Assessment of systemic problems and consequences of public administration of human resources in the healthcare system of Ukraine

Анотація

The article provides a comprehensive analysis of systemic problems and the consequences of state management of human resources in the health care system of Ukraine. It is substantiated that human resources are a key resource for the functioning of the industry, determining its ability to provide the population with quality medical services, adapt to reforms and effectively respond to crisis challenges. It was found that in 2021–2024, the healthcare system will experience a steady decline in the number of doctors and paramedical staff, a deepening of regional disparities, and an increase in the share of employees of retirement age, which indicates the aging of the human resource potential. Regional analysis showed the most critical losses in the eastern and southern regions of Ukraine, in particular in Donetsk, Luhansk, Kherson, and Zaporizhzhia, where the level of medical staffing has decreased by more than 30–50 %. In contrast, the western regions demonstrate relative stability and concentration of human resources, which form an asymmetric model of the functioning of the healthcare system. A significant decrease in the actual staffing of full-time positions by doctors and paramedical staff was identified, which is accompanied by an increase in vacancies and an increase in the load on existing employees. The study of the structure of the human resource potential showed the dominance of the secondary level of medical care and the insufficient development of the primary link, which limits the effectiveness of the preventive model of health care. It was also established that the level of certification of medical workers in most professional groups is decreasing, which negatively affects the quality of medical services and the professional stability of the industry. It was established that the current state of state management of human resource potential is characterized by systemic structural imbalances, regional unevenness and personnel shortage. The need to improve state personnel policy, introduce differentiated regional approaches and strengthen mechanisms for the reproduction of medical personnel to ensure the sustainability of the health care system of Ukraine is substantiated.

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