Field Of Care Research Articles

Anti-interference flexible temperature-sensitive/strain-sensing aerogel fiber for cooperative monitoring of human body temperature and movement information

In recent years, multi-functional flexible sensing fibers capable of detecting various physical and chemical stimuli capabilities have made significant advancements. However, the cross-sensitivity of the sensing materials to other stimuli can considerably reduce their sensitivity and accuracy of these multifunctional fibers. In this study, we initially fabricated a blending type (BAF) and a core-sheath type (CAF) strain-sensing aerogel fiber using an optimized one-step wet spinning process. Then, we coated the aerogel fiber with cholesteric liquid crystal as the middle layer and waterborne polyurethane as the outer layer to obtain a temperature-sensitive/strain-sensing aerogel fiber (TSAF). TSAF demonstrates distinct multi-model strain sensing performance, enabling the detection of tensile strains (0.1–111.5 %), bending strains (40°–160°), and compression strains. Moreover, within the ultra-narrow temperature range of 34 °C–38 °C, TSAF undergoes reversible color transformations from yellow-green-blue-purple, against both bright and dark backgrounds. This unique feature offered high sensitivity, rapid response time, and diverse color variations. By integrating fibers into clothing, a collaborative sensing system can be established to simultaneously monitor human physiology and movement information. These advancements hold significant potential for applications in smart clothing, medical care, and other fields.

Tensions, coherence, and/or progress in early childhood teacher education (ECTE) in the Nordic countries

This special issue provides some needed insight into the tensions, coherence, and/or progress in early childhood teacher education (ECTE) in the Nordic countries. These topics warrant exploration due to complex, and at times contradictory educational landscapes, which must deal with the question of how to generate comprehensive, coherent, and interdisciplinary education programs. Drawing on studies utilizing different theoretical perspectives on tensions, coherence, and progress in higher education, and with the use of a variety of research methodologies, the Nordic authors in this special issue expand our knowledge on current issues and tendencies in ECTE in Sweden, Norway, Denmark, and Finland. In light of the great importance of and real challenges in the field of early childhood education and care, the question of how to educate early childhood education teachers is highly relevant, and requires more research in, and reflection on, how these teachers are educated. This special issue draws specific attention to opportunities and challenges in ECTE, which has so far received limited research attention.

Durable and biocompatible low adhesion wound dressing material based on interfacial behaviors for wound management

Wound-dressing adhesion is a problem that has not been effectively addressed in the field of wound care for bleeding or burn wounds. Design of low adhesion wound dressing materials by leveraging interfacial behaviors has been an effective solution to this problem. However, previously reported superhydrophobic low adhesion materials either had durability or biocompatibility issue. To bridge this gap, this study presents a durable and biocompatible superhydrophobic low adhesion wound dressing material, which is designed on a normal gauze substrate with biocompatible components using a hybrid coating strategy. Outstanding low adhesion properties have been verified in vivo with bleeding wound or burn wound, with a peeling force that is only 0.3 %-14.5 % of the conventional non-woven gauze. Prepared low adhesion materials can robustly retain their superhydrophobicity and blood-repelling properties against harsh tests. Moreover, their biocompatibility has been confirmed through a series of tests including cell biocompatibility, hemolysis and skin irritation tests. With these demonstrated merits, the durable and biocompatible low adhesion material developed in this study will provide an effective solution to the wound adhesion problem in the practice of wound management.

З когорти «святих лікарів»: Володимир Павлович Бобін

The article highlights the life path of Volodymyr Pavlovich Bobin (1858-1925), one of the leading doctors of Kharkiv at the end of the 19th and the first quarter of the 20th centuries. Various aspects of his ascetic activity are analyzed including his role as medic-manager of the outpatient clinic and hospital of the Kharkiv Medical Society, a doctor of the Kharkiv Third Men's Gymnasium, speaker of the City Duma, etc. The provided testimonies of the contemporaries of «holy doctor» are revealing his influence on colleagues. The innovations of V.P. Bobin in the field of medical care for schoolchildren is also vastly explored as well as the overall significance of Volodymyr Bobin for the history of medicine in Ukraine, as well as the history of Kharkiv. The work is accompanied by the publication of rare photographs and documents.

Effects of physical activity on blood pressure and mortality among aged hypertensive patients: A cross-sectional study.

Previous research on physical activity (PA) has mostly concentrated on a single or small number of activities, with scant coverage of the effects of PA on hypertension (HTN) and all-cause mortality. Most studies examining HTN in the elderly have been too small or shown contradictory findings. We conducted a cross-sectional study using 10 cycles of the National Health and Nutrition Examination Survey data from 1999 to 2018. Our sample consisted of respondents aged 65 years or older with HTN, who underwent thorough in-person home interviews. We used a questionnaire to assess their PA levels and divided them into 2 groups: physically active and inactive. We then used logistic analysis to determine the association between PA and death in HTN patients. The gender distribution was nearly equal among the 11,258 participants, with a mean age of 74.36 ± 5.88 years. Nearly 80% of the survey respondents identified as non-Hispanic White. Patients in the physically active group were less likely to suffer from co-morbidities than those in the inactive group. A negative correlation was found between physically active and systolic blood pressure (P < .0001) and a positive correlation between physically active and diastolic blood pressure (P = .0007). There was a much higher risk of death from any cause and heart disease in the inactive group in the uncorrected COX model (HR 2.96, CI 2.65-3.32, P < .0001; HR 3.48, CI 2.64-4.58, P < .0001). The risk of death from any cause and HTN mortality was still significantly higher in the physically inactive group, even after controlling for age, sex, and race or taking all covariates into account. These results have the potential to significantly impact healthcare practices, particularly in the field of geriatric care, by emphasizing the importance of PA in reducing the risk of HTN and mortality in aged patients. The present study underscores the significant benefits of PA in patients aged 65 years and older with HTN. Notably, it was found to reduce systolic blood pressure and have a positive impact on the decrease of all-cause and hypertensive mortality. These findings highlight the crucial role of PA in the health and longevity of aged patients with HTN.

The modern aspects of network form of implementation of educational programs in health care.

The network form of implementation of educational programs in health care or network form of education, is an innovative approach to educational process that is actively applied in medical and adjacent universities to improve quality of future specialists training. This approach implies cooperation of various educational and scientific institutions, such as universities, research institutes, medical organizations, as well as application of electronic resources and remote technologies. The article considers legislative regulation of implementation of online form of educational programs and application of online form of education in the field of health care in the Russian Federation. The results of study carried out in scientific and educational laboratory of Educational Development of the Siberian State Medical University that allows to evaluate implementation of individual educational programs in medical schools in Russia are considered. The Russian projects of online forms of interaction in health care that significantly contribute into development of health care are considered in terms of training professional personnel.

Telemedicine: Future of the healthcare system and its impact on patient satisfaction: A literature review

ABSTRACT Background and Objectives: The utilization of telemedicine has increased dramatically since the onset of the COVID-19 pandemic. In this review, we examined studies published within the past five years that investigated the impact of telemedicine on patient satisfaction. Methods: Four investigators utilized PubMed and Google Scholar to find studies published within the past five years that assessed patient satisfaction with telemedicine in the field of adult primary care, using either the Press Ganey or CAHPS surveys. Studies that compared cost and quality of care between telemedicine and in-patient healthcare were also included to address the secondary aims of this study. Results: A total of 11 studies out of the 405 that were investigated were selected for this review. Five studies found no significant difference in patient satisfaction between telemedicine and in-person medicine, with one of those showing a patient preference for telemedicine. One study demonstrated significantly higher satisfaction with in-person medicine vs. telemedicine. Another study found that most physicians and patients reported no perceived difference in quality of care between telemedicine and in-person visitation. One study found no difference in patient satisfaction with telemedicine between immigrants and non-immigrants. Another study showed that patients have higher satisfaction when using telemedicine with their PCP vs. an unfamiliar provider. Two studies found telemedicine to be cost-effective. Conclusions: Our review concludes that patient satisfaction with telemedicine is not inferior to that with in-person visits. However, further research should be conducted to determine various factors that may affect patient perception and satisfaction.

Development and feasibility of a sex- and gender-sensitive primary care intervention for patients with chronic non-cancer pain receiving long-term opioid therapy (GESCO): a study protocol

BackgroundChronic non-cancer pain (CNCP) is a common condition worldwide. The disease burden is influenced not only by pain itself, but also by psychiatric co-morbidities, which aggravate symptoms, generally negatively influence therapies, and may thereby lead to frustration, resignation, or withdrawal. A growing body of evidence suggests that sex and gender aspects influence CNCP management as the experience of pain, the emotions associated with it, and the expression of pain may differ between women and men. In addition, doctor-patient communication is known to be influenced by gender stereotypes. Despite there being evidence on such differences, current guidelines do not consider sex- and gender-sensitive approaches. In order to examine how to adequately address the diversity of the experience and processing of pain in patients of differing sex and gender, the GESCO study aims at developing and pilot testing a sex- and gender-sensitive intervention for patients with CNCP receiving long-term opioid therapy (LTOT) in primary care.MethodsThe development process is designed in accordance with the first two phases of the UK Medical Research Council. Phase I will iteratively explore, develop, and pilot the intervention’s modules using literature searches, interviews, and workshops involving stakeholders and experts. Phase II will pilot-test the novel intervention in a sample of 40 patients with CNCP under LTOT from ten general practices using an effectiveness-implementation hybrid design including a mixed-methods process evaluation focusing on implementation strategy criteria and a single-arm, pre-post comparison to determine preliminary effects in preparation for a larger effectiveness trial. The intervention will combine in-person educational sessions for general practitioners and tools to be used in patient care.DiscussionThe intervention aims to improve CNCP management in primary care by empowering practitioners to reflect on their attitudes towards pain and stereotypes. Besides sex and gender aspects, awareness of other factors that might affect the care process, such as age, social conditions, or culture, is also promoted. The intention is to develop a comprehensive care concept for CNCP that considers aspects relevant for sex- and gender-sensitive care which are transferrable to other health care fields as well.Trial registrationGerman Clinical Trial Register DRKS00029980.

Research on Motion Patterns of Soft Robots Based on Bionic Structure

Bionic soft robot is a new type of robot whose main body is composed of flexible material, with the advantages of adjustable size and strong environmental adaptability, which has a broad application prospect in logistics, medical care, resource exploration and other fields. Novel smart materials also shine in the design of soft robots. This paper highlights the research advancements in the locomotion patterns of bionic soft robots. The mechanism of movement of animals such as inchworms, starfish, earthworms, etc. and the soft robots designed to imitate them are introduced. Novel smart materials required to realise these designs, such as Shape Memory Alloy (SMA), dielectric elastomer (DE), a collapsible actuator (PFA), pNIPAM/CNTs hydrogel composite, are also presented. Methods to drive and control the motion of these soft robots are presented, including thermally driven shape memory alloys, pneumatic airbags, and laser-driven, magnetic field-driven, and electrically driven dielectric materials, among other types. After discussing the materials and methods, the current challenges to the innovation of motion patterns for bionic soft robots are analyzed.

Growing Need for Web-Based Simulation in Low and Middle-Income Countries: A Narrative Review

Web-based simulation programs are poised to offer a productive means of delivering asynchronous training in healthcare professionals’ education. Similarly, web-based simulation programs could also sponsor specialty-specific, web-based fellowships for clinicians of low- and middle-income countries. Web-Based Simulation has been utilized for instruction in critical care fields such as emergency medicine and pediatric anesthesia. Studies have shown that enhanced self-reported knowledge and confidence have been achieved through tele simulation which is in line with in-person simulation. During the COVID-19 pandemic, simulations have helped clinicians hone their use of personal protective equipment and other infection control measures. Additionally, it has helped them in learning new and expanded roles, like processing equipment and assisting infected patients in prone position experiencing respiratory failure. However, web-based simulation programs also have unique challenges that must be satisfied: reliable broadband internet network access, multilingual capability, and programming quality. Studies indicate that cost-effective simulation training can be delivered to learners in remote, low-resource areas worldwide, including South Asia, where access to such education is limited. We aimed to explore the effectiveness, challenges, and strategies for implementing web-based simulation education in low- and middle-income countries, based on a thorough PubMed search focused on web-based simulation programs in medical education.

МАРКЕТИНГОВЫЙ АНАЛИЗ АССОРТИМЕНТА ОСНОВНЫХ МОНОПРЕПАРАТОВ, ПРИМЕНЯЕМЫХ ДЛЯ ТЕРАПИИ РАССТРОЙСТВ СНА

In recent years, many studies have noted that the number of occurrence of various sleep disorders is increasing among the population, while such problems as self-medication, untimely access to a doctor, the presence of concomitant diseases, the development of acute forms of disorders into chronic ones are highlighted, all this affects the quality and life expectancy of the population and makes it relevant to study pharmacotherapy of drugs for the treatment of these disorders in the field of pharmaceutical care [1-6; 11]. The purpose of the study was to establish a list and conduct a marketing analysis of the assortment of the main groups of monopreparations used for the treatment of sleep disorders presented on the domestic pharmaceutical market for their subsequent use in more extensive comprehensive marketing research in the context of sleep disorder therapy. The materials for the study were data from the State Register of Medicines and regulatory documents reflecting the attitude of objects to accounting and control of their sale on the market. The following methods were used: comparisons, systematization, grouping, statistics, as well as structural and assortment analyses. The article presents the results of a study of the Russian market of monopreparations of this orientation. The systematization of the main monopreparations was carried out, as a result, 7 groups were identified, which include 25 international nonproprietary names of medicines represented by 78 trade names, the proportion of manufactured drugs within each group and relative to the total number of trade names were calculated. The next step was to analyze the conditions for the release of drugs, their inclusion in lists reflecting accounting and control during implementation in accordance with regulatory documentation. In conclusion, it is noted that the obtained ranking data and the corresponding calculations will serve as a basis for further research in the field of the pharmaceutical market of drugs used for sleep disorders.

Editorial introductions

Current Opinion in Supportive and Palliative Care was launched in 2007. It is one of a successful series of review journals whose unique format is designed to provide a systematic and critical assessment of the literature as presented in the many primary journals. The fields of supportive and palliative care are divided into 12 sections that are reviewed once a year. Each section is assigned a Section Editor, a leading authority in the area, who identifies the most important topics at that time. Here we are pleased to introduce the Journal’s Section Editors for this issue.

Melanin Hydrogel Inverse Opal Microneedle Patches for Wound Healing.

Bacterial infected wounds bring an economic burden to the worldwide medical care field. A variety of bioactives-integrated hydrogel patches are developed in response to this challenge. Here, the melanin hydrogel inverse opal microneedle patches (MNs) with antioxidant and visual color sensing abilities for the management of bacterial infected wounds are proposed. The MNs are fabricated by applying melanin-loaded polyethylene glycol diacrylate (PEGDA) as the inverse opal hydrogel and using bacitracin-carried gelatin to fill those nanopores of hydrogel scaffold. Benefitting from the antioxidant capacity of melanin nanoparticles and the local antimicrobial ability of bacitracin, the resulting MNs possess the integrated functions of reactive oxygen species scavenging and antibacterial. Besides, the inverse opal structure endows the MNs with vivid structure color and detectable reflected wavelength, which can gradually shift with the release of the drug, thus allowing MNs to assess the drug delivery. Based on these characteristics, MNs perform excellent in in vitro drug delivery and monitoring, as well as the promotion of bacterial infected wound recovery in vivo, indicating the potential of MNs in the future wound management field.

Evaluation of the Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP) for People Living With Cognitive Impairment and Dementia in Care Homes.

Major knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community-based rehabilitation model for care homes, namely Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP), by examining whether (and, if so, how) I-CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia. I-CHARP is a 4-month bio-behavioural-environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8-12 full individual sessions and additional eight brief follow-ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi-experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing/gathering information on the intervention (I-CHARP) and related outcomes in three cycles. Participants include residents (aged ≥ 60 years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi-structured interviews/focus groups with intervention site staff, regular visitors and managers will provide further insights into I-CHARP processes and implementation issues. In the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes. Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088. 1.0 dated 20 July 2023.

Training for migrant live-in care workers in Austria: results from an online survey

Abstract Background In Austria, almost 60.000 migrant “24-hour” live-in caregivers work in two- or four-week shifts, travelling between Austria and their countries of origin (mostly Romania, Slovakia, Croatia, Hungary and more) to care for frail older people at home. As opposed to other social and healthcare professions, live-in care workers do not require any formal training at all to be able to work in Austria. Methods With the aim of gaining an in-depth insight into the working conditions of live-in caregivers and with the aim of recording their problems and needs, an online survey including 40 questions was conducted from 15 July to 15 September 2023 in four languages (Slovak, Romanian, Bulgarian and German). The study is part of the MigraCare project which focuses on improving working and living conditions for migrant live in care workers. Results Results show that many live-in caregivers are not fully aware of their job profile: what are nursing and medical tasks they are only allowed to do when delegated by professional healthcare staff? Most respondents have to take on tasks that are outside their job profile. Many state that it is difficult to care for people with dementia. In addition, some caregivers report physical and psychological violence and sexual harassment. Most wish for training possibilities regarding topics like dementia, communication with client and family, legal framework regarding their job in the long-term care sector and others. Conclusions Live-in care workers wish for continuous education activities and for a better relationship with the family relatives and the care recipient. Based on the results of the survey short multilingual training videos have been developed easily accessible on a video platform for live-in care workers. Also, a connection to community nurses has been established in order to improve communication between care recipient, family members and live-in care workers. Key messages • Results from an online survey show that live-in care workers face challenges at work which are partly due to an unclear job profile as well as communication problems with the care recipient. • Results of an online survey show that live-in care workers wish for education and training opportunities (mother tongues) in the field of dementia care, communication with family or legal framework.

دور القيادة في تعزيز الابتكار داخل المؤسسات الصغيرة والمتوسطة: دراسة حول كيفية تأثير أساليب القيادة المختلفة على معدلات الابتكار في المؤسسات الصغيرة والمتوسطة

This study examined the role of leadership in fostering innovation within small and medium-sized enterprises (SMEs), focusing on the importance of effective leadership in driving creativity and improving organizational performance. Leaders in SMEs face various challenges related to limited resources and competitiveness in rapidly changing markets. This study analyzes the impact of different leadership styles, such as transformational and motivational leadership, on innovation development in these enterprises. These results were analyzed, and they relied heavily on leadership to encourage contribution, at a rate of 48%, and appeared creative in innovation, as 44.9% of the participants in the questionnaire were, and they only participated in an integral part of the institutions’ culture, and some participants also participated in being involved significant support was not completed, as 34.7% was not completed. The findings reveal that leaders who adopt inspirational leadership styles and encourage creative thinking contribute directly to enhancing innovation levels and increasing the organization's competitiveness. The study offered recommendations to enable leaders to foster an innovative environment by promoting open communication, supporting new experiments, and investing in skill development descriptive principle of Newton's analysis, the questionnaire tool, was used, and the data was analyzed using the Excel program, and several results were reached, the most prominent of which are: that institutions rely heavily on leadership for encouragement, that practicing commerce is important in supporting creative and innovative employees, and that leadership is a small commercial institution. She works largely in the field of health care, and ended up studying after being among the top achievers: Promoting a creative work environment, encouraging effective communication, encouraging cooperation between different teams.

FEATURES OF THE MODERN HEALTHCARE MANAGEMENT SYSTEM

The article examines different approaches to the essence of the concepts of «management», «health care management», etc., based on which the interpretation of the concept of «health care management» is proposed. Conceptualization of the content of the terms «management» and «administration» is of great importance for the development of the conceptual and categorical apparatus not only of the theory of management and science in general, but also of modern branch theories. The variety of approaches is caused by the conditions of functioning of modern management systems in the field of health care, which is caused by the continuation of the reformation of the management system of the industry, the addition of the legal framework, the search for sources of financing, personnel support, and the development of infrastructure in most modern states. The article analyzes the object and subject of health care management as mandatory components of the structure of the health care system. The content of the main functions and methods of management in the field of health care is revealed. The interrelationship of functions and methods depending on the level of management and the applied model of organization of the health care system is analyzed. It is emphasized that the presence of different types of health care models depends not only on the method of financing and management, but also on the conformity of this model to the cultural, economic and social characteristics of the nation and the state. It is indicated that modern states, which continue the process of reforming the health care sector, can use the best practices of each of the presented models to create an effective and accessible system of medical care, capable of responding to modern challenges, with an effective management system. It has been established that the management system of the health care sector should be based on a number of scientific approaches that will allow taking into account all factors of the internal and external environment. It has been proven that the need to form an optimal management system is an important element of transformational processes in the field of health care. Today, the field of health care should be aimed at developing the capacity of health care institutions to meet the established quality standards, offer a favorable environment for the activities of medical workers, and meet the existing needs of citizens.

The application and challenges of different face recognition technologies in the three major fields of security, social media, and medical care

Abstract. Face recognition technology is a very important part of modern technology, which can not only be used to ensure security, but also can be used in the field of information organization and content division. However, with the popularization and application of face recognition technology, many problems that need to be solved urgently have emerged: excessive computing resources are consumed in order to pursue high-precision recognition, which brings computing pressure; The basis for improving recall is the need for a lot of power and memory; If security is not guaranteed, it can cause problems such as data breaches. The demand for face recognition technology is different in different use fields, so the purpose of this study is to combine the scene requirements and technical advantages more reasonably. The research results are as follows: the high accuracy and recall rate of 3D convolutional neural networks (3DCNNs) ensure that it can be used safely in high-precision and high-security scenarios. Lightweight Convolutional Neural Network (MobileNetV2) is suitable for resource-constrained environments due to its low memory consumption and low communication cost. Edge computing real-time face recognition (EC-RFERNet) is the most suitable for large-scale popularization and application among the three because of its lowest power consumption and latency. This study deeply explores the advantages and disadvantages of different facial recognition technologies and finds solutions to their shortcomings. According to their unique advantages combined with the requirements of commonly used scenarios, it provides a scientific basis for the deployment of face recognition technology in different fields. However, due to limited information, this paper cannot cover all application scenarios and the latest technologies, so it is hoped that in the future, we can combine the advantages of different technologies to develop more comprehensive face recognition technology and make more reasonable technical planning.

Serious Games for Improving Mental Health: Status and Prospects

With the rapid development of time and technology, the significance of digital game development cannot be underestimated. In today's era, games have permeated thousands of households, encompassing a wide range of genres. They are no longer solely entertainment products but also can be applied in education, medical care, learning, scientific research, and other fields. Research indicates that serious games (games designed to teach knowledge and skills or provide professional training and simulation) can effectively improve mental health. This review discusses the current status and future prospects of serious games in promoting mental health. It presents a comprehensive classification of serious games by integrating several literature resources, synthesizing information and data analysis to investigate their effectiveness in improving mental health outcomes. The findings show that serious games play a certain role in the treatment of mental illness. However, the current body of research is not without limitations, as there exists a dearth of controlled experiments comparing the efficacy of serious games to other types of games and investigating the effectiveness of gamification techniques. To address these gaps, researchers and designers should further prioritize approaches such as emotional design and participatory design. Additionally, leveraging emerging technologies like virtual reality can facilitate the development of adaptable game designs and methodologies that align with evolving societal needs.

PUBLIC ADMINISTRATION POLICY IN THE HEALTHCARE SECTOR UNDER MARTIAL LAW

The article analyzes the main directions of public administration in the field of health care of Ukraine during martial law. The main focus is on the adaptation of the legislative framework and the modernization of management approaches, which allow to ensure the effective functioning of the health care system in crisis situations. The issue of creating mobile medical teams and hospitals, which are the main tool for providing medical care in front-line and de-occupied areas, was considered. The contribution of international organizations to the support of the Ukrainian medical system in terms of supplying medical equipment, medicines and providing financial assistance is analyzed. The key normative legal acts, which were adopted from 2022 and contributed to the adaptation of the medical system to new challenges, were studied. Features of the functioning of the Resolution of the Cabinet of Ministers No. 302, No. 683, No. 1078 and others are given. Particular attention is paid to the digitization of health care, the implementation of electronic medical records in order to ensure the prompt provision of medical services. The problems of medical institutions in the front-line zones, including the destruction of more than 700 hospitals, and ways to solve the logistical problems of the supply of medicines were considered. A conclusion was made regarding the further development of public administration in the field of health care based on the integration of international and national resources, improvement of digital technologies and modernization of medical infrastructure. Ensuring adequate funding of the health care system, which includes the health insurance program, emergency and specialized medical care, is revealed, which is a priority in the 2023 budget. The article examines the influence of international humanitarian organizations on the support of the Ukrainian health care system in the conditions of military operations. The basis for the development of long-term strategies for the recovery of medical facilities after destruction and their equipment with modern technologies is proposed. Aspects of integration of digital solutions to ensure the continuity of medical services in the most difficult conditions have been studied.