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).
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Transformation of public administration mechanisms in healthcare under decentralization

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УДК: 351.77:614

DOI: https://doi.org/10.36887/2524-0455-2025-3-2

Pashniev Vitalii,
Post Graduate Student,
Poltava State Agrarian University,
https://orcid.org/0009-0005-3879-2650

The article explores the transformation of public administration mechanisms in the healthcare system under conditions of decentralization. The study aims to analyze the impact of decentralization on the transformation of public administration in the healthcare sector of Ukraine and to identify the challenges and directions for improving its management processes. The research examines current healthcare reforms being implemented in Ukraine, particularly the introduction of the National Health Service, the electronic healthcare system, new financing mechanisms through the Medical Guarantee Program, and the decentralization of powers to the local level. The dynamics of healthcare funding in Ukraine for 2023–2024 are analyzed, indicating the continued prioritization of the sector amidst public administration reforms. A positive trend has been observed in the increased budget allocations for specialized care, centralized procurement of medicines, emergency response, and other key areas. The analysis of international experience shows that the effectiveness of decentralization depends on the fiscal autonomy of communities, managerial capacity, transparency in decision-making, and precise coordination between levels of government. The study substantiates that decentralization opens new opportunities to improve the efficiency and accessibility of healthcare services but is accompanied by several challenges: staff shortages, lack of unified medical service standards, and inequality in access to healthcare. To address these challenges, the paper justifies directions for transforming public administration mechanisms through enhancing professional capacity, standardization, digital transformation of management processes, and developing a culture of accountability. The proposed directions for transformation will help ensure equal access to medical services, strengthen the managerial capacity of local self-government bodies, reduce administrative risks, increase transparency and public trust, and promote the innovative development of the healthcare sector through digitalization.

Keywords: public administration mechanisms, decentralization, healthcare, public administration, budgetary fundings.

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The article was received 28.04.2025

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Pashniev V. 28.04.2025. Transformation of public administration mechanisms in healthcare under decentralization. Actual problems of innovative economy and law. 2025. №3. 12-15 pp. https://doi.org/10.36887/2524-0455-2025-3-2

Quote article, MLA style

Pashniev V. Transformation of public administration mechanisms in healthcare under decentralization. Actual problems of innovative economy and law. 28.04.2025. https://doi.org/10.36887/2524-0455-2025-3-2