Methodology of public administration of healthcare system potential

Abstract

The article explores the theoretical and methodological foundations of public administration of the healthcare system potential as a complex multi-level object of public administration. The expediency of applying a systemic approach is substantiated, which allows considering the potential of the healthcare system as an integrated set of interconnected elements and relationships that form its holistic properties and determine the effectiveness of its functioning. It is determined that the potential of the healthcare system is not reduced to a set of social relations, but acts as their qualitative characteristic, reflecting the system's capacity to provide an appropriate level of medical services, public health, and efficient use of resources.

The content of the public administration methodology is revealed through the interaction between the subject and the object of management, as well as through a set of methods, goals, functions, and resources. The composition of public administration subjects−which include central executive bodies, regional administration, and local self-government−is systematized, and their role in the formation and implementation of state healthcare policy is defined. Particular attention is paid to the differentiation and characterization of the potential’s components: human resources, financial, and infrastructural.

The paper proposes a classification of methods for public administration of the healthcare system potential by the nature of impact (direct and indirect), content (administrative, economic, socio-psychological, and others), form of implementation (legal and organizational), and orientation. It is proved that management efficiency is ensured by a combination of imperative and stimulating instruments of influence, as well as the implementation of modern digital, strategic, and program-target methods.

The importance of feedback as a key element of the methodology, implemented through monitoring, performance evaluation, and adjustment of management decisions, is separately substantiated. It is established that the transformation of the public administration methodology should be based on adaptability, consistency, and orientation toward the strategic development goals of the healthcare system in the face of modern challenges.