https://ppa.ztu.edu.ua/ <p>The journal "<strong>Public Policy and Accounting</strong>", founded in 2020, publishes scientific articles devoted to problematic issues at the intersection of accounting, public policy and international relations. Preference is given to articles that highlight the impact of accounting on public policy and vice versa, as well as research that reveals the connection between public policy and international relations, including economic ones. The topics covered in the journal cover the interaction of accounting with public administration and economic regulation, with political science, sociology and law, as well as the impact of public policy on the formation of international economic relations and international cooperation in general.</p> <p>The purpose of the journal is to promote the rapid dissemination of sound research in the field of coherence of accounting, public and state socio-economic policy and their projection on international relations and global economic processes. The journal focuses primarily on the content and depth of the research, on the author's own vision of solving the problematic issues raised.</p> <p>The edition is included into “The list of scientific editions of Ukraine enabling the publications of theses results for obtaining scientific degrees of Doctor and Candidate of Sciences” of Category “B”.</p> <p><strong>Scientific profile of the publication:</strong> Economic transformations, business and administration.</p> <p>Editorial board considers the original scientific articles in the following directions:</p> <ul> <li>Economics and International Economic Relations;</li> <li>Accounting and Taxation;</li> <li>Public Management and Administration;</li> <li>International Relations.</li> </ul> <p>The journal is a peer-reviewed edition supporting the <strong>policy of a free access</strong> to the scientific publications.</p> <p><strong>Publisher:</strong> State University "Zhytomyr Polytechnic" (EDRPOU code 05407870).</p> <p><strong>Periodicity of publication:</strong> 2 times per year</p> <p><strong>Language of the edition:</strong> English</p> <p>State registration information: entered into the State Register of Entities in the Online Media Sector (Decision No. 665 of the Minutes No. 8 of the Meeting of the National Council of Ukraine on Television and Radio Broadcasting dated March 27, 2025)</p> <p>Online Media Identifier: R40-05917</p> <p><strong>ISSN</strong> 2708-5236 (Online)</p> <p><strong>DOI:</strong> 10.26642/ppa</p> <p><strong><strong>Address of editorial office: </strong></strong>103, Chudnivska str., Zhytomyr, 10005, Ukraine<strong><strong><strong><br /><strong>Tel.:</strong></strong> </strong></strong>0412 41-39-87<strong><strong><br /><strong>E</strong><strong>-</strong><strong>mail</strong><strong>: </strong></strong></strong>rvv@ztu.edu.ua<strong><br /></strong></p> Zhytomyr Polytechnic State University en-US Public Policy and Accounting 2707-9325 <ol type="a"><li>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li><li>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li></ol> https://ppa.ztu.edu.ua/article/view/359992 <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> Anton Kurbanov Copyright (c) 2026 Anton Kurbanov http://creativecommons.org/licenses/by-nc/4.0 2026-02-12 2026-02-12 1(13) 3 21 10.26642/ppa-2026-1(13)-3-21