Transformation of ukraine’s healthcare system: strategic guidelines, challenges, and prospects

The article examines the transformation of the healthcare system in Ukraine, which is caused by a number of external and internal challenges, in particular a full-scale war, demographic changes, economic instability and the need to integrate into the European medical space. A review of key regulatory and legal acts that became the basis for reforming the industry is carried out. Statistical and analytical data on the financing of the industry in 2019–2024 are presented, demonstrating the priority of the medical sector in state policy. It is noted that new realities determine the need to restore healthcare institutions based on modern management and financial models. The main changes in approaches to providing medical services as a result of the implementation of reforms are analyzed: changing the patient's route, strengthening the role of the family doctor, introducing a referral system, financing according to the principle of «money follows the patient». A comparative analysis of the healthcare system before and after the reform is presented, which allows us to identify the key advantages of the new model: increased efficiency, transparency and focus on results. The directions for further development of the healthcare system outlined in the Strategy until 2030 are systematized, including: integration into a single medical space, development of human capital, digitalization, strengthening of the primary care system, intersectoral cooperation, expanding the role of nurses, etc. It is concluded that effective strategic management of the development of a healthcare institution involves strengthening the autonomy of medical institutions, new requirements for the competence of managers, and the ability for anti-crisis management and strategic planning in conditions of military challenges.