Intermunicipal Cooperation In The Organisational And Legal Mechanism For Territorial Community Development In The Context Of Ensuring National Resilience

Continuity of healthcare services connects cooperation between territorial communities with national resilience. This study aims to substantiate improvements to intermunicipal cooperation within the organisational and legal mechanism for territorial community development. The methodology combines formal legal analysis of legislation, comparative synthesis of scholarly research, and documentary analysis of cooperation initiatives in healthcare. The analysis covers scholarly publications and official documents available as of 24 September 2026. It identifies relationships between participants’ powers, contractual obligations, joint financing and service continuity. The study distinguishes payment for medical care from infrastructure maintenance, and the initiation of cooperation from contract implementation. It proposes determining community contributions according to the fixed costs of maintaining operational readiness and the actual workload of the healthcare facility. The study’s originality lies in specifying a model for ensuring continuity of a shared service through contractual arrangements that combine verification of powers, life-cycle financing, resource reserves and accountability. The proposals can inform cooperation agreements, local programmes and monitoring procedures. Suggested indicators cover the duration of service interruptions, timeliness of contributions, readiness of reserves and consideration of residents’ proposals. The proposed model separates data collection by healthcare facilities from verification by authorised representatives of partner communities and civil society. The documented examples illustrate different stages of cooperation; the study does not assess causal effects on the quality of care. The model is advisory and does not confer new powers on public authorities.