Actual problems of innovative economy and law

Journal "Actual problems of innovative economy and law" is included in category B for specialties: in the field of knowledge "Management and administration": 073, 076 (order of the Ministry of Education and Science of Ukraine dated 23.08.2023 No. 1035) and 071, 072, 075 (order of the Ministry of Education and Science of Ukraine dated 12.20.2023 No. 1543); in the field of knowledge "Social and behavioral sciences" 051 (order of the Ministry of Education and Science of Ukraine dated August 23, 2023 No. 1035); in the field of knowledge "Law" - 081 and "Public management and administration" - 281 (order of the Ministry of Education and Science of Ukraine dated 12.20.2023 No. 1543).
The journal is added to the List of printed scientific professional publications in the field of economic Sciences by the Ministry of education and science of Ukraine from КВ № 25436-15376ПР dated 13.01.2023.
The journal is indexed in the International Scientific Center of Index Copernicus International

Foreign experience: models of financing and organization of health care systems

УДК: 342.951


Калініченко Сергій Миколайович,
кандидат економічних наук, доцент, Заступник генерального директора з міжнародного співробітництва, інновацій та розвитку, ДНП «Центр Тестування» МОЗ України, доцент кафедри менеджменту, бізнесу і адміністрування,
Державний біотехнологічний університет,
Аврята Андрій Вікторович,
Державний біотехнологічний університет,
Харчевнікова Лілія Сергіївна,
доцент кафедри туризму,
Державний біотехнологічний університет,
Олійник Ігор Андрійович,
Європейський університет,

Each country in the world community creates and develops its health care system models, which are characterized by the peculiarities of the distribution of economic resources for providing medical care and preserving the population’s health. The effectiveness of their application in the health care field is determined by several features: a multifactorial system of political, economic, moral-ethical, cultural, and other relations that have historically developed in the country, etc. The reform process depends on the power vested in the state system organization at all levels of management and what regulatory mechanisms, including legislation, as well as financial incentives and sanctions, can be used by the central government for territorial management bodies. Even though the forms of organization of national health care systems are diverse, their main goal is to improve the quality and availability of medical care, increase life expectancy, develop a patient-oriented health care system by changing the organizational and economic principles of management by market conditions and international standards to ensure equal access of the population to quality medical care and financial protection in case of illness; ensuring the prevention of non-communicable diseases, in particular by strengthening legislation on healthy eating, tobacco, and alcohol control. The article presents models of national healthcare systems of different countries. Features of their formation and functioning are shown. The level of regulation and ensuring equal access of the population to the services received, as well as their quality, adequacy, and appropriateness, depends on the model of financing medical care. It is emphasized that the health care system that has developed in one or another state is a combination of various models, which may change over time due to changes in the political situation in the country or economic factors. It is noted that reforming the health care system is a fundamental change in management’s organizational and economic principles by market conditions and European standards. It is not advisable to single out the most progressive of the above since, in most cases, countries apply the dualism of individual provisions of each existing model to achieve the maximum result in practice.

Keywords: system, model, management, medical care, financing.


  1. Zahal’na deklaratsiia prav liudyny Orhanizatsii Ob’iednanykh Natsij. (1948). [The United Nations General Declaration of Human Rights]. dated December 10, 1948. Available at:
  2. Mizhnarodnyj pakt pro ekonomichni, sotsial’ni i kul’turni prava Orhanizatsii Ob’iednanykh Natsij. (1966). [International Covenant on Economic, Social and Cultural Rights of the United Nations]. dated December 16, 1966. Available at:
  3. Khartiia osnovnykh prav Yevropejs’koho Soiuzu. (2000). [The Charter of Fundamental Rights of the European Union]. dated December 7, 2000. Available at: ua/laws/show/994_524.
  4. Yevropejs’ka sotsial’na khartiia Rady Yevropy. (1996). [European Social Charter of the Council of Europe]. dated May 3, 1996. Available at: ua/laws/show/994_062.
  5. Konventsiia Orhanizatsii Ob’iednanykh Natsij pro prava dytyny. (1989). [he United Nations Convention on the Rights of the Child]. dated November 20, 1989. Available at:
  6. Mizhnarodna konventsiia OON pro likvidatsiiu vsikh form rasovoi dyskryminatsii. (1965). [The UN International Convention on the Elimination of All Forms of Racial Discrimination]. dated December 21, 1965. Available at:
  7. Konventsiia Orhanizatsii Ob’iednanykh Natsij pro likvidatsiiu vsikh form dyskryminatsii schodo zhinok. (1979). [United Nations Convention on the Elimination of All Forms of Discrimination against Women]. dated December 18, 1979. Available at:
  8. Konventsiia Orhanizatsii Ob’iednanykh Natsij pro prava osib z invalidnistiu (Konventsiia pro prava invalidiv). (2006). [United Nations Convention on the Rights of Persons with Disabilities (Convention on the Rights of Persons with Disabilities)]. dated December 13, 2006. Available at:
  9. African Charter on Human and Peoples Rights. Available at: detail?id=49.
  10. Constitution of the World Health Organization. Available at: 07/constitution_of_health_en.pdf.
  11. Health at a Glance 2019: OECD Indicators. (2019). Available at: https://doi. org/10.1787/4dd50c09-en.
  12. The legatum prosperity index 2019. Available at:
  13. Financing British health care. The Economist. (2005). Available at:
  14. Health expenditure as a percentage of gross domestic product (GDP) in selected countries in 2020. Statista. (2022). Available at:

The article was received 15.11.2023