Keywords
institutional and legal mechanisms of public management
personnel development
healthcare
digitalization
eHealth
medical services
regulatory and legal support
quality
health care institutions
European integration
globalization
human resources
How to Cite
Abstract
To ensure the quality of medical services and staff development, it is important to create effective and effective institutional and legal mechanisms of public management in this area. European integration has become a factor in accelerating the transformation of state institutions and changing the regulatory framework in the field of health care in Ukraine. The purpose of the article was to study the institutional and legal mechanisms of public management of the quality of medical services and the development of personnel in the field of health care in Ukraine, taking into account European integration processes. The research methodology is based on the legal analysis of the current legislation in the field of health care in Ukraine, and statistical analysis of the available human resources. The results demonstrate progress in the development of institutional mechanisms of public management in the field of health care in the areas of management strategy and policy, financing of medical services, quality assurance of medical services and development of human resources. Transformational changes in the activities of state institutions in the medical field have had a positive impact on the accessibility, quality of medical services, compliance with standards in the provision of services, increasing the level of responsibility of medical institutions for the results of service provision. The reform of public management institutions has affected the development of professional medical personnel in the context of competition for patients. The adoption of new legislation in the field of health care has changed the approaches, principles and methods of providing medical services and serving citizens, as well as financing medical services. Regulatory changes made it possible to strengthen the autonomy of health care institutions and introduce an electronic healthcare system eHealth, for transparency of funding, e-document management, and the creation of e-services in the medical industry. At the same time, the problematic issues of public management in the field of health care remain ineffective state distribution of funding for medical services, insufficient resource provision of educational institutions for the training of medical personnel, low level of intersectoral interaction (communication and cooperation) between state institutions in this area.
References
1. Boryshkevych, I., Hoi, N., & Zhuk, O. (2024). A theoretical foundations of the manager’s managerial potential in the field of health care. Investytsiyi: praktyka ta dosvid, (1), 67–72. https://doi.org/10.32702/2306-6814.2024.1.67
2. Cabinet of Ministers of Ukraine. (2019). Order No. 95-p, On the Approval of the Strategy for the Development of Medical Education in Ukraine. Official website of the Parliament of Ukraine. https://zakon.rada.gov.ua/go/95-2019-%D1%80
3. Cabinet of Ministers of Ukraine. (2021). Resolution No. 725, On the Approval of the Regulations on the System of Continuing Professional Development for Healthcare Workers. Official website of the Parliament of Ukraine. https://zakon.rada.gov.ua/go/725-2021-%D0%BF
4. Cabinet of Ministers of Ukraine. (2025). Order No. 34-p, On the Approval of the Health Care System Development Strategy for the Period up to 2030 and the Adoption of the Operational Action Plan for Its Implementation in 2025–2027. Official website of the Parliament of Ukraine. https://zakon.rada.gov.ua/go/34-2025-%D1%80
5. Dale, E., Novak, J., Dmytriiev, D., Demeshko, O., & Habicht, J. (2024). Resilience of primary health care in Ukraine: Challenges of the pandemic and war. Health Systems & Reform, 10(1). https://doi.org/10.1080/23288604.2024.2352885
6. de Ruijter, A., Hervey, T., & Prainsack, B. (2024). Solidarity and trust in European Union health governance: Three ways forward. The Lancet Regional Health – Europe, (46). https://doi.org/10.1016/j.lanepe.2024.101047
7. Delegation of the European Union to Ukraine. (2025). Ukraine’s Public Health System Strengthened with the support of EU Funded Project. Delegation of the EU to Ukraine. https://www.eeas.europa.eu/delegations/ukraine/ukraine%E2%80%99s-public-health-system-strengthened-support-eu-funded-project_en?s=232
8. Drabchuk, N., Zhuk, O., Hoi, N., Matiichyk, A., & Yakushkin, Ye. (2025). Foreign experience in development of the public management system for rehabilitation services. Scientific Innovations and Advanced Technologies, 12(52), 38–48. https://doi.org/10.52058/2786-5274-2025-12(52)-38-48
9. Dzhygyr, Y., Dale, E., Voorhoeve, A., Gopinathan, U., & Maynzyuk, K. (2023). Procedural fairness and the resilience of health financing reforms in Ukraine. Health Policy and Planning, 38(1), i59–i72. https://doi.org/10.1093/heapol/czad062
10. eKrov. (n.d). Blood Donation Information and Communication System (eKrov System). eKrov. https://ekrov.utcc.gov.ua/
11. Fernandes, F. A., Chaltikyan, G., Adib, K., Caton-Peters, H., & Novillo-Ortiz, D. (2024). The role of governance in the digital transformation of healthcare: Results of a survey in the WHO Europe Region. International Journal of Medical Informatics, (189). https://doi.org/10.1016/j.ijmedinf.2024.105510
12. Habicht, J., Hellowell, M., & Kutzin, J. (2024). Sustaining progress towards universal health coverage amidst a full-scale war: learning from Ukraine. Health Policy and Planning, 39(7), 799–802. https://doi.org/10.1093/heapol/czae041
13. Hoi, N., Kondratskyi, Y., & Kunytska, T. (2025). Public management in the health sector of Ukraine: digital transformation and communication policy in the european integration dimension. Philosophy and Governance, 12(16). https://doi.org/10.70651/3041-248X/2025.12.02
14. Lavrentii, D. (2025). European public health policy: guidelines for Ukraine. Journal of Geography, Politics and Society, 15(1), 39–49. https://doi.org/10.26881/jpgs.2025.1.05
15. Ministry of Health of Ukraine. (2012). Order No. 752, On the Procedure for Quality Control of Medical Care. Official website of the Parliament of Ukraine. https://zakon.rada.gov.ua/go/z1996-12
16. Ministry of Health of Ukraine. (2025). Order No. 650 dated April 16, 2025, “On the Approval of the Procedure for the Certification of Healthcare Workers and Amendments to Certain Orders of the Ministry of Health of Ukraine”. Ministry of Health of Ukraine. https://moz.gov.ua/uk/decrees/nakaz-moz-ukrayini-vid-16-04-2025-650-pro-zatverdzhennya-poryadku-provedennya-atestaciyi-pracivnikiv-sferi-ohoroni-zdorov-ya-ta-vnesennya-zmin-do-deyakih-nakaziv-ministerstva-ohoroni-zdorov-ya-ukrayini
17. National Health Service of Ukraine. https://nszu.gov.ua/
18. Open budget. (n.d.). State web portal of budget for citizens. Open budget. https://openbudget.gov.ua
19. PHC. (n.d.). Aggregated data from medical reports on municipal healthcare facilities and healthcare facilities under the jurisdiction of the Ministry of Health. Public Health Centre. https://phc.org.ua/monitoring-i-statistika/meddata-1
20. PHC. (n.d.). EU4Health. Public Health Centre. https://phc.org.ua/eu4health
21. PHC. (n.d.). Public Health Centre. https://phc.org.ua/
22. Veresniuk, N., Piontkovskyi, V., Kozubenko, Yu., Mahanova, T., & Balynska, O. (2023). Reforming the healthcare system to sustainable development goals in the EU states. Economic Affairs, 68(1s), 191–198. https://doi.org/10.46852/0424-2513.1s.2023.22
23. Verkhovna Rada of Ukraine. (2018). Law of Ukraine No. 2168-VIII, On State Financial Guarantees of Medical Service to the Population. Official website of the Parliament of Ukraine. https://zakon.rada.gov.ua/laws/show/2168-19?lang=en#Text
24. WHO. (2023). Private provision of services in Ukraine: current challenges, future directions. Health policy papers series. World Health Organization, Regional Office for Europe. https://iris.who.int/handle/10665/369383
25. WHO. (2024). Health financing in Ukraine: reform, resilience and recovery. World Health Organization, Regional Office for Europe. https://iris.who.int/handle/10665/379548
26. Zhuk, O., Hoi, N., Lopushynskyi, I., Drabchuk, N., & Matiychyk, A. (2024). Innovative mechanisms of public management for sustainable territorial development: digitization, analytics, and communication. Cadernos De Educação Tecnologia E Sociedade, 17(se4), 219–231. https://doi.org/10.14571/brajets.v17.nse4.219-231
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2026 Nataliia Hoi, Mykola Pylypiv