Training of health management specialists in the context of public administration reform

Keywords: public administration system, modern paradigm of public management, health care institutions, quality of medical care, health care specialists, management staff, professional potential of the head, Public administration reform strategy


The modern paradigm of public management is a multi-vector concept of reforming traditional management models that operate in various sectors of the population, including health care. The importance of the transformation of the conditioned sphere is connected with the neсessity to improve the quality of medical services and the level of service to citizens. The updating work standards of health care workers is aimed at ensuring the professional competence of medical staff at the national and interstate levels. This is especially true for managers whose management decisions determine the strategic guidelines of the health care facility for future periods. With the intensification of reform processes, the methods of training managers of medical institutions and standards of their professional activity are changing, the conceptual basis of regulatory mechanisms is updated, which requires in-depth determination of current trends and results of public administration reform on the level of training and qualification of health care managers. Competitiveness and professionalism of specialists is the basis of social-economic stabilization. However, today the management of the health care sector remains ineffective, which necessitates in-depth research on the outlined issues. Accordingly, the scientific article is an original study of the modern mechanism of training managers in the field of health care in terms of intensifying measures to reform the public administration system. The research methods used during the writing of the scientific article are: statistical-analytical, methods of comparison, analysis and generalization, graphic modeling. The analysis of the outlined issues showed that the system of training health management specialists is at the stage of transformation of traditional approaches. The preconditions for such tendencies were reform measures in the structure of public administration, in particular, political decentralization. The redistribution of functional responsibilities between managers requires the latest mechanisms for training and retraining of managers, significant funding for educational processes, as well as the structuring of management powers between different levels of public management. Since today the problems of financial, organizational, methodological and educational nature remain unresolved, the effectiveness of management models does not reach the desired level, which is reflected in the lack of dynamic socio-economic development of the state.


Download data is not yet available.


Bojko, S. G. (2018). Trends and features of the state personnel policy in the field of health care. Teorija ta praktyka derzhavnogo upravlinnja i miscevogo samovrjaduvannja, 1. Retrieved from (Accessed 02 October 2020) [in Ukrainian].

Vasjuk, N. O. (2012). World experience of training modern managers of the health care system (review of literature sources). Derzhavne upravlinnja, 1, 21–26 [in Ukrainian].

Bilyns'ka, M. (Ed.) (2012). Derzhavne upravlinnia reformuvanniam systemy okhorony zdorov'ia v Ukraini [Public administration of health care reform in Ukraine]. NADU. Kyiv; L'viv [in Ukrainian].

Kyiv International Institute of Sociology (KIIS). (2020). Health Index. Ukraine – 2019: Results of a national survey. Retrieved from [in Ukrainian].

Karamyshev, D., & Udovychenko, N. (2008). Basic principles of functioning of the health care system in the context of universal values of the welfare state. II Ukrainian scientific-practical conference: Medychne pravo Ukrainy: pravovyj status patsiientiv v Ukraini ta joho zakonodavche zabezpechennia (henezys, rozvytok, problemy i perspektyvy vdoskonalennia – Medical law of Ukraine: legal status of patients in Ukraine and its legislative support (genesis, development, problems and prospects for improvement)]. (pp. 129–136). Lviv [in Ukrainian].

Kurylo, T. N. (2006). Public Administration by Training of Leaders for Health Care of Ukraine in Conditions of European Integration” Ph.D. Thesis. Mechanisms of Public Administration, The National Academy of Public Administration, Office of the President of Ukraine. Kyiv, Ukraine [in Ukrainian].

Lehan, V. M., Krjachkova, L. V., & Volchek, V. V. (2016). Upravlinnja zminamy v systemi ohorony zdorov’ja Ukrai'ny: istorija ta uroky pilotnyh regioniv [Managing change in Ukraine’s health care system: history and lessons learned from pilot regions]. Dnipropetrovsk: Litograf [in Ukrainian].

The Ministry of Development of Communities and Territories of Ukraine. (2020). Monitoring of the process of the decentralization of power and reform of local self-governance as of 10 September 2020. Retrieved from [in Ukrainian].

The Ministry of Health of Ukraine. (2014). National strategy for health care reform in Ukraine for the period 2015-2020.Retrieved from [in Ukrainian].

Pozhyvilova, O. V., Radysh, Ja. F., Vasjuk, N. O., & Ljahovchenko, L. A. (2011). Healthcare Management Specialist of Ukraine: Model Search. Investycii': praktyka ta dosvid, 19, 76–83 [in Ukrainian].

Pogoriljak, R. Ju., & Gul'chij, O. P. (2015). Studying the problem of training modern health care managers in Ukraine. Ukrai'na. Zdorov’ja nacii', 4 (36), 76–80 [in Ukrainian].

The Ministry of Health of Ukraine. (2016). Public Administration Reform Strategy of Ukraine through 2021. Retrieved from [in Ukrainian].

The State Statistics Service of Ukraine. (2020). Tables of births, deaths and average life expectancy for 2019: a statistical collection. Retrieved from [in Ukrainian].

Schyrba, M. (2016). Affordability of health care: problems of patients' legal status. Naukovyj visnyk Uzhhorods'koho natsional'noho universytetu. Seriia: Pravo, 39 (1), 23–26 [in Ukrainian].

Coughlan, T. (2019). The use of open data as a material for learning. Educational Technology Research and Development, 68, 383-411. doi: 10.1007/s11423-019-09706-y.

Holmes, W., Bialik, M., & Fadel, C. (2019). Artificial Intelligence іn Education: Promises and Implications for Teaching and Learning. (p. 242). A report from the Center for Curriculum Design: Boston, MA: Center for Curriculum Redesign.

Zimmer, M. (2010). But the data is already public. Ethics and Information Technology, 12(4), 313–325. doi:10.1007/s10676-010-9227-5.

Abstract views: 53
PDF Downloads: 57
How to Cite
Koshova, S. (2020). Training of health management specialists in the context of public administration reform. Public Administration Aspects, 8(3), 119-128.