METHODOLOGICAL BASES OF PUBLIC ADMINISTRATION IN HEALTHCARE AND PHARMACY: SYSTEM ANALYSIS

Abstract

The article is devoted to the study of the methodology of public administration as a complex dynamic (self-regulating) system capable of changing the nature of its functioning, structure and organization in accordance with dynamic conditions. The lack of consistency and coherence in terminology has a negative impact on the quality of management activities at different levels of government. Improving the efficiency of the public administration system is possible only with a clear understanding of the role and place of individual subsystems (elements) and the interrelationships between them, as well as the management methodology (principles, foundations, mechanisms, methods, etc.). Systematic, reasonable, and clear understanding of the interdependencies between the elements of the public administration methodology will contribute to a better understanding of the possibilities and tools of management. An analysis and systematization of the conceptual and categorical apparatus of the theory of public (state) administration in health care (HC) and pharmacy was carried out, taking into account the sectoral features of strict regulatory and legal regulation and standardization, control and supervision. The need to ensure the quality, safety and accessibility of medical care and medicines has led to the introduction of a set of good practices (GXP), medical standards, codes of professional ethics, etc. To ensure transparent and informed decision-making on pricing, reimbursement and centralized procurement mechanisms, the state health technology assessment (HTA) was implemented. The online survey made it possible to identify current problems of public administration and compare them with the results of previous studies. It was found that the main problem remains the imperfection of the legislative and regulatory framework and the lack of feedback. At the same time, in recent years, there has been a shift in emphasis, a decrease in the severity of these problems against the background of an expanding range of public administration problems caused by reforms and objective processes taking place in public life.