Financial Instruments of Public Administration for the Digital Transformation of Healthcare in Ukraine
DOI:
https://doi.org/10.26642/ppa-2025-1(11)-75-81Keywords:
digital transformation, healthcare, financial support, public governance, digital health, venture capital financing, investments, digital maturity, telemedicine, digital platformsAbstract
The article substantiates the theoretical and applied foundations for the formation of financial instruments of public governance in the digital transformation of the healthcare system. It is proven that healthcare digitalization in modern conditions is not only a technological process, but a comprehensive direction of transformation of the medical sector, encompassing changes in financing mechanisms, organization, monitoring, data management, and ensuring the resilience of the healthcare system. The study generalizes the evolution of approaches to healthcare financing, clarifies the content of the categories health financing, digital health funding, and eHealth, and outlines the role of digital maturity, interoperability, cyber resilience, and a patient-centered approach in shaping the modern architecture of financing digital change.
The international experience of financial support for digital transformation of healthcare systems is analyzed, revealing that the most effective models are based on a combination of budgetary, insurance, program-targeted, grant, credit, and private investment instruments. It is established that, on a global scale, financial flows in digital healthcare are distinctly differentiated, and their concentration depends on the institutional capacity of the state, the level of digital maturity, and the coordination between public and private stakeholders.
Special attention is paid to the analysis of the current state of digital transformation of the healthcare system in Ukraine. It is proven that Ukraine has already formed a mixed, multi-channel financial architecture for healthcare digital transformation, combining the Medical Guarantees Program, program-targeted instruments of the Ministry of Health, international credits, loans, grants, technical assistance, and local co-financing. It is substantiated that the electronic healthcare system serves as the core infrastructure for electronic contracting, digital verification of services, analytics, e-prescriptions, monitoring, and cybersecurity. Key directions for improving financial instruments of public governance in healthcare digital transformation are identified, including budget-program separation of digital components, development of results-based financing, coordination of mixed funding sources, territorial equalization of digital capacity, and strengthening monitoring, control, and cybersecurity mechanisms.
References
Musgrove, P. (2004), «Health economics in development», World Bank, Washington, DC, [Online], available at: https://openknowledge.worldbank.org/handle/10986/14953
Kutzin, J. (2013), «Health financing for universal coverage and health system performance: Concepts and implications for policy», Bulletin of the World Health Organization, Vol. 91, No. 8, pp. 602–611, doi: 10.2471/BLT.12.113985.
Barroy, H., Yameogo, P., Blecher, M., Sabignoso, M., Piatti, M. and Kutzin, J. (2024), «Public financial management: A pathway to universal health coverage in low- and middle-income countries», Health Systems & Reform, Vol. 10, No. 3, Article 2368051, doi: 10.1080/23288604.2024.2368051.
Carnicero, J. and Serra, P. (2020), «Governance for digital health: The art of health systems transformation», Inter-American Development Bank, Washington, DC, doi: 10.18235/0002661.
Romaniuk, P. and Semigina, T. (2018), «Ukrainian health care system and its chances for successful transition from Soviet legacies», Globalization and Health, Vol. 14, Article 116, doi: 10.1186/s12992-018-0439-5.
Knysh, S.V., Gusarov, S.M., Shelukhin, N.L., Kharaberiush, I.F. and Bila, V.R. (2019), «Modernization of state administration system in the health care sphere of Ukraine», Wiadomości Lekarskie, Vol. 72, No. 5, pp. 887–891, doi: 10.36740/wlek201905129.
«Expenditure on healthcare in Ukraine from 2014 to 2029 (in million U.S. dollars)», Statista, [Online], available at: https://www.statista.com/forecasts/1149013/healthcare-spending-forecast-in-ukraine/
«Health Indicators», Statista, [Online], available at: https://www.statista.com/outlook/co/health-indicators/ukraine#healthcare-resources
Cabinet of Ministers of Ukraine (2018), On certain issues of the electronic healthcare system, Resolution No. 411 of 25.04.2018 r., [Online], available at: https://zakon.rada.gov.ua/go/411-2018-%D0%BF
Cabinet of Ministers of Ukraine (2020), On approval of the Concept for the Development of eHealth, Order No. 1671-r of 28.12.2020 r., [Online], available at: https://zakon.rada.gov.ua/go/1671-2020-%D1%80
Cabinet of Ministers of Ukraine (2024), On amendments to the Concept for the Development of eHealth, Order No. 857-r of 6.09.2024 r., [Online], available at: https://zakon.rada.gov.ua/go/857-2024-%D1%80
Cabinet of Ministers of Ukraine (2021), On approval of the Action Plan for the implementation of the Concept for the Development of eHealth, Order No. 1175-r of 29.09.2021 r., [Online], available at: https://zakon.rada.gov.ua/go/1175-2021-%D1%80
Cabinet of Ministers of Ukraine (2025), On approval of the Healthcare System Development Strategy until 2030 and the operational action plan for its implementation in 2025–2027, Order No. 34-r, [Online], available at: https://zakon.rada.gov.ua/go/34-2025-%D1%80
National Health Service of Ukraine, «Statistics on electronic medical records in eHealth», [Online], available at: https://nszu.gov.ua/dashboards/statistika-vedennia-elektronnix-medicnix-zapisiv-v
«Grant Agreement of the Multi-Donor Trust Fund for Support, Recovery, Reconstruction and Reform of Ukraine (Transforming Healthcare through Reform and Investments in Efficiency Project) between Ukraine and the International Bank for Reconstruction and Development and the International Development Association acting as administrator of the Multi-Donor Trust Fund for Support, Recovery, Reconstruction and Reform of Ukraine» (2024), Agreement of December 10, 2024, [Online], available at: https://zakon.rada.gov.ua/go/996_018-24
«Loan Agreement (Transforming Healthcare through Reform and Investments in Efficiency Programme) between Ukraine and the International Bank for Reconstruction and Development» (2024), Agreement of December 10, 2024, [Online], available at: https://zakon.rada.gov.ua/go/996_019-24
National Health Service of Ukraine, «How the Medical Guarantees Programme will be implemented in 2024», [Online], available at: https://nszu.gov.ua/news/iak-realizovuvatimetsia-programa-medicnix-garantii-1
Ministry of Health of Ukraine (2025), «This year, the financing of the Medical Guarantees Programme will amount to more than UAH 175.5 billion», [Online], available at: https://moz.gov.ua/uk/cogorich-finansuvannya-programi-medichnih-garantij-sklade-ponad-175-5-mlrd-grn-prem-yer-ministr-denis-shmigal-na-zasidanni-uryadu
Ministry of Health of Ukraine (2025), «Budget request for 2026–2028», [Online], available at: https://moz.gov.ua/uk/byudzhetnij-zapit-na-2026-2028-roki
Ministry of Health of Ukraine (2025), «International technical assistance», [Online], available at: https://moz.gov.ua/uk/mizhnarodna-tehnichna-dopomoga
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