Keywords
cluster model
public administration
budget financing
standardization
patient routing
How to Cite
Abstract
The article considers the features of the cluster model of the organization of emergency medical care and ways to improve the tools of public administration to ensure the efficiency, coordination and availability of medical services. It is determined that the analysis of budget financing of primary health care and emergency care services is important for assessing the ability of the state to ensure the timeliness and quality of medical interventions. Medical care, centralized dispatch services and training departments contribute to the standardization of procedures, prompt redistribution of resources, and increase the efficiency of interregional coordination. It has been established that the application of the cluster approach involves the optimization of patient transportation routes, centralization of funding, standardization of processes and integration of digital solutions, including telemedicine facilities and call monitoring systems. It is noted that the legal regulation of the functioning of emergency medical care teams and departments forms the basis for the continuity of care, coordination between structures and adaptation to social, demographic and territorial characteristics. It is noted that strategic planning of the activities of institutions within hospital clusters ensures the concentration of management decisions on long-term structural changes and increases the resilience of the health care system. It has been revealed that the introduction of a cluster model of emergency medical care organization provides a synergistic effect of interaction between institutions, increases the efficiency, accessibility and quality of medical services, and also contributes to bringing the health care system of Ukraine to international standards of quality of medical care.
References
1. Ihnatenko, O., & Uruzbayeva, I. (2025). Rozvytok tsyfrovizatsii ekstrenoi medychnoi dopomohy [Development of digitalization of emergency medical care]. Public Administration and Digital Practices, 2(5), 31–40. http://doi.org/10.31673/2786-7412.2025.023480 (in Ukrainian)
2. Kniazkova, V., Huz, D., Rudinska, O., & Krylenko, V. (2023). Formation of clusters of medical institutions as an administrative tool of management in the healthcare industry under decentralization conditions. Economics. Management. Innovations, 1(32). http://eui.zu.edu.ua/article/view/283043/277220
3. Kolomoiets, A. V., Hbur, Z. V., Koshova, S. P., Krylova, I. I., & Goydyk, V. S. (2021). Analysis of financial condition and evaluation of logistics efficiency of a municipal non-commercial healthcare enterprise. Pharmacology OnLine, (2), 843–851. https://pharmacologyonline.silae.it/front/archives_2021_2
4. Kolomoiets, A. V., Hbur, Z. V., Koshova, S. P., Mykhalchuk, V. M., & Savychuk, N. O. (2021). Financial and economic effect for healthcare institutions from the introduction of logistics management methods. Wiadomości Lekarskie, 74(6), 1499–1504. https://doi.org/10.36740/WLek202106139
5. Kolomoiets, H., Holiiad, I., Tutashynskyi, V., Hrytsenko, L., Holiiad, R., & Rebryna, M. (2025). Adaptive learning based on biometric assessment of cognitive load in an educational and scientific cluster. Broad Research in Artificial Intelligence and Neuroscience, 16(3), 258–270. http://dx.doi.org/10.70594/brain/16.3/18
6. Koshova, S. P., & Hbur, Z. V. (2021). State regulation of the space industry as a key to effective national security. Advances in Economics, Business and Management Research, (170), 52–77. https://doi.org/10.2991/aebmr.k.210320.010
7. Koshova, S. P., Hbur, Z. V., & Kolomoiets, A. V. (2021). Research of psychological readiness of doctors for adaptive training. Wiadomości Lekarskie, 74(3), 572–577. https://doi.org/10.36740/WLek202103202
8. Kuznetsov, O., Kostenko, O., Klymenko, K., Hbur, Z., & Kovalskyi, R. (2025). Machine learning analytics for blockchain-based financial markets: A confidence-threshold framework for cryptocurrency price direction prediction. Applied Sciences, (15), 11145. https://doi.org/10.3390/app152011145
9. Liubinets, O. V., & Milashovska, V. O. (2023). Stratehichne planuvannia medychnoi dopomohy naselenniu zakladamy okhorony zdorovia hospitalnoho klasteru [Strategic planning of medical care provided by hospital cluster healthcare institutions]. Ukraine. Health of the Nation, (3), 85–89. https://doi.org/10.32782/2077-6594/2023.3/14 (in Ukrainian)
10. Ministry of Health of Ukraine. (2019). Moz Ukrainy rozpochynaie pershyi etap transformatsii ekstrenoi medychnoi dopomohy [The Ministry of Health launches the first stage of emergency medical care transformation]. https://moz.gov.ua/uk/teper-oficijno-moz-ukraini-rozpochinae-pershij-etap-transformacii-ekstrenoi-medichnoi-dopomogi- (in Ukrainian)
11. Open Budget Ukraine. (n.d.). Vydatky derzhavnoho biudzhetu [State budget expenditures]. https://openbudget.gov.ua/national-budget/expenses
12. Rebryna, A. A., Rebryna, A. A., Kolomoiets, H. A., Antonets, V. F., Flerchuk, V. V., Liakhova, N., & Kasich, N. P. (2024). Dynamics of functional state indicators during high-intensity interval training. Polish Medical Bibliography, 7(3), 387–392. https://doi.org/10.36740/wlek202403103
13. Sakhanienko, S. (2023). Terytorialni medychni klastery yak elementy formuvannia ahlomeratsii ta rozvytku yikh struktury [Territorial medical clusters as elements of agglomeration formation and structural development]. Theoretical and Applied Issues of State Building, (29), 365–368. https://doi.org/10.35432/tisb292023289534
14. Verkhovna Rada of Ukraine. (2012). Poriadok funktsionuvannia systemy ekstrenoi dopomohy za yedynym nomerom 112 [Procedure for the functioning of the emergency assistance system via number 112]. Resolution No. 1031. https://zakon.rada.gov.ua/laws/show/1031-2012-%D0%BF#Text (in Ukrainian)
15. Verkhovna Rada of Ukraine. (2012). Pro ekstrenu medychnu dopomohu [On emergency medical care]. Law of Ukraine No. 5081-VI. https://zakon.rada.gov.ua/laws/show/5081-17#Text (in Ukrainian)
16. Verkhovna Rada of Ukraine. (2012). Typove polozhennia pro bryhadu ekstrenoi (shvydkoi) medychnoi dopomohy [Standard regulation on emergency medical care teams]. Resolution No. 1114. https://zakon.rada.gov.ua/laws/show/1114-2012-%D0%BF#Text (in Ukrainian)
17. Verkhovna Rada of Ukraine. (2020). Normatyvno-pravovi akty z pytan nadannia ekstrenoi medychnoi dopomohy [Regulatory acts on emergency medical care provision]. Order No. 2179. https://zakon.rada.gov.ua/laws/show/z1192-20#Text (in Ukrainian)
18. Verkhovna Rada of Ukraine. (2024). Realizatsiia prohramy derzhavnykh harantii medychnoho obsluhovuvannia naselennia u 2025 rotsi [Implementation of the state medical guarantees program in 2025]. Resolution No. 1503. https://zakon.rada.gov.ua/laws/show/1503-2024-%D0%BF#Text (in Ukrainian)
19. Verkhovna Rada of Ukraine. (2025). Pro vnesennia zmin do poriadku funktsionuvannia hospitalnykh okruhiv i klasteriv [Amendments to the procedure for functioning of hospital districts and clusters]. Resolution No. 1456. https://zakon.rada.gov.ua/laws/show/1456-2025-%D0%BF#Text (in Ukrainian)
20. Volkotrubova, A., Kasymova, A., Hbur, Z., Kichuk, A., Koshova, S., & Khodakivska, S. (2024). An integrative approach to organizing the formation of students’ cognitive independence in conditions of intensification of learning activities. Strategii na Obrazovatelnata i Nauchnata Politika – Strategies for Policy in Science & Education, 32(6), 682–706. https://doi.org/10.53656/str2024-6-2-int
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