THEORETICAL AND METHODOLOGICAL PRINCIPLES OF DEVELOPING REGULATORY AND LEGAL SUPPORT FOR PUBLIC ADMINISTRATION IN THE SPHERE OF HEALTHCARE

Abstract

Relevance. The regulatory and legal framework plays a key role in the process of implementing reforms in the sphere of healthcare, providing legal mechanisms for the implementation of new management approaches, financial models, organizational structures and quality standards of medical services. It is through legislative regulation that changes are legitimized, the boundaries of responsibility of government bodies are determined, conditions are created for accountability, transparency and protection of citizens' rights. The goal is to analyze the theoretical and methodological principles of developing regulatory and legal support for public administration in the sphere of healthcare. Novelty. In countries with economies in transition, in particular in Ukraine, the regulatory and legal framework often performs not only a regulatory, but also a transformational function, serving as a tool for institutional modernization. Reforms based solely on administrative or political decisions, without proper legal support, usually have limited effect and are vulnerable to rollback. On the other hand, the presence of a stable, consistent and harmonized legal system allows creating a favorable environment for long-term changes. Conclusions. The success of reforms, in particular such as the autonomy of medical institutions, the introduction of electronic health (eHealth), the development of results-based financing (RBF) or public- private partnerships (PPP), directly depends on the presence of a clear legal framework. Such a framework should include: defining mechanisms for interaction between central and local authorities; regulating access to data and digital services; regulatory support for accountability and performance monitoring. The regulatory framework is the basis for intersectoral interaction within the framework of the concept of “Health in All Policies”, where health care is integrated into policies in the transport, education, housing, etc. This requires adapting the current legislation to an interdisciplinary approach, which is another proof of the importance of the regulatory framework as a strategic resource for reform. Thus, improving regulatory regulation is not an auxiliary, but a system-forming factor in the implementation of health care reforms, which determines their legitimacy, sustainability and effectiveness in the long term.