Objective. To substantiate theoretical and methodological principles, develop scientific and practical recommendations for state management of medical services in Ukraine. Materials and methods. There were used such research methods as synthesis, analysis, scientific abstraction when specifying the categorical-conceptual framework of research; system structural analysis when developing the conceptual principles of state regulation of the provision of medical services of appropriate quality and accessibility; discriminant analysis when assessing the cost of public health services in Ukraine. Results. An approach to the formation of a system to improve the efficiency and quality of medical services in Ukraine has been developed. The system of continuous improvement of the quality of medical services has been developed, which combines financial and economic calculations for provided medical services with screening examination of the technology of medical and diagnostic process according to the models of medical services and allows to build a hierarchical management system for financing and quality of medical services. Conclusions. The has been proposed the method of payment for medical services according to the models of simple and complex medical services, which is the most promising for use in conditions of limited financial resources and involves compliance with the following rules.

The article presents the analysis of theoretical approaches in domestic and foreign literature on the processes of social hybridization as a relevant factor in contemporary social and personal transformations. According to the results of the analysis, it is determined that in scientific sources, the concept of hybridization is most widely represented in the natural-biological, socio-cultural and geopolitical aspects. Our theoretical analysis of the problem of hybridization in the globalized world has allowed us to distinguish the following directions: socio-psychological hybridization of spatial interaction between generations and within one generation (intersection of ontogeny and phylogeny of psychology of social communities and their individual representatives), where the role of markers of social values is played by; hybridization as a process of social modernization, connected with updating the formation structure of society and civilization modernization in general; hybridization as a reorganization of social space, at the heart of which is the merging of various forms of its manifestation; cyberspace as a socio-cultural factor in a network society; the problem of personality formation and existence in the cyber culture space; human cyber socialization and virtual socialization as a modern aspect of the quasi-socialization of the individual. It is a question of sociocultural and socio-psychological hybridization, which leads to socio-psychological transformation and modernization of both social communities and individuals.As a result of the theoretical analysis, it is substantiated that new forms of social hybridization (virtual socialization, cyber socialization), which are important factors of systemic social and personal transformations, are being laid at the present stage of world development.

The paper is devoted to the analysis of the peculiarities of the use of the psychotherapy technique of internalization and exteriorization of the focus of attention in the treatment of negative emotional experiences of adults. Negative emotional experiences are mental conditions of the individual that affect his self-esteem, assertiveness, and features of most mental processes. Negative emotional experiences, from which a person is not freed, can inhibit his personal development, form an inferiority complex, can be the cause of increased aggression or anxiety, can develop neurotic states. Psychotherapy treatment of negative emotional experiences is a difficult and unpleasant process for the client, which requires his conscious focus on overcoming such experiences, as well as high qualification and thorough professional skills of a psychotherapist. In this paper, as a psychotherapeutic intervention, a modified technique of "internalization and exteriorization of attention" is tested, which is based on the techniques of trauma-focused therapy, exposure-based techniques in cognitive behavioral therapy, and EMDR (Eye movement desensitization and reprocessing). The proposed technique of internalization and exteriorization of the focus of attention in psychotherapy treatment of negative emotional experiences is based on an alternating focus on negative experience (internalization of attention) and the actual external environment (exteriorization of attention) at equal intervals. Important here is the rhythm of processing emotional experiences and conscious control over their course. According to the results of the paper, the introduction of the technique of internalization and exteriorization of the focus of attention has improved the emotional state of the individuals: increased self-confidence, decreased fear of the future and anxiety, improved a positive trend of mood swings. The studied technique is quite narrowly focused on the processing of negative emotional experiences, but it was found that in the process of psychotherapy treatment also has a positive effect on the overall emotional state of the individuals.

Events occur in Ukraine that go beyond the limits of everyday life and stability and bring lives to people, affecting the everyday meaning of human existence and giving it a certain boundary-existential context. Therefore, the existence of an individual in the midst of instability and unpredictability will raise the problem of helping victims of traumatic events throughout the country. If do not receive timely and proper professional social and psychological assistance, in victims, increases the level of trauma that could greatly complicate further their physical, psychological and social recovery. This begs the important task of developing effective programs to prevent and overcome the psychoemotional trauma of the personality. Working out quantitative results of research and their qualitative analysis concerning the primary indicators of our places of stay in psychoemotional traumatization, concerning the loss or destruction of physical or social danger, or psychological and social danger of an individual. Emotional psychotrauma can occur not only because of the impact of such critical cases as war or natural and social cataclysms, serious illnesses, but also due to the breakdown of relations, deep frustration in people or life, loss of an ideal, social or individual deprivation of personality. In general, the results indicate the main reasons and consequences of obtaining a psychotrauma by the subjects; determine the ways of self-correction that respondents use, as well as the lack of their focus on seeking help from professional psychologists. Also updated the question of the availability and professional support such aid and create conditions for broader prevention work with different groups of people.

The relevance to the investigation stems from the fact that during military operations in Ukraine there are psychological complications both among servicemen and the population. The most common type of psychological complications is fear as one of the most mysterious and contradictory emotions. Formed in the process of evolution as a signal and warning human reaction to danger, fear often misinforms people about the extent of external danger. Fear as a psychological complication is a powerful catalyst of human physical, spiritual strength and energy and, at the same time, it can paralyze his ability to withstand danger. It is reflected in the brain, the brain organ of the central nervous system, which regulates all the most important changes in the human body. In case of stress, it is the brain structures that react first and trigger a response, the purpose of which is adaptation and survival in difficult conditions. The brain detects a threat, recognizes the cause of psychological or physical stress. In response to the influence of a stressor protective mechanisms are triggered, changing the work of the nervous and endocrine systems. The article reveals the concept of horror and its psychotraumatic effect; the most important functions of fear as a psychological complication are defined; the neurobiological basis of stress as a psychological complication during war is investigated.