Інституціональне проєктування розвитку ринку медичних послуг в Україні

Abstract

UK: The purpose of the article is to summarize the conceptual framework, identify strategic imperatives and tools for institutional design of the development of the healthcare market. The theoretical and methodological basis of the study is a structural and functional analysis of direct and indirect institutional instruments for regulating the healthcare sector; a systematic approach to determining the conceptual framework for institutional design of the development of the healthcare market; institutional analysis of the ontological features of the functioning of the healthcare sector. It has been established that the development of the medical services market and the spread of advanced medical practices are hampered by the existing medical management system; insufficient resource provision of the industry; lack of organizational innovations; and the spread of informal interactions between patients and doctors. It is proved that in order to optimize the institutional support for the development of the healthcare market, it is necessary to eliminate the constraints to the development of private medicine: imperfect legal and regulatory framework; excessive bureaucratization of the system of licensing and regulation of private medical institutions; limited access to credit resources. It has been established that the implementation of digital technologies, the spread of organizational innovations and modern medical practices will facilitate the availability and quality of medical services, minimize costs and contribute to the financial sustainability of healthcare institutions. The article substantiates the advantages of implementing the strategy of intermediate institutions for the development of the medical services market, which involves the transformation of existing institutions in the medical sphere into intermediate forms and their further progressive changes, taking into account ontological features and institutional constraints. It has been determined that the development of the healthcare market will be facilitated by institutional consistency in the implementation of reforms, taking into account the specifics and peculiarities of the functioning of healthcare institutions in crisis conditions, and current global trends in the management of healthcare institutions formed by the global healthcare market. The theoretical and methodological provisions of the article summarize and deepen the practical principles of institutional design of innovative development of the healthcare market.

EN: The purpose of the article is to summarize the conceptual framework, identify strategic imperatives and tools for institutional design of the development of the healthcare market. The theoretical and methodological basis of the study is a structural and functional analysis of direct and indirect institutional instruments for regulating the healthcare sector; a systematic approach to determining the conceptual framework for institutional design of the development of the healthcare market; institutional analysis of the ontological features of the functioning of the healthcare sector. It has been established that the development of the medical services market and the spread of advanced medical practices are hampered by the existing medical management system; insufficient resource provision of the industry; lack of organizational innovations; and the spread of informal interactions between patients and doctors. It is proved that in order to optimize the institutional support for the development of the healthcare market, it is necessary to eliminate the constraints to the development of private medicine: imperfect legal and regulatory framework; excessive bureaucratization of the system of licensing and regulation of private medical institutions; limited access to credit resources. It has been established that the implementation of digital technologies, the spread of organizational innovations and modern medical practices will facilitate the availability and quality of medical services, minimize costs and contribute to the financial sustainability of healthcare institutions. The article substantiates the advantages of implementing the strategy of intermediate institutions for the development of the medical services market, which involves the transformation of existing institutions in the medical sphere into intermediate forms and their further progressive changes, taking into account ontological features and institutional constraints. It has been determined that the development of the healthcare market will be facilitated by institutional consistency in the implementation of reforms, taking into account the specifics and peculiarities of the functioning of healthcare institutions in crisis conditions, and current global trends in the management of healthcare institutions formed by the global healthcare market. The theoretical and methodological provisions of the article summarize and deepen the practical principles of institutional design of innovative development of the healthcare market.