integration into all levels of medical care
Institutional and re-
source provision of cor-
rection of physical and
mental health of the
population
To ensure the development of mental health services that are close to people and communities
Develop a funding and procurement model for integrated services that require coordination of
health and social services, including long-term care, child protection and mental health support
services
R
es
tr
u
c-
tu
ri
n
g
Creation of optimal
conditions for medical
manipulations
To ensure the development and formation of national networks of traumatological, orthopedic,
burn centers and reconstructive surgery centers of intensive care services
To ensure the development of aeromedical evacuation, its integration into the health care system
and interaction within the framework of the civil protection system;
To ensure the development of palliative care and access to effective pain relief
Source: developed by the author
economic problems of the formation of hospital dis-
tricts, unsatisfactory assortment policy of medical insti-
tutions, lack of risk management activities at all levels
of the health care system, inefficiency of the manage-
ment of medical institutions, should provide for: search
and development of additional sources of financing,
solving organizational problems of the formation of hos-
pital districts, promoting the improvement of the effi-
ciency of the management of medical institutions.There-
fore, effective risk management and the fulfillment of
all the above-mentioned tactical tasks to ensure the de-
velopment of the health care system, first of all, requires
the provision of sufficient amounts of funding for the
implementation of measures for its reform, restoration
and European integration.
Conclusions. The proposed conceptual approach to
the development of a strategy for the long-term develop-
ment of the health care sector involves taking into ac-
count the influence of a number of factors, including:
global trends in the development of the health care sys-
tem; characteristics of the external and internal environ-
ment of the industry; the impact of external and internal
risks of strategy implementation, among which the most
significant are socio-political, personnel and production-
financial risks; key values and guiding principles; strate-
gic priorities for the development of the sphere of health
care of Ukraine. Tactical goals within the framework of
the strategic priority regarding the continuation of indus-
try reform are defined as: digitalization of management
and medical processes; formation and development of
medical personnel; development of heal thcare system
institutions; creation of effective hospital districts; devel-
opment and improvement of management efficiency of
medical facilities; improving the quality of medical ser-
vices; development of the public health system; ensuring
sufficient amounts of financing. Among the tactical
goals of the strategic priority «Ensuring the implementa-
tion of European integration processes» are defined: Eu-
ropean integration of the processes of functioning of the
public health system; implementation of EU legal acts in
the activities of the pharmaceutical industry; approxima-
tion of processes of providing medical services to EU re-
quirements, alignment of educational processes with EU
standards. As the most expedient tactical goals of the
post-war reconstruction of the health care sector, the pri-
orities proposed by the WHO are identified, as: restora-
tion of the provision of basic medical services; institu-
tional and resource support for correction of physical and
mental health of the population; creation of optimal con-
ditions for medical manipulations.
There are measures to minimize socio-political,
personnel and production-financial risks of strategy im-
plementation, such as: development of comprehensive
anti-crisis programs; ensuring a sufficient amount of
funding; social development of collectives and social
protection of employees; increasing the efficiency of
communication processes in medical institutions; crea-
tion of conditions for employees' motivated improve-
ment of their own qualifications; solving organizational
problems of the formation of hospital districts, promot-
ing the improvement of the efficiency of the manage-
ment of medical institutions.
Prospects for further research in this direction may
be the development of a system of measures to increase
the amount of funding for the strategic development of
the health care system.
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
162
ISSN 1817-3772 Економічний вісник Донбасу № 4 (82), 2025
LITERATURE
1. Стратегія розвитку системи охорони здоров’я до 2030 року. Міністерство охорони здоров’я України. 2023.
URL: https://moz.gov.ua/uploads/ckeditor/Громадське%20обговорення/2023/розпорядження/Стратегія%202030.pdf
2. Стратегія розвитку системи охорони здоров’я до 2030 року. Міністерство охорони здоров’я України. 2022.
URL: https://moz.gov.ua/uploads/ckeditor/Стратегія/UKR%20Health%20Strategy%20Feb%2024.2022.pdf
3. Югур Ю., Мандзюк К., Мерфі А., Пропер К. Реконструкція України: принципи та політика. Система охорони здоров'я.
Париж: CEPR PRESS, 2022. URL: https://cepr.org/system/files/2022-12/reconstruction%20book_Ukrainian_0.pdf
4. Бреденкамп К., Дмитраченко Т., Дорошенко О., Фіщук К., Хабіхт Я., Катцін Д., Яновська О., Павленко П., Зіннер Б.
Пріоритети у відновленні системи охорони здоров'я України. Спільний документ для обговорення. ВООЗ. 2022ю
URL: https://www.who.int/ukraine/uk/publications/priorities-for-health-system-recovery-in-ukraine-joint-discussion-paper
5. Юрочко Т., Бабляк О., Бадіков Т., Скибчик В., Купира Д., Курпіта В., Микитюк Ю. Бачення України: реформування
та відновлення соціально-гуманітарної сфери в перспективі 2030 року. Розділ V. Система охорони здоров'я в Україні. Київ,
2023. URL: https://docs.google.com/document/d/1VeqQarjD2NbYzJr6 rd5G4k5jGkrNSeWC/edit
6. Про систему громадського здоров'я: Закон України № 2573-IX від 06.09.2022. URL: https://zakon.rada.gov.ua/
laws/show/2573-IX#Text
7. Про внесення змін до деяких законодавчих актів України щодо покращення надання медичної допомоги: Закон
України № 2347-IX від 01.07.2022. URL: https://zakon.rada.gov.ua/laws/show/2347-20#top
8. Про страхування: Закон України № 1909-IX від 18.11.2021. URL: https://zakon.rada.gov.ua/laws/show/1909-20/conv#Text
9. Деякі питання організації спроможної мережі закладів охорони здоров’я: Постанова Кабінету Міністрів України №
174 від 28.02.2023. URL: https://zakon.rada.gov.ua/laws/show/174-2023-п#Text .
10. Радуцький М. Колегія Міністерства охорони здоров’я схвалила Стратегію розвитку системи охорони здоров’я до 2030 року.
Прес-служба Апарату Верховної Ради України. 2023. 13 лют. URL: https://www.rada.gov.ua/news/news_kom/ 233093.html
11. Результати проведення первинної оцінки стану імплементації актів права Європейського Союзу (Acquis ЄС). Поточ-
ний стан на 30.06.2023. Міністерство охорони здоров’я України. URL: https://drive.google.com/file/d/1SAZkq5KVtwFotl
Zbka1mfABTKNCsP0ma/view .
12. План відновлення системи охорони здоров'я України від наслідків війни на 2022-2032 роки. 2022. 21 липня.
Міністерство охорони здоров’я України. URL: https://moz.gov.ua/uploads/ckeditor/Новини/21-07-2022-Draft-
Ukraine%20HC%20System%20Recovery%20Plan-2022-2032_UKR.pdf
13. Гуцалюк О. М. Організація управління економічною безпекою корпоративного інтеграційного розвитку. Управління
розвитком. 2016. 2 (184). С. 66-74.
14. Гуцалюк О. М., Обнявко Т. С. Напрямки економіко-екологічної трансформації підприємств оборонно-промислового
комплексу України. Центральноукраїнський науковий вісник. Економічні науки. 2021. Вип. 6 (39). С. 211-219.
https://doi.org/10.32515/2663-1636.2021.6(39).211-219
15. Hutsaliuk O. M., Bondar Iu., Boiko O., Bakum I. Approaches to the strategic management of the development of
medical treatment facilities. Intellectualization of logistics and Supply Chain Management. 2024. Vol. 27. Р. 7-18.
https://doi.org/10.46783/smart-scm/2024-27-1
16. Гуцалюк О. М., Бондар Ю. А., Бойко О. В. Оцінка конкурентоспроможності медичної галузі та її освітніх закладів в
контексті економічної взаємодії. Економічний вісник Донбасу. 2024. № 1-2 (75-76). С. 123-131. https://doi.org/10.12958/1817-
3772-2024-1-2(75-76)-123-131
17. Гуцалюк О. М., Колодинський C. Б., Ус Г. О. Управління знаннями, конкурентоспроможністю та економічним
розвитком в інноваційно-проєктній діяльності освітніх закладів. Український журнал прикладної економіки та техніки. 2024.
Т. 9. № 4. С. 30-35. https://doi.org/10.36887/2415-8453-2024-4-4
18. Гуцалюк О. М., Бондар Ю. А., Ремзіна Н. А. Розвиток сучасних технологій провадження діяльності підприємств го-
тельно-ресторанного та туристичного бізнесу. Розвиток методів управління та господарювання на транспорті. 2024. № 4
(89). С. 231-246. https://doi.org/10.31375/2226-1915-2024-4-231-246
Надійшла до редакції 04.11.2025 р.
Прийнята до друку 02.12.2025 р.
REFERENCES
1. Ministry of Health of Ukraine. (2023). Health care system development strategy until 2030. https://moz.gov.ua/uploads/cke-
ditor/Громадське%20обговорення/2023/розпорядження/Стратегія%202030.pdf [in Ukrainian].
2. Ministry of Health of Ukraine. (2022). Health care system development strategy until 2030. https://moz.gov.ua/uploads/cke-
ditor/Стратегія/UKR%20Health%20Strategy%20Feb%2024.2022.pdf [in Ukrainian].
3. Yugur, Y., Mandzyuk, K., Murphy, A., & Proper, C. (2022). Reconstruction of Ukraine: Principles and Policies. Healthcare
System. CEPR PRESS. https://cepr.org/system/files/2022-12/reconstruction%20book_Ukrainian_0.pdf [in Ukrainian].
4. Bredenkamp, C., Dmytrachenko, T., Doroshenko, O., Fishchuk, K., Habicht, J., Katzin, D., Yanovska, O., Pavlenko, P., &
Zinner, B. (2022). Priorities for the health system recovery in Ukraine: A joint discussion paper. World Health Organization (WHO).
https://www.who.int/ukraine/uk/publications/priorities-for-health-system-recovery-in-ukraine-joint-discussion-paper [in Ukrainian].
5. Yurochko, T., Bablyak, O., Badikov, T., Skybchyk, V., Kupira, D., Kurpita, V., & Mykytiuk, Y. (2023). Vision of Ukraine:
Reforming and restoring the social and humanitarian sphere in the perspective of 2030. Section V. Healthcare system in Ukraine.
https://docs.google.com/document/d/1VeqQarjD2NbYzJr6rd5G4k5jGkrNSeWC/edit [in Ukrainian].
6. Verkhovna Rada of Ukraine (2022, September 6). On the Public Health System: Law of Ukraine No. 2573-IX. https://za-
kon.rada.gov.ua/laws/show/2573-IX#Text [in Ukrainian].
7. Verkhovna Rada of Ukraine. (2022, July 1). On Amendments to Certain Legislative Acts of Ukraine Regarding the Improve-
ment of Medical Care Provision: Law of Ukraine No. 2347-IX. https://zakon.rada.gov.ua/laws/show/2347-20#top [in Ukrainian].
8. Verkhovna Rada of Ukraine. (2021, November 18). On Insurance: Law of Ukraine No. 1909-IX. https://za-
kon.rada.gov.ua/laws/show/1909-20/conv#Text [in Ukrainian].
9. Cabinet of Ministers of Ukraine. (2023, February 28). Some issues of organizing a capable network of healthcare institutions:
Resolution of the Cabinet of Ministers of Ukraine No. 174. https://zakon.rada.gov.ua/laws/show/174-2023-п#Text [in Ukrainian].
https://moz.gov.ua/uploads/ckeditor/%D0%93%D1%80%D0%BE%D0%BC%D0%B0%D0%B4%D1%81%D1%8C%D0%BA%D0%B5%20%D0%BE%D0%B1%D0%B3%D0%BE%D0%B2%D0%BE%D1%80%D0%B5%D0%BD%D0%BD%D1%8F/2023/%D1%80%D0%BE%D0%B7%D0%BF%D0%BE%D1%80%D1%8F%D0%B4%D0%B6%D0%B5%D0%BD%D0%BD%D1%8F/%D0%A1%D1%82%D1%80%D0%B0%D1%82%D0%B5%D0%B3%D1%96%D1%8F%202030.pdf
https://moz.gov.ua/uploads/ckeditor/%D0%A1%D1%82%D1%80%D0%B0%D1%82%D0%B5%D0%B3%D1%96%D1%8F/UKR%20Health%20Strategy%20Feb%2024.2022.pdf
https://cepr.org/system/files/2022-12/reconstruction%20book_Ukrainian_0.pdf
https://www.who.int/ukraine/uk/publications/priorities-for-health-system-recovery-in-ukraine-joint-discussion-paper
https://docs.google.com/document/d/1VeqQarjD2NbYzJr6%20rd5G4k5jGkrNSeWC/edit
https://zakon.rada.gov.ua/%20laws/show/2573-IX#Text
https://zakon.rada.gov.ua/%20laws/show/2573-IX#Text
https://zakon.rada.gov.ua/laws/show/2347-20#top
https://zakon.rada.gov.ua/laws/show/1909-20/conv#Text
https://zakon.rada.gov.ua/laws/show/174-2023-%D0%BF#Text
https://www.rada.gov.ua/news/news_kom/%20233093.html
https://drive.google.com/file/d/1SAZkq5KVtwFotl%20Zbka1mfABTKNCsP0ma/view
https://drive.google.com/file/d/1SAZkq5KVtwFotl%20Zbka1mfABTKNCsP0ma/view
https://moz.gov.ua/uploads/ckeditor/%D0%9D%D0%BE%D0%B2%D0%B8%D0%BD%D0%B8/21-07-2022-Draft-Ukraine%20HC%20System%20Recovery%20Plan-2022-2032_UKR.pdf
https://moz.gov.ua/uploads/ckeditor/%D0%9D%D0%BE%D0%B2%D0%B8%D0%BD%D0%B8/21-07-2022-Draft-Ukraine%20HC%20System%20Recovery%20Plan-2022-2032_UKR.pdf
https://doi.org/10.12958/1817-3772-2024-1-2(75-76)-123-131
https://doi.org/10.12958/1817-3772-2024-1-2(75-76)-123-131
https://doi.org/10.36887/2415-8453-2024-4-4
https://doi.org/10.31375/2226-1915-2024-4-231-246
https://moz.gov.ua/uploads/ckeditor/Громадське%20обговорення/2023/розпорядження/Стратегія%202030.pdf
https://moz.gov.ua/uploads/ckeditor/Громадське%20обговорення/2023/розпорядження/Стратегія%202030.pdf
https://moz.gov.ua/uploads/ckeditor/Стратегія/UKR%20Health%20Strategy%20Feb%2024.2022.pdf
https://moz.gov.ua/uploads/ckeditor/Стратегія/UKR%20Health%20Strategy%20Feb%2024.2022.pdf
https://cepr.org/system/files/2022-12/reconstruction%20book_Ukrainian_0.pdf
https://www.who.int/ukraine/uk/publications/priorities-for-health-system-recovery-in-ukraine-joint-discussion-paper
https://docs.google.com/document/d/1VeqQarjD2NbYzJr6rd5G4k5jGkrNSeWC/edit
https://zakon.rada.gov.ua/laws/show/2573-IX#Text
https://zakon.rada.gov.ua/laws/show/2573-IX#Text
https://zakon.rada.gov.ua/laws/show/2347-20#top
https://zakon.rada.gov.ua/laws/show/1909-20/conv#Text
https://zakon.rada.gov.ua/laws/show/1909-20/conv#Text
https://zakon.rada.gov.ua/laws/show/174-2023-п#Text
I. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko
163
Економічний вісник Донбасу № 4 (82), 2025 ISSN 1817-3772
10. Radutskyi, M. (2023, February 13). The Collegium of the Ministry of Health approved the Health Care System Development
Strategy until 2030. Press Service of the Apparatus of the Verkhovna Rada of Ukraine. https://www.rada.gov.ua/news/
news_kom/233093.html [in Ukrainian].
11. Ministry of Health of Ukraine. (2023). Results of the primary assessment of the state of implementation of European Union
legal acts (Acquis EU). Current status as of 30.06.2023. https://drive.google.com/file/d/1SAZkq5KVtwFotlZbka1mfAB-
TKNCsP0ma/view [in Ukrainian].
12. Ministry of Health of Ukraine. (2022, July 21). Plan for the recovery of the healthcare system of Ukraine from the conse-
quences of the war for 2022-2032. https://moz.gov.ua/uploads/ckeditor/Новини/21-07-2022-Draft-Ukraine%20HC%20System%20
Recovery%20Plan-2022-2032_UKR.pdf [in Ukrainian].
13. Hutsaliuk, O. M. (2016). Organization of economic security management of corporate integration development. Upravlinnia
rozvytkom, 2(184), 66–74 [in Ukrainian].
14. Hutsaliuk, O. M., & Obniavko, T. S. (2021). Directions of economic and ecological transformation of enterprises of
the defense-industrial complex of Ukraine. Tsentral'noukraïnsʹkyy naukovyy visnyk. Ekonomichni nauky, 6(39), 211–219.
https://doi.org/10.32515/2663-1636.2021.6(39).211-219 [in Ukrainian].
15. Hutsaliuk, O. M., Bondar, Iu., Boiko, O., & Bakum, I. (2024). Approaches to the strategic management of the development
of medical treatment facilities. Intellectualization of logistics and Supply Chain Management, 27, 7–18. https://doi.org/10.46783/smart-
scm/2024-27-1
16. Hutsaliuk, O. M., Bondar, Yu. A., & Boiko, O. V. (2024). Assessment of the competitiveness of the medical industry and
its educational institutions in the context of economic interaction. Ekonomichnyy visnyk Donbasu, 1-2(75-76), 123–131.
https://doi.org/10.12958/1817-3772-2024-1-2(75-76)-123-131 [in Ukrainian].
17. Hutsaliuk, O. M., Kolodynskyi, S. B., & Us, H. O. (2024). Management of knowledge, competitiveness, and economic
development in the innovative project activities of educational institutions. Ukraïnsʹkyy zhurnal prykladnoï ekonomiky ta tekhniky,
9(4), 30–35. https://doi.org/10.36887/2415-8453-2024-4-4 [in Ukrainian].
18. Hutsaliuk, O. M., Bondar, Yu. A., & Remzina, N. A. (2024). Development of modern technologies for conducting business
activities of hotel-restaurant and tourism enterprises. Rozvytok metodiv upravlinnia ta hospodariuvannia na transporti, 4(89), 231–
246. https://doi.org/10.31375/2226-1915-2024-4-231-246 [in Ukrainian].
Received: 04.11.2025
Accepted: 02.12.2025
Shyshka І., Yushkov P., Bakum I., Kramarenko A. Integration of public health project management into the healthcare
sector development system of Ukraine
The article develops a conceptual approach to the process of strategic planning of long-term development of the health care
sector, determination of strategic and tactical goals of such development.
The development of the concept of the development of the health care sector uses the following results: the results of SWOT
analysis, which justify the feasibility of applying recovery, restructuring and reengineering strategies; the results of the analysis of
global trends in the development of the health care sector (increasing demand for care outside hospitals, shortage and exhaustion of
medical workers, deterioration of mental health, increasing the role of personal relationships between the patient and doctor, increasing
demand for affordable and safe treatment, remote monitoring and interaction between health care institutions, increasing use of mobile
applications and information technologies); the results of identification and assessment of the impact of fundamental and specific risks;
the key values and guiding principles of industry reform determined by the Ministry of Health of Ukraine. A system of factors affecting
the development of a long-term strategy for the development of the healthcare sector of Ukraine is built.
The article determines that the most important priorities of the health care sector are the further reform of the sector, ensuring
European integration and post-war reconstruction. The indicated priorities are strategic goals, within each of which tactical goals are
developed (digitalization of management and medical processes; formation and development of medical personnel; development of
institutions of the health care system; creation of effective hospital districts; development and improvement of the management effi-
ciency of medical facilities; improvement of quality the development of the public health system, the implementation of the public
health system, the alignment of the processes of the provision of medical services with the EU standards provision of basic medical
services; provision of physical and mental health of the population; measures to achieve the specified tactical goals are proposed:
development of comprehensive strategies anti-crisis programs; ensuring a sufficient amount of funding; social development of collec-
tives and social protection of employees; increasing the efficiency of communication processes in medical institutions; creation of
conditions for employees' motivated improvement of their own qualifications; solving organizational problems of the formation of
hospital districts, promoting the improvement of the efficiency of the management of medical institutions.
Keywords: strategic goals, tactical goals, restructuring, reengineering, reforming, integration processes, medical management,
public health, healthcare management, social economy.
Шишка І. В., Юшков П. О., Бакум І. В., Крамаренко А. М. Інтеграція менеджменту проєктів «Public Health» в
систему розвитку галузі охорони здоров'я України
У статті розроблено концептуальний підхід до процесу стратегічного планування довгострокового розвитку сфери охо-
рони здоров’я, визначення стратегічних і тактичних цілей такого розвитку.
Для розроблення концепції розвитку сфери охорони здоров’я використано: результати SWOT-аналізу, які обґрунтову-
ють доцільність застосування стратегій відновлення, реструктуризації і реінжинірингу; результати аналізу світових тенденцій
розвитку сектору охорони здоров’я (зростання попиту на отримання допомоги поза лікарнями, дефіцит і виснаження медич-
них працівників, погіршення психічного здоров'я, підвищення ролі особистісних стосунків між пацієнтом і лікарем, зростання
попиту на доступне та безпечне лікування, дистанційний моніторинг та взаємодія між установами охорони здоров’я, зрос-
тання масштабів застосування мобільних додатків і інформаційних технологій); результати ідентифікації і оцінки впливу
фундаментальних і специфічних ризиків; визначені МОЗ України ключові цінності і керівні принципи реформування галузі.
Побудовано систему чинників, що впливають на розроблення довгострокової стратегії розвитку сфери охорони здоров’я
України. Визначено, що найбільш вагомими пріоритетами сфери охорони здоров’я є подальше реформування галузі, забез-
печення євроінтеграції і повоєнна відбудова.
Ключові слова: стратегічні цілі, тактичні цілі, реструктуризація, реінжиніринг, реформування, інтеграційні процеси,
медичний менеджмент, громадське здоров’я, менеджмент охорони здоров’я, соціальна економіка.
https://www.rada.gov.ua/news/%20news_kom/233093.html
https://www.rada.gov.ua/news/%20news_kom/233093.html
https://drive.google.com/file/d/1SAZkq5KVtwFotlZbka1mfABTKNCsP0ma/view
https://drive.google.com/file/d/1SAZkq5KVtwFotlZbka1mfABTKNCsP0ma/view
https://moz.gov.ua/uploads/ckeditor/Новини/21-07-2022-Draft-Ukraine%20HC%20System%20%20Recovery%20Plan-2022-2032_UKR.pdf
https://moz.gov.ua/uploads/ckeditor/Новини/21-07-2022-Draft-Ukraine%20HC%20System%20%20Recovery%20Plan-2022-2032_UKR.pdf
https://doi.org/10.32515/2663-1636.2021.6(39).211-219
https://doi.org/10.46783/smart-scm/2024-27-1
https://doi.org/10.46783/smart-scm/2024-27-1
https://doi.org/10.12958/1817-3772-2024-1-2(75-76)-123-131
https://doi.org/10.36887/2415-8453-2024-4-4
https://doi.org/10.31375/2226-1915-2024-4-231-246
|
| id | nasplib_isofts_kiev_ua-123456789-212366 |
| institution | Digital Library of Periodicals of National Academy of Sciences of Ukraine |
| issn | 1817-3772 |
| language | English |
| last_indexed | 2026-03-19T04:56:47Z |
| publishDate | 2025 |
| publisher | Інститут економіки промисловості НАН України |
| record_format | dspace |
| spelling | Shyshka, І. Yushkov, P. Bakum, I. Kramarenko, A. 2026-02-05T10:01:23Z 2025 Integration of public health project management into the healthcare sector development system of Ukraine / І. Shyshka, P. Yushkov, I. Bakum, A. Kramarenko // Економічний вісник Донбасу. — 2025. — № 4 (82). — С. 156-163. — Бібліогр.: 18 назв. — англ. 1817-3772 https://nasplib.isofts.kiev.ua/handle/123456789/212366 33.012:005.52:005.33:331.47 https://doi.org/10.12958/1817-3772-2025-4(82)-156-163 The article develops a conceptual approach to the process of strategic planning of long-term development of the health care sector, determination of strategic and tactical goals of such development. The development of the concept of the development of the health care sector uses the following results: the results of SWOT analysis, which justify the feasibility of applying recovery, restructuring and reengineering strategies; the results of the analysis of global trends in the development of the health care sector (increasing demand for care outside hospitals, shortage and exhaustion of medical workers, deterioration of mental health, increasing the role of personal relationships between the patient and doctor, increasing demand for affordable and safe treatment, remote monitoring and interaction between health care institutions, increasing use of mobile applications and information technologies); the results of identification and assessment of the impact of fundamental and specific risks; the key values and guiding principles of industry reform determined by the Ministry of Health of Ukraine. A system of factors affecting the development of a long-term strategy for the development of the healthcare sector of Ukraine is built. The article determines that the most important priorities of the health care sector are the further reform of the sector, ensuring European integration and post-war reconstruction. The indicated priorities are strategic goals, within each of which tactical goals are developed (digitalization of management and medical processes; formation and development of medical personnel; development of institutions of the health care system; creation of effective hospital districts; development and improvement of the management efficiency of medical facilities; improvement of quality the development of the public health system, the implementation of the public health system, the alignment of the processes of the provision of medical services with the EU standards provision of basic medical services; provision of physical and mental health of the population; measures to achieve the specified tactical goals are proposed: development of comprehensive strategies anti-crisis programs; ensuring a sufficient amount of funding; social development of collectives and social protection of employees; increasing the efficiency of communication processes in medical institutions; creation of conditions for employees' motivated improvement of their own qualifications; solving organizational problems of the formation of hospital districts, promoting the improvement of the efficiency of the management of medical institutions. У статті розроблено концептуальний підхід до процесу стратегічного планування довгострокового розвитку сектору охорони здоров'я, визначення стратегічних та тактичних цілей такого розвитку. У розробці концепції розвитку сектору охорони здоров'я використано такі результати: результати SWOT-аналізу, які обґрунтовують доцільність застосування стратегій відновлення, реструктуризації та реінжинірингу; результати аналізу світових тенденцій розвитку сектору охорони здоров'я (зростання попиту на медичну допомогу поза лікарнями, дефіцит та виснаження медичних працівників, погіршення психічного здоров'я, підвищення ролі особистих стосунків між пацієнтом та лікарем, зростання попиту на доступне та безпечне лікування, дистанційний моніторинг та взаємодія між закладами охорони здоров'я, розширення використання мобільних додатків та інформаційних технологій); результати ідентифікації та оцінки впливу фундаментальних та специфічних ризиків; ключові цінності та керівні принципи реформування галузі, визначені Міністерством охорони здоров'я України. Побудовано систему факторів, що впливають на розробку довгострокової стратегії розвитку сектору охорони здоров'я України. У статті визначено, що найважливішими пріоритетами сектору охорони здоров'я є подальше реформування сектору, забезпечення європейської інтеграції та післявоєнна відбудова. Зазначені пріоритети є стратегічними цілями, в рамках кожної з яких розроблено тактичні цілі (цифролізація управління та медичних процесів; формування та розвиток медичного персоналу; розвиток установ системи охорони здоров'я; створення ефективних госпітальних округів; розвиток та підвищення ефективності управління медичними закладами; підвищення якості розвитку системи охорони здоров'я; впровадження системи громадського здоров'я; узгодження процесів надання медичних послуг зі стандартами ЄС щодо надання базових медичних послуг; забезпечення фізичного та психічного здоров'я населення); запропоновано заходи для досягнення зазначених тактичних цілей: розробка комплексних стратегій антикризових програм; забезпечення достатнього обсягу фінансування; соціальний розвиток колективів та соціальний захист працівників; підвищення ефективності комунікаційних процесів у медичних закладах; створення умов для мотивованого підвищення власної кваліфікації працівниками; вирішення організаційних проблем формування госпітальних округів, сприяння підвищенню ефективності управління медичними закладами. en Інститут економіки промисловості НАН України Економічний вісник Донбасу Management of Labour and Safety Integration of public health project management into the healthcare sector development system of Ukraine Інтеграція управління проектами громадського здоров'я в систему розвитку сектору охорони здоров'я України Article published earlier |
| spellingShingle | Integration of public health project management into the healthcare sector development system of Ukraine Shyshka, І. Yushkov, P. Bakum, I. Kramarenko, A. Management of Labour and Safety |
| title | Integration of public health project management into the healthcare sector development system of Ukraine |
| title_alt | Інтеграція управління проектами громадського здоров'я в систему розвитку сектору охорони здоров'я України |
| title_full | Integration of public health project management into the healthcare sector development system of Ukraine |
| title_fullStr | Integration of public health project management into the healthcare sector development system of Ukraine |
| title_full_unstemmed | Integration of public health project management into the healthcare sector development system of Ukraine |
| title_short | Integration of public health project management into the healthcare sector development system of Ukraine |
| title_sort | integration of public health project management into the healthcare sector development system of ukraine |
| topic | Management of Labour and Safety |
| topic_facet | Management of Labour and Safety |
| url | https://nasplib.isofts.kiev.ua/handle/123456789/212366 |
| work_keys_str_mv | AT shyshkaí integrationofpublichealthprojectmanagementintothehealthcaresectordevelopmentsystemofukraine AT yushkovp integrationofpublichealthprojectmanagementintothehealthcaresectordevelopmentsystemofukraine AT bakumi integrationofpublichealthprojectmanagementintothehealthcaresectordevelopmentsystemofukraine AT kramarenkoa integrationofpublichealthprojectmanagementintothehealthcaresectordevelopmentsystemofukraine AT shyshkaí íntegracíâupravlínnâproektamigromadsʹkogozdorovâvsistemurozvitkusektoruohoronizdorovâukraíni AT yushkovp íntegracíâupravlínnâproektamigromadsʹkogozdorovâvsistemurozvitkusektoruohoronizdorovâukraíni AT bakumi íntegracíâupravlínnâproektamigromadsʹkogozdorovâvsistemurozvitkusektoruohoronizdorovâukraíni AT kramarenkoa íntegracíâupravlínnâproektamigromadsʹkogozdorovâvsistemurozvitkusektoruohoronizdorovâukraíni |