РОЗБУДОВА СИСТЕМИ ГРОМАДСЬКОГО ЗДОРОВ’Я ЯК ПРІОРИТЕТ ПУБЛІЧНОЇ ПОЛІТИКИ УКРАЇНИ

Abstract

Problem setting. The aim of the new European Health Policy 2020 strategy is to significantly improve health and improve the well-being of the population, reduce inequalities in health, strengthen public health and ensure the availability of sustainable health systems focused on needs of people. Compliance with these principles in the process of radical transformations in the socio-economic sphere of Ukraine and in the context of reforming the national health care system is a rather complicated task. The complexity of this task is due to the need to clearly define the priorities of public policy and to involve the public authorities of Ukraine in the implementation of the basic functions of the health care administration. The main role in this belongs to the state, which is responsible for the health of its citizens. The state determines the priorities and forms the health care policy of Ukraine and ensures its implementation.Recent research and publications analysis. Studies of issues of various components of public health policy are devoted to the work of M. M. Bilinskaya, Yu.V. V. Voronenko, T. S. Gurzev, D. V. Karamyshev, O. V. Power, Ya.F. Radhka, I. M. Solonenko, V. G. Shevtsova and others. The importance of scientific research on the implementation of public health policy is underlined by O. M. Dzyuba, Yu. V. Zhalinskaya, L. O. Kachala, O. D. Korvetsky, V. V. Korolenko, V. I. Mironyuk, I. F. Radish, N. O. Ringach, O. R. Sitenko, G. O. Slabki, N. D. Solonenko and others. Inherited from the Soviet period, the model of the health care system in Ukraine almost did not take into account the needs of the healthy population, which did not allow to restrain and systematically influence the growth of non-communicable diseases. This is why there is an urgent need to reorganize the healthcare system, which is to seek alternative strategies for a more effective public policy in this area.Identification of previously unsettled parts of the general problem. The analysis of studies has shown that in the presence of an understanding of the importance of developing public health protection as an alternative to the actual functioning of the public health system and its legislative provision, the legal and organizational conditions for the implementation of such an alternative have not yet been established in the state.Paper objective. The purpose of the article is to assess the compliance of the public health policy in Ukraine with the main directions of the new European health policy «Health -2020» and to define in this context an alternative strategy for a more effective public health policy on the basis of the priority of the development of the public health system in Ukraine and its legislative support.Paper main body. Thus, an alternative strategy for more effective health care policy is the development of a public health system in Ukraine in line with the European Capacity Building and Public Health Services Action Plan, as well as the values and principles laid out in the foundations of the European politics «Health 2020». The basic principle of the public health system is its social nature, as well as the fact that it focuses mainly on the health of the population as a whole. The public health system can be seen as a key aspect of a wider interpretation of the health care system in the sense that it not only plays an important role in ensuring the efficiency and effectiveness of the work of the health system itself but also significantly affects the socio-economic development of society and state. In Ukraine, there are certain political and legal foundations for the development of the health care system. At the same time, since the Law of Ukraine «On the system of health care» has not yet been adopted, public authorities and local self-government bodies at the level of each region independently determine the model of the regional health care center and its stages of activity. expanding the implementation of its operational functions of health, which leads to certain errors and significantly complicates the process of extremely necessary transformations.Conclusion from this research and perspectives of future development in current area. Thus, it can be assumed that healthcare reform in Ukraine is carried out taking into account modern strategies of effective state policy in this area and is consistent with the main directions of the new European Health Policy «Health 2020». At the same time, the development of the public health system in Ukraine has not yet become a priority of public health policy. One of the necessary steps towards the development of a national public health system and the creation of favorable conditions for the implementation of the European Action Plan for Capacity Building and Public Health Services in Ukraine approved by the WHO Regional Office for Europe is the adoption of the draft Law of Ukraine «On Public Health System» I. Adoption of this Law will ensure the implementation of public policy in public health at the level of the state, regions and community levels and will promote the adaptation of domestic legislation in this area to the legal system of the European community.