Keywords
health care
martial law
mobile medical teams
digitalization
medical infrastructure
public administration
How to Cite
Abstract
The article analyzes the main directions of public administration in the field of health care of Ukraine during martial law. The main focus is on the adaptation of the legislative framework and the modernization of management approaches, which allow to ensure the effective functioning of the health care system in crisis situations. The issue of creating mobile medical teams and hospitals, which are the main tool for providing medical care in front-line and de-occupied areas, was considered. The contribution of international organizations to the support of the Ukrainian medical system in terms of supplying medical equipment, medicines and providing financial assistance is analyzed. The key normative legal acts, which were adopted from 2022 and contributed to the adaptation of the medical system to new challenges, were studied. Features of the functioning of the Resolution of the Cabinet of Ministers No. 302, No. 683, No. 1078 and others are given. Particular attention is paid to the digitization of health care, the implementation of electronic medical records in order to ensure the prompt provision of medical services. The problems of medical institutions in the front-line zones, including the destruction of more than 700 hospitals, and ways to solve the logistical problems of the supply of medicines were considered. A conclusion was made regarding the further development of public administration in the field of health care based on the integration of international and national resources, improvement of digital technologies and modernization of medical infrastructure. Ensuring adequate funding of the health care system, which includes the health insurance program, emergency and specialized medical care, is revealed, which is a priority in the 2023 budget. The article examines the influence of international humanitarian organizations on the support of the Ukrainian health care system in the conditions of military operations. The basis for the development of long-term strategies for the recovery of medical facilities after destruction and their equipment with modern technologies is proposed. Aspects of integration of digital solutions to ensure the continuity of medical services in the most difficult conditions have been studied.
References
Babenko, M. M. (2022). Development of public administration of the health care system and pharmacy in Ukraine. Farmatsevtychnyi Zhurnal, (4), 3–11. https://doi.org/10.32352/0367-3057.4.22.01
Baker, M. S., Baker, J., & Burkle, F. M. (2023). Russia’s hybrid warfare in Ukraine threatens both healthcare & health protections provided by international law. Annals of Global Health, 89(1). Ubiquity Press. https://doi.org/10.5334/aogh.4022
Dzhus, M., & Golovach, I. (2023). Impact of Ukrainian-Russian war on health care and humanitarian crisis. Disaster Medicine and Public Health Preparedness, 17, 1–9. https://doi.org/10.1017/dmp.2022.265
Dorosh, Y., Ibatullin, Sh., Tarnopolskyi, A., Sakal, O., & Kharytonenko, R. (2023). The role of land management in the process of economic modernization in Ukraine. Zemleustrìj, Kadastr ì Monìtorìng Zemelʹ, (2), 25–36. https://doi.org/10.31548/zemleustriy2023.02.02
Gostin, L. O., & Rubenstein, L. S. (2022). Attacks on health care in the war in Ukraine. JAMA, 327(16), 1541. https://doi.org/10.1001/jama.2022.6045
Greenaway, C., Fabreau, G., & Pottie, K. (2022). The war in Ukraine and refugee health care: Considerations for health care providers in Canada. CMAJ: Canadian Medical Association Journal, 194(26), E911–E915. https://doi.org/10.1503/CMAJ.220675
Halai, V. O. (2023). The strategy of reforming the health care system in Ukraine. Analytical and Comparative Jurisprudence, (6), 189–194. https://doi.org/10.24144/2788-6018.2022.06.34
Holovanova, I. A., & Shevchenko, A. S. (2023). Determination of the main needs of palliative patients and ways of their provision in the health care system of Ukraine. Experimental and Clinical Medicine, 90(3), 88–94. https://doi.org/10.35339/ekm.2021.90.3.hos
Niven, A. S., Skomro, R. P., Dziuba, D., & Gajic, O. (2023, June 1). Supporting health care workers during the armed conflict in Ukraine. Chest. Elsevier Inc. https://doi.org/10.1016/j.chest.2022.12.021
Vlasenko, S. (2023). Local government bodies as subjects of public policy of national memory in Ukraine. Public Administration and Regional Development, 22, 915–936. https://doi.org/10.34132/pard2023.22.01
Kovalyshyn, O. (2023). The factor of democracy and prosperity and the formation of the nation state in the example of Ukraine: Pre-war picture. Studia Europejskie – Studies in European Affairs, 2023(4), 173–193. https://doi.org/10.33067/se.4.2023.10
Nagoriyanskii, A. O. (2021). Improvement of public administration of the medical rehabilitation system as an integral part of public health policy. Clinical and Preventive Medicine, 2(16), 63–69. https://doi.org/10.31612/2616-4868.2(16).2021.08
Prusaczyk, A., Bogdan, M., Vinker, S., Gujski, M., Żuk, P., Kowalska-Bobko, I., … Lewtak, K. (2023). Health care organization in Poland in light of the refugee crisis related to the military conflict in Ukraine. International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053831
Parkhomenko, A. (2023). Russia’s war in Ukraine and cardiovascular health care. Circulation, 147(10), 779–781. https://doi.org/10.1161/CIRCULATIONAHA.122.063196
Shandryk, V., Zhebelev, I., Deliatynchuk, A., Maksymov, V., & Shelest, V. (2023, December 1). Modern concepts of public administration in the context of sustainable development. Economic Affairs (New Delhi), 68(4), 2105–2117. https://doi.org/10.46852/0424-2513.4.2023.21
Heisler, M., Kovtonyuk, P., & De Vos, C. (2023, March 28). Attacks on health care used as a weapon of war in Ukraine and globally: The demand for accountability. JAMA. American Medical Association. https://doi.org/10.1001/jama.2023.2787
Shevlin, M., Hyland, P., Karatzias, T., Makhashvili, N., Javakhishvili, J., & Roberts, B. (2022). The Ukraine crisis: Mental health resources for clinicians and researchers. Clinical Child Psychology and Psychiatry, 27(3), 521–523. https://doi.org/10.1177/13591045221097519
Kliuchnyk, A., Prohoniuk, L., Galunets, N., Husenko, A., & Oliinyk, T. (2023, May 1). Public management and administration in territorial communities of Ukraine during the war and in the post-war period. Economic Affairs (New Delhi), 68(Special Issue), 923–929. https://doi.org/10.46852/0424-2513.2s.2023.40
Krasivskyy, O. (2023). Specific features of public involvement and digitalization of services when reforming public administration during the war. Democratic Governance, 31(1), 12–23. https://doi.org/10.23939/dg2023.01.012
Piech, K. (2022). Health care financing and economic performance during the coronavirus pandemic, the war in Ukraine and the energy transition attempt. Sustainability (Switzerland), 14(17), Article 10601. https://doi.org/10.3390/su141710601
Yaitska, D. (2023). Public participation: International standards and perspectives for Ukraine. Theory and Practice of Jurisprudence, 1(23). https://doi.org/10.21564/2225-6555.2023.23.282101
Tkach, K. (2022). Comparative analysis of the current state of regulatory and legal regulation of health care in Ukraine and Hungary. Analytical and Comparative Jurisprudence, (5), 311–317. https://doi.org/10.24144/2788-6018.2022.05.58
CMU. (2024). Ministry of Finance: Healthcare expenditures amounted to UAH 217.4 billion in 2023. Cabinet of Ministers of Ukraine. https://www.kmu.gov.ua/news/minfin-u-2023-rotsi-vydatky-na-okhoronu-zdorovia-stanovyly-2174-mlrd-hryven
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