Foreign Experience and Trends in Improving the Management of Medical Institutions under Reform Conditions

Abstract

The article presents a comprehensive analysis of foreign experience and strategic trends in improving the management of healthcare institutions under reform conditions. The author offers an interdisciplinary theoretical interpretation of contemporary models of managerial transformation and identifies the logic of evolution–from centralized hierarchies to flexible, patient-centered, and networked structures. Special attention is paid to the critical interpretation of such vectors as autonomization, digitalization, decentralization, performance-based systems, and patient engagement in governance processes. The paper also outlines a typology of approaches in leading global healthcare systems, particularly in Northern Europe, Canada, the United Kingdom, and the United States, highlighting the conditions under which these models prove effective.

In the Ukrainian context, the study reveals a contradiction between the declared strategic commitment to change and the prevailing institutional inertia that hinders the implementation of progressive practices. The author emphasizes the importance of not merely borrowing international models but adaptively rethinking and contextualizing them in light of Ukraine’s sociocultural realities, resource capacities, and the challenges of wartime. The article concludes by substantiating key benchmarks for future managerial modernization–strategic flexibility, transparency, trust, professionalism, and integrative decision-making.