Kirsanova O. V., Zvyagina H. O., Pototska O. I.

TRANSFORMED PUBLIC HEALTH MANAGEMENT SYSTEM OF UKRAINE UNDER CURRENT CHALLENGES

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About the author:

Kirsanova O. V., Zvyagina H. O., Pototska O. I.

Heading:

MEDICAL EDUCATION

Type of article:

Scientific article

Annotation:

A deep demographic crisis in Ukraine (depopulation, increasing mortality and disability among working- age individuals, mental health crisis), exacerbated by the war, determines the urgent need to optimize the healthcare management system. Implementation of the Law of Ukraine “On the Public Health System” requires shifting away from the traditional medico-centric paradigm and adopting an intersectoral approach based on the “Health in All Policies” principle and modern European standards. To substantiate the foundations of a transformed public health management system based on intersectoral, systemic, and evidence-based approaches under current national challenges. The study is based on the analysis of Ukrainian regulatory acts in public health, WHO conceptual documents, and data from domestic and international scientific publications. Methods of systems analysis, logical generalization, descriptive, structural-functional, and simulation modeling were applied. The architecture of the public health management system was substantiated, encompassing five interconnected blocks: strategic objectives, principles (UHC, subsidiarity, evidence-based practice), directions for analysis and modeling, a two-tier economic mechanism (micro- and macro-levels), and performance criteria. Funding preventive programs was shown to be an investment in human capital with a high return on investment (ROI from 4:1 to 10:1). The feasibility of applying international evidence-based management indicators was proven: DALY (minimizing years of life lost) and QALY (maximizing quality of life). The transformed management system reorients healthcare from treating disease outcomes to systemic risk management and preserving population potential. Practical implementation of the proposed structure will enhance intersectoral collaboration, system resilience to emergencies, and the rational allocation of financial resources.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2026 Issue 3, 182, 369-373 pages, index UDC 614.2:005.591.4:035.075.5](477)

DOI:

10.29254/2077-4214-2026-3-182-369-373