Problems of formation of public management mechanisms: health system: a discussion of the discussion field

Keywords: public administration, development, transformation, modernization, public health management


The article substantiates that the country's health care system is in a state of constant transformation. Being a multi-level and branching structure, the system is evolving into complex approaches to defining governance mechanisms in the public and private healthcare sectors. It is in them that the state reproduces a new system of governance mechanisms, which need to be considered in the aggregate of the effects of meso, macro and microfactors with the use of new forms of government at all levels.According to the National Strategy for the Reform of the Medical System of Ukraine for the period 2015-2020, key problems, potential directions and ways of their solution for the formation of a new state policy in the field, including deep regulatory transformations and introduction of new financial mechanisms for ensuring human rights in the field of protection, have been identified health. In such circumstances, the country's medical system must be based on three fundamental principles: human-centered, result-oriented, best-in-class, and best practices in healthcare delivery.A review of historical and scientific sources shows that the management of the health care system requires systematic changes and qualitatively new approaches, finding alternative ways of reforming the organizational and economic mechanism of the medical industry, developing new models of interaction of public administration mechanisms to preserve the able-bodied population. We also believe that the mechanisms of public health management currently in place in our country do not correspond to its current changes.


Download data is not yet available.


Berezovska-Chmil, O. (2016). Porivnialno-typolohichna kharakterystyka modelei sotsialnoi polityky [Comparative typological characteristics of social policy models]. Visnyk Prykarpatskoho universytetu. Politolohiia – Newsletter Precarpathian University. Political science, 10, 39–43. Retrieved from [in Ukrainian].

Biletskyi, O.V. (2016). Formuvannia i vykorystannia liudskoho kapitalu v innovatsiinii ekonomitsi [Formation and use of human capital in innovative economies]. Candidate’s thesis. Vinnytsia: Don. nats .un-t [in Ukrainian].

Vovk, S. M. (2019). Mekhanizmy derzhavnoho upravlinnia systemnymy zminamy u sferi okhorony zdorovia [The mechanism of public administration systemic changes in health care]. Candidate’s thesis. Mariupol: Donetskii derzhavnyi universytet upravlinnia [in Ukrainian].

Hovorko, O. V. (2017). Demohrafichni protsesy v systemi okhorony zdorovia naselennia [Demographic processes in the public health system]. Naukovyi visnyk Uzhhorodskoho natsionalnoho universytetu. Seriia : Mizhnarodni ekonomichni vidnosyny ta svitove hospodarstvo – Herald UNU. International Economic Relations And World Economy, 13(1), 60–63. Retrieved from [in Ukrainian].

Kyrylenko, V.V. (Ed.). (2007). Istoriia ekonomichnykh vchen: navchalnyi posibnyk [History of economic thought]. Ternopil: “Ekonomichna dumka” [in Ukrainian].

Korolenko, R. V. (2013). Teoretychni pidkhody do vyznachennia poniattia «liudskyi kapital» [Theoretical approaches to the definition of the concept of “human capital”]. Innovatsiina ekonomika – Innovative economy, 2, 189–192. Retrieved from [in Ukrainian].

Medianyk, D.I., & Lypchanskyi, V.O. (2016). Osoblyvosti efektyvnosti upravlinnia zakladamy okhorony zdorovia [Features of efficiency of management of health care facilities]. Naukovi zapysky – Scientific Papers, 19, 23-29 [in Ukrainian].

Mykolaiets, I. V. (2016). Derzhavne rehuliuvannia nadannia medychnykh posluh yak skladova sotsialnoho zakhystu naselennia [State regulation of the provision of medical services as a component of social protection of the population]. Derzhavne upravlinnia: udoskonalennia ta rozvytok, 10. Retrieved from [in Ukrainian].

Mykolaiets, I. V. (2017). Stanovlennia ta rozvytok derzhavnoho rehuliuvannia nadannia medychnykh posluh [Development and development of public administration of the provision of vedical services]. Investytsii: praktyka ta dosvid – Investment: Practice and Experience, 2 (23), 113–116 [in Ukrainian].

Parmakli, D.M., Filyppova, S.V., & Dobrianska, N.A. (2018). Istoriia ekonomichnykh vchen : navchalnyi posibnyk [History of economic thought]. Odesa [in Ukrainian].

Fedko, O. A. (2009). Bahatoaspektnist poniattia «zdorovia» u suchasnii naukovii dumtsi [The multidimensionality of the concept of “health” in modern scientific thought]. Derzhavne upravlinnia: udoskonalennia ta rozvytok, 4. Retrieved from http: [in Ukrainian].

Shevchuk, V.V. (2017). Udoskonalennia derzhavnoho rehuliuvannia innovatsiinoho rozvytku systemy okhorony zdorovia Ukrainy [Improvement of state regulation of innovative development of the health care system of Ukraine]. Candidate’s thesis. Mykolaiv: Chornomorskyi natsionalnyi universytet imeni Petra Mohyly [in Ukrainian].

Yurchenko, O. M. (2015). Analiz doslidzhen problemy samozberezhennia v pedahohichnii teorii ta praktytsi [Analysis of research on the problem of self-preservation in pedagogical theories and practice]. Pedahohichni nauky: teoriia, istoriia, innovatsiini tekhnolohii : naukovyi zhurnal – Pedagogical sciences: theory, history, innovative technologies, 1 (45), 192–200 [in Ukrainian].

Abstract views: 200
PDF Downloads: 127
How to Cite
Dolgikh, M. (2019). Problems of formation of public management mechanisms: health system: a discussion of the discussion field. Public Administration Aspects, 7(12), 16-27.