Aim: To analyse the effectiveness of the National Health Service of Ukraine, which performs the functions of a purchaser of medical services and medicines under the Medical Guarantees Programme during wartime, as well as to identify and characterise the key challenges it faces and to propose effective solutions based on statistical data and comparative analysis concerning the provision of high-quality and effective medical care to the population, along with suggesting the development of promising directions for improving the performance of the National Health Service.. Materials and Methods: Retrospective, analytical, and modelling methods were used to assess the main processes related to the activities of the National Health Service of Ukraine as a key actor in the financing of medical services within the healthcare system under martial law conditions in Ukraine. Through the use of synthesis and modelling methods, recommendations for the further reform of the National Health Service were developed, along with proposals for the development of promising directions to enhance the effectiveness of its activities. Conclusions: The study confirmed the need to define the directions for enhancing the effectiveness of the National Health Service of Ukraine as a purchaser of medical services and medicines under the Medical Guarantees Programme during martial law. One such direction is the improvement of logistics under wartime conditions and its restoration in the post-war period, which can be outlined as follows: (a) ensuring the active digitalisation of logistics processes; (b) decentralising warehouses; (c) creating mobile medical units; (d) providing personnel training; and (e) preparing appropriate legislative regulation.
Strelchenko et al. (Wed,) studied this question.