Models of quality management in maternal health care

Objective. To analyze current models of quality management in the maternal health care system, to identify key organizational and social determinants influencing the effectiveness of maternal and perinatal care, and to summarize international and national approaches to improving the quality and safety of obstetric and gynecological services. Methods. A comprehensive literature review for the period 2010–2025 was conducted using PubMed, Scopus, Web of Science, WHO databases, and official reports of the Ministry of Health of Ukraine and the National Health Service of Ukraine. More than 150 publications, including analytical reports, systematic reviews, and national statistical data, were analyzed. The methodological framework included systemic, analytical, and comparative approaches to the assessment of healthcare quality management models, focusing on the integration of evidence-based standards, internal audit systems, and patient-centered strategies. Results. It was determined that the effectiveness of maternal health care in Ukraine depends largely on the development of a structured quality management system combining centralized regulation with decentralized implementation. The lack of clinical audit mechanisms, limited managerial competence, and insufficient digitalization remain major barriers. The introduction of ISO 9001:2015–based management systems, the establishment of national quality indicators, and patient involvement in evaluating care outcomes have been shown to improve service safety, continuity, and efficiency. Conclusions. Effective quality management in the maternal health system requires a comprehensive model integrating organizational, clinical, and social components. The creation of a unified national framework for quality assurance, digital monitoring tools, and continuous professional education for medical managers is essential for reducing maternal morbidity and mortality, enhancing reproductive health, and increasing public trust in healthcare institutions.