INSTITUTIONAL PRINCIPLES OF THE FORMATION AND IMPLEMENTATION OF THE STATE POLICY FOR THE DEVELOPMENT OF THE HEALTH CARE SYSTEM IN THE CONDITIONS OF EUROPEAN INTEGRATION
Authors: Zamchiy Serhii 
Published: December 2023

The article examines the institutional foundations of the formation and implementation of the state policy for the development of the health care system in Ukraine in the context of European integration. It is emphasized that the formation of an effective European model of state policy for the development of the health care system in Ukraine requires a systematic restructuring of the industry and improvement of its state regulation mechanisms based on a strategic vision of its functioning capacity and competitiveness under transformational conditions. Based on this, Ukraine has a chance to become the first country of a united Europe, where joint opportunities will be worked out and appropriate mechanisms will be implemented to build a convergent pan-European model of state regulatory policy regarding the functioning and development of the health care system.

It was found that the processes of institutionalization of the state policy of the development of the health care system in the conditions of European integration involve the definition and consolidation of European social norms, as well as ensuring feedback with the relevant non-governmental and national ones, including public structures and will generally consist of the following successive stages: understanding and identification of needs, the satisfaction of which requires joint actions; formation of common goals and objectives; in accordance with the defined health care policy in the European Community; definition of clear norms and rules, which are possible for implementation in the short-term, medium-term and long-term perspective; definition of procedures related to norms and rules; institutionalization of norms and rules, procedures, their adoption and practical application; search and installation of tools to support norms and rules, differentiation of their application; streamlining the system of institutions, the functioning of which will contribute to the introduction and implementation of relevant norms and rules, as well as the introduction of relevant regulatory mechanisms.

It is justified that in the process of institutionalization of the state policy of the development of the health care system in the conditions of European integration, the results-consequences of the activity of health care as a social institution should be clearly divided into functions and dysfunctions, where the functions should be understood as those results-consequences that contribute to the preservation , strengthening, development and self-regulation of a complex system, that is, useful for society as a whole. Dysfunctions, on the contrary, are the results-consequences that lead to destabilization, disorganization of the system, changes in the structure, that is, harmful to society. To ensure the superiority of the functional influence in the health care system over the dysfunctional and positive results-consequences of the activity of the corresponding system on the state of public health, it is necessary to stimulate social investment activity at the state, regional, local, corporate and personal levels of its functioning.