Abstract:
This article explores international models of healthcare system governance and
healthcare delivery, with a focus on their adaptation to the conditions of territorial
communities in Ukraine. The research is based on an interdisciplinary approach that
combines comparative, systemic, case-study, and prognostic methods for analyzing
healthcare management models. Its purpose is to study foreign practices in the
organization of healthcare systems and to determine the possibilities for their adaptation
to Ukrainian conditions during the war and reconstruction period. It examines the
fundamental governance models (Beveridge, Bismarck, single-payer and “out-of pocket”) and identifies integrated care approaches (such as HMO, PPO, IDS, ACO, PCMH
and others), particularly considering the experiences of the United Kingdom, the United
States of America, Finland, Brazil and India. This article emphasizes the shift in the role
of communities from service recipients to service purchasers, as well as the use of
contracting mechanisms, key performance indicators, and health cluster management. It
has been proven that the methodology for researching public policy management in the
field of healthcare at the local community level requires comprehensive analysis and
interdisciplinary discussion in order to develop an adaptive model suitable for countries
in the process of transformation, in particular Ukraine in the context of war. An
interdisciplinary approach to analyzing governance in healthcare is proposed,
incorporating institutional, social, and economic factors. The study identifies the
potential for integrating international experience in health system governance at the
level of territorial communities in the context of decentralization and war in Ukraine. The
results are of practical importance for the formation of an effective model of healthcare
management at the level of local communities in Ukraine, taking into account
international experience.
