Цифровізація системи охорони здоров’я в сільських територіальних громадах України: інтегрований підхід
Ключові слова:
цифровізація, сільські територіальні громади, публічне управління, інтегрований підхід, цифрова трансформація, охорона здоров'я
Анотація
Стаття присвячена дослідженню процесів цифровізації системи охорони здоров’я у сільських територіальних громадах України в контексті публічного управління. Аналізуються сучасні виклики та можливості впровадження інтегрованого підходу до цифрової трансформації охорони здоров'я в сільських громадах. Мета дослідження полягає у розробці теоретико-методологічних засад інтегрованого підходу до цифровізації системи охорони здоров’я в сільських територіальних громадах України та визначенні практичних механізмів його реалізації в системі публічного управління. Використовуючи методи системного аналізу, порівняльного дослідження та експертного оцінювання, визначено ключові компоненти успішної цифрової трансформації медичної сфери. Результати дослідження показують, що інтегрований підхід до цифровізації системи охорони здоров’я повинен включати координацію між центральними і місцевими органами влади, розбудову цифрової інфраструктури, підготовку кадрів та забезпечення доступності технологій для населення. Особлива увага приділяється роли територіальних громад у процесі впровадження цифрових рішень та механізмам подолання цифрового розриву між містом і селом. Запропоновано модель поетапної цифровізації медичних послуг, що базується на принципах партисипативного управління, міжсекторної співпраці та сталого розвитку. У висновках дослідження пропонуються практичні рекомендації для розробки політики держави та органів місцевого самоврядування у сфері цифрової охорони здоров'я та можуть бути використані для вдосконалення системи публічного управління на місцевому рівні.Результати дослідження мають значення для формування державної політики у сфері цифрової охорони здоров'я та можуть бути використані органами публічного управління на національному, регіональному та місцевому рівнях для розробки та впровадження ефективних механізмів цифровізації медичних послуг у сільських територіальних громадах.Завантаження
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Посилання
БІБЛІОГРАФІЧНІ ПОСЛИЛАННЯ
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Квітка, С. (2018). Форсайт в публічному управлінні: методи і перспективи реалізації в Україні. Аспекти публічного управління, 6(8), 56-70. https://doi.org/10.15421/151847
Квітка, С. (2019). Інноваційні механізми в публічному управлінні: форсайт. Аспекти публічного управління, 7(4), 5-16. https://doi.org/10.15421/151918
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Bos, L., Carrol D., Gupta, S., Marsh, A., & Rees, M. (2008) Patient 2.0 Empowerment. In: Proceedings of the 2008 International Conference on Semantic Web & Web Services, SWWS 2008. Las Vegas: 164–167.
Calvillo, J., Roman, I., & Roa, L. M. (2015). How Technology is Empowering Patients? A Lit- erature Review. Health Expectations, 18 (5), 643–652.
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Electronic health care system in Ukraine (2022). Retrieved from https://ehealth.gov.ua
Ellingsen, G., Hertzum, M., Melby, L., & Toussaint, P. J. (2022). National integration components challenge the Epic implementation in Central Norway. Studies in Health Technology and Informatics, 294, 435-439. https://doi.org/10.3233/SHTI220522
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Floridi, L. (2014) The 4th Revolution: How the Infosphere is Reshaping Human Reality. Oxford: Oxford University Press.
Hackett, C., Brennan, K., Smith Fowler, H., & Leaver, C. (2019). Valuing citizen access to digital health services: Applied value-based outcomes in the Canadian context and tools for modernizing health systems. Journal of Medical Internet Research, 21(6), e12277. https://doi.org/10.2196/12277
Hawn, C. (2009). Take Two Aspirin and Tweet Me in the Morning: How Twitter, Face- book, and Other Social Media are Reshaping Health Care. Health affairs, 28 (2), 361–368
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Hertzum, M., & Ellingsen, G. (2019). The implementation of an electronic health record: Comparing preparations for Epic in Norway with experiences from the UK and Denmark. International Journal of Medical Informatics, 129, 312-317. https://doi.org/10.1016/j.ijmedinf.2019.06.026
Hesse B. W., Hansen D., Finholt T., Munson S., Kellogg W., & Thomas J. C. (2010) Social Participation in Health 2.0. Computer, 43 (11):45–52.
Jormanainen, V., Vehko, T., Lindgren, M., Keskimäki, I., & Kaila, M. (2023). Implementation, adoption and use of the Kanta Services in Finland 2010-2022. Studies in Health Technology and Informatics, 302, 227-231. https://doi.org/10.3233/SHTI230108
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Lupton, D. (2013a) The Digitally Engaged Patient: Self‐monitoring and Self‐care in the Digital Health Era. Social Theory & Health, 11 (3), 256-270.
Lupton, D. (2013b) Digitized Health Promotion: Personal Responsibility for Health in the Web 2.0 Era. In: Sydney Health & Society Group Working Paper No. 5. Sydney: Sydney Health & Society Group.
Lupton, D. (2014). Self‐tracking Cultures: Towards a Sociology of Personal Informatics. In: Proceedings of the 26th Australian Computer-human Interaction Conference on De- signing Futures: The Future of Design: 77–86.
Metsallik, J., Ross, P., Draheim, D., & Piho, G. (2018). Ten years of the e-Health system in Estonia. In Proceedings of the Workshop on Models and Methods for Health Technologies (CEUR-WS Vol-2336, pp. 6-15). CEUR Workshop Proceedings. https://ceur-ws.org/Vol-2336/MMHS2018_invited.pdf
Morley, J., & Floridi, L. (2020). The Limits of Empowerment: How to Reframe the Role of mHealth Tools in the Healthcare Ecosystem. Science and Engineering Ethics, 26 (3), 1–25.
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Rural Health Information Hub. (2025). Sustainability Strategies for Rural Telehealth Programs. https://www.ruralhealthinfo.org/toolkits/telehealth/6/sustainability-strategies
Swan, M. (2012). Health 2050: The Realization of Personalized Medicine through Crowdsourcing, the Quantified Self, and the Participatory Biocitizen. Journal of Personalized Medicine, 2 (3), 93-118.
Swecare Foundation. (2024). The digital transformation of healthcare. In Health by Sweden: Innovation Excellence Report 2024. https://www.swecare.se/healthbysweden/the-digital-transformation-of-healthcare/
Wald, H. S., Dube, C. E., & Anthony, D. C. (2007). Untangling the Web – the Impact of Internet Use on Health Care and the Physician‐Patient Relationship. Patient Education and Coun- seling, 68 (3), 218-224.
Wellman, B., & Rainie, L. (2012) Networked: The New Social Operating System. Cambridge: MIT Press.
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Lupton, D. (2013a) The Digitally Engaged Patient: Self‐monitoring and Self‐care in the Digital Health Era. Social Theory & Health, 11 (3), 256-270.
Lupton, D. (2013b) Digitized Health Promotion: Personal Responsibility for Health in the Web 2.0 Era. In: Sydney Health & Society Group Working Paper No. 5. Sydney: Sydney Health & Society Group.
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Rural Health Information Hub. (2025). Sustainability Strategies for Rural Telehealth Programs. https://www.ruralhealthinfo.org/toolkits/telehealth/6/sustainability-strategies
Swan, M. (2012). Health 2050: The Realization of Personalized Medicine through Crowdsourcing, the Quantified Self, and the Participatory Biocitizen. Journal of Personalized Medicine, 2 (3), 93-118.
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Опубліковано
2025-08-01
Як цитувати
Квітка , С., & Шебанов , В. (2025). Цифровізація системи охорони здоров’я в сільських територіальних громадах України: інтегрований підхід. Аспекти публічного управління, 13(2), 75-84. https://doi.org/10.15421/152522
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