EFFECTIVENESS OF THE PUBLIC MANAGEMENT SYSTEM FOR THE QUALITY OF MEDICAL SERVICES IN UKRAINE

Abstract

The quality of the healthcare service management system has become critically important under martial law conditions. During this period, the healthcare system faces unprecedented challenges such as infrastructure destruction, shortages of medical personnel, and increased demand for medical services. The reform of the national healthcare system through the introduction of the medical guarantees program, the development of primary healthcare, and preventive medicine requires an analysis of the effectiveness of management decisions and quality assurance mechanisms. This study assesses the effectiveness of the healthcare service quality management system in Ukraine from 2022 to 2024 by conducting a detailed analysis of staffing, infrastructure capacity, financial mechanisms, and healthcare system performance outcomes. The research is based on a comparative analysis of official statistical data, including state statistical reporting forms N-17, N-47, N-51, as well as annual reports of the Ministry of Health of Ukraine and the National Health Service of Ukraine for 2022–2024. The results indicate that the highest crisis resilience of the public management system in 2022–2024 ensured a 7.5% increase in the number of family doctors-therapists (from 18,750 to 20,150) and coverage of 78.2% of the population through patient declarations. Analysis of indicators showed a 5.2% improvement in bed utilization efficiency (from 286 to 301 days per year) along with a reduction in the average hospital stay (from 9.8 to 9.1 days). The development of preventive medicine was considered successful due to a 12.9% increase in the number of medical centers in the network (from 428 to 483 centers) and a 28.1% increase in the number of medical examinations. The financial mechanisms of the National Health Service of Ukraine ensured a 22.2% increase in the budget of the medical guarantees program (from UAH 164.8 to 201.3 billion) in 2023–2024 and access to medications through the reimbursement program. Quality indicators improved throughout the study period – the in-hospital mortality rate decreased to 1.68%, and early disease detection increased from 42.7% to 47.8%. The practical significance of these results lies in their potential use for improving public healthcare management mechanisms and economically efficient resource allocation in the healthcare system.