СУЧАСНА МЕДИЧНА РЕФОРМА В УКРАЇНІ ЗА МОДЕЛЛЮ ЕКОНОМІКИ ЩАСТЯ: ЕКОНОМІЧНИЙ І ПРАВОВИЙ АСПЕКТИ

Abstract

The article considers economic and legal issues of public health care reform and the provision of medical services from the standpoint of the theory of the economy of happiness. In the Constitution of Ukraine, part of the norms lays the foundation for the implementation of the principle of subsidiarity in the field of health care and medical care. This means that the system of public finances already has at least a constitutional and legal basis for building the existing system of financing in this area. Meanwhile, there are complexes of paradigmatic, methodological, theoretical and methodological issues on the implementation of the principle of subsidiarity in the consistent reconstruction of the program financial and budgetary model, which should be personalistically oriented, built on the vector "bottom up" (from the level of basic communities (individual, family) , intermediate communities (public organizations) to the highest level (state), to optimally combine different sources of funding and centralized and decentralized management schemes. The positive and negative features of the health care reform set out in the Health Manifesto are revealed, as well as the role of communities at different levels (individuals, families and individuals). it, public associations, the state) in the reconstruction of personalistic-oriented ave financial and budgetary model of health care. Emphasis is placed on the need to use the advantages of vertically-oriented (hierarchical) and horizontally-oriented (network) structure of medical institutions.