Introduction. The main priorities for the development and reform of the health care system are to create conditions for improving the quality, life expectancy and efficiency of citizens by increasing the availability of medical services and medical care, improving the quality of medical services, early prevention and prevention of timely medical care. The aim of the article is to develop recommendations for ensuring the availability of medical care as a basic basis for the formation of good health and well-being of the population on the way to achieving the Sustainable Development Goals. Methods (methodology). The general scientific methods, in particular theoretical generalization - for research of theoretical bases of maintenance of availability of medical care are applied in research; system economic analysis - for correlation-regression analysis of the relationship between morbidity, mortality and economic affordability of medical services in Ukraine. Results. The impact of public and private sector expenditures on the level of morbidity was analyzed and compared, which showed that both factors have a positive impact on reducing the incidence rate. At the same time, there is a tendency to increase household spending on health care and the purchase of medicines much faster than at the state level, which confirms the targeted trends in health care reform to significantly reduce the number of free medical services. To a certain extent, these trends are positive, but in the event of a significant deterioration in the situation with the level of morbidity, this financial policy should be revised.

Метою статті  є проведення аналіз демографічної ситуації України в системі виміру людського капіталу та охорони здоров’я. Досліджено людський капітал у наукових теоріях соціально-економічного розвитку. Проаналізовано динаміку чисельності постійного населення України за 1991-2018 роки. Здійснено регіональний розріз чисельності наявного населення. Проаналізовано динаміку координаційного навантаження жінок на 1000 чоловіків для сільського населення. Відображено прогнозне зображення статево-вікового розподілу населення України Встановлено, що старіння населення України можливо розглядати як беззаперечний факт і результат об’єктивних демографічних процесів за рахунок довготривалих структурних змін вікового складу населення у бік переважання питомої ваги людей віком старше 60 років.

Introduction. At the current stage of economic and social development in Ukraine, characterized by high levels of uncertainty, economic instability, deteriorating financial situation of the state and citizens against the background of the emergence and exacerbation of risks of epidemics, the processes of strategic health planning significantly complicate. The purpose of the article is to form the conceptual foundations of strategic management of healthcare. Results. It is determined that taking into account the intersectoral relationship of the healthcare system, as methods of reforming, it is appropriate to consider the spread of corporate economic activity within the system, on the basis of cooperation between government, community and business to achieve health goals. Conclusions. It is proved that the creation of corporate networks of the healthcare system at the regional level can be considered as a diversification of economic activities and sources of funding. The model of corporate governance in the national healthcare system should be based on the spread of partnerships (corporate) relationships, which are layered on the elements of process modeling in the healthcare system. Corporatism, as a kind of social organization of public relations, allows us to focus more on solving the problems of the healthcare system. In addition, it is important to use public-private investment partnerships, which involve cooperation between business authorities and the community to attract investment for health development. This variant of partnership is the most correct for the healthcare system of Ukraine, because then the content of partnership as a diversification of funding sources in the healthcare system is revealed, and the issue of funding is the most important to ensure the national healthcare system. Thus, the expediency of using the integrated possibilities of corporatization and public-private partnership in improving the investment climate of the national patient-centered healthcare system becomes obvious. Keywords: strategy, strategic management, healthcare, conceptual model.

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