The Impact of the Crisis on the Mechanisms of Public Management in the Field of Health Care: An Overview of the Problem

This article examines the impact of the crisis caused by the Russo-Ukrainian war on the transformation of public administration mechanisms in the health care sector.The paper states that war, as a factor of societal crisis, significantly influences all aspects of social life, causing profound changes in social, economic, political, and cultural spheres.The negative consequences of the war are manifested in the destruction of medical infrastructure, loss of human capital, increased expenses, decreased accessibility and quality of medical care, disruption of normal functioning of management institutions and national services, as well as psychological and social discomfort among medical workers and citizens.However, despite these negative consequences, the crisis situations arising from the war also stimulate the search for and implementation of new approaches in management, which can help overcome challenges and adapt to changed living conditions.The article presents the structure of public administration mechanisms in the health care sector.The author argues against the unequivocal definition of state administration mechanisms as identical to those of public administration.The author emphasizes the uniqueness that characterizes both the health care sector and the field of public administration and proposes that public administration mechanisms in the health care sector should include: strategic planning, normative-legal provision, financing and budgeting, organization of medical services provision, monitoring and evaluation, quality and safety assurance of medical aid, promotion of a healthy lifestyle, public participation in decision-making, use of innovative technologies, international cooperation, personnel training and development, and ethical-legal mechanisms.The article presents statistical data characterizing the critical condition of the health care sector caused by the Russo-Ukrainian war, based on which the author systematically addresses challenges in the health care sector under war conditions.Relying on the analysis of statistical data, sociological research, and management experience, the author substantiates ways to transform public administration in the health care sector, the main ones being: raising requirements for leadership and management skills; flexibility and adaptability in management; increasing transparency and communication; decentralization of management decisions; development and implementation of readiness plans for crises; risk assessment and management; post-crisis analysis; integration of different sectors of society; use of information technologies; integration of international experience and development of international cooperation.