INTERNATIONAL COOPERATION IN HEALTH CARE: PROBLEMS AND TRENDS
DOI:
https://doi.org/10.34132/pard2025.30.07Keywords:
international cooperation, health care, globalization, WHO, international organizations, public health, pandemic, sustainable development, telemedicine, global security.Abstract
The article provides a comprehensive analysis of international cooperation in the field of health care in the context of globalization processes and increasing interdependence of states in matters of public health. The theoretical foundations of international cooperation in the medical field, its institutional support and key areas of development are considered. Particular attention is paid to the activities of the World Health Organization (WHO) and the European Union as leading actors in the formation of global health care policy. The main problems of international cooperation are identified, including the unevenness of financial and technological resources between countries, insufficient coordination of regulatory and legal acts, differences in standards of medical services, as well as political, socio-cultural and ethical barriers in the implementation of joint programs. The consequences of the COVID-19 pandemic as a key catalyst for the transformation of international cooperation systems in the field of health care are analyzed. Current trends in the development of international partnership are outlined: digitalization of medical systems, development of telemedicine, creation of global platforms for the exchange of medical data, implementation of collective health security programs and formation of joint mechanisms for responding to emergencies. The importance of interstate coordination in the field of infectious disease prevention, combating non-communicable diseases and strengthening the potential of health care systems in developing countries is emphasized. The conclusion is made that effective international cooperation in the field of health care is a strategic condition for ensuring global security, sustainable development and increasing the level of well-being of the population. It requires strengthening institutional interaction, improving legal mechanisms, increasing funding and harmonizing national strategies with international standards.
References
Varlamova, M.L., Kovalova, O.I., Kozachyshyna, A.S., & Liaskovets, K.K. (2021). Osoblyvosti intehratsiinykh protsesiv krain NAFTA [Peculiarities of the integration processes of NAFTA countries]. Ekonomika i orhanizatsiia upravlinnia – Economics and organization of administration, 2(42). Retrieved from: https://jeou.donnu.edu.ua/article/view/11032 [in Ukrainian].
Verba, S., & Andriiash, V. (2024). Publichne upravlinnia v umovakh hlobalizatsii: mistse y rol dyplomatii ta dyplomatychnoi sluzhby [Public administration in the context of globalization: the place and role of diplomacy and diplomatic service]. Derzhavne upravlinnia: udoskonalennia ta rozvytok – State administration: improvement and development, 8. Retrieved from: https://www.nayka.com.ua/index.php/dy/article/view/4398 [in Ukrainian].
Vynohrad, N.O. (2022). Infektsii viiny v suchasnykh umovakh: pohliad epidemioloha [War infections in modern conditions: the view of an epidemiologist]. Proceedings from ISOTEEDTPBS ’22: Naukova-praktychna konferentsiia «Infektsiini khvoroby suchasnosti: etiolohiia, epidemiolohiia, diahnostyka, likuvannia, profilaktyka, biolohichna bezpeka», pryurochena do 135-richchia z dnia narodzhennia akademika L.V. Hromashevskoho ta shchorichnykh «chytan» pamiati akademika L.V. Hromashevskoho – Scientific and practical conference «Infectious diseases of our time: etiology, epidemiology, diagnostics, treatment, prevention, biological safety», dedicated to the 135th anniversary of the birth of Academician L.V. Khromashevsky and the Shchorichny «chitan» in memory of Academician L.V. Khromashevsky. Retrieved from: https://surl.li/rkwrqi [in Ukrainian].
Vsesvitnia orhanizatsiia okhorony zdorovia [World Health Organization]. (n.d.). (2025). www.who.int. Retrieved from: https://surl.li/lsecgm [in Ukrainian].
Hromadska, N.A., & Andriiash, V.I. (2024). Osoblyvosti formuvannia zovnishnoi polityky natsionalnoi derzhavy v umovakh hlobalizatsii [Peculiarities of forming the foreign policy of a national state in the conditions of globalization]. Investytsii: praktyka ta dosvid – Investments: practice and experience, 15. Retrieved from: https://surl.li/gktlcf [in Ukrainian].
Davydenko, D.V. (2019). Yevropeiskyi Soiuz: istoriia stvorennia y rozvytku [The European Union: history of creation and development]. Nauka onlain: Mizhnarodnyi elektronnyi naukovyi zhurnal – Science online: International electronic scientific journal, 5. Retrieved from: https://dspace.nlu.edu.ua/bitstream/123456789/9752/1/Davidenko.pdf [in Ukrainian].
Zhuravlova, Yu.O. (2019). Teoriia suspilnykh blah: suchasni pidkhody do vyznachennia sutnosti [Theory of public goods: modern approaches to defining the essence]. Investytsii: praktyka ta dosvid – Investments: practice and experience, 11. Retrieved from: https://surl.li/tikmrg [in Ukrainian].
Zahalna deklaratsiia prav liudyny: Pryiniata i proholoshena rezoliutsiieiu 217 A (III) Heneralnoi Asamblei OON vid 10 hrudnia 1948 roku [Universal Declaration of Human Rights: Adopted and proclaimed by resolution 217 A (III) of the United Nations General Assembly of 10 December 1948]. zakon.rada.gov.ua. Retrieved from: https://surl.li/cxxyro [in Ukrainian].
Kaminska, T.M. (2017). Sotsialno-ekonomichna rol zdorovia u liudskomu rozvytku [The socio-economic role of health in human development]. dspace.nlu.edu.ua. Retrieved from: https://dspace.nlu.edu.ua/bitstream/123456789/14517/1/Kaminska_46-53.pdf [in Ukrainian]
Kibets-Pashutina, D.V., & Holovatenko, M.Yu. (2023). Mizhnarodni uriadovi orhanizatsii v systemi hlobalnoho upravlinnia okhorony zdorovia: providna rol Vsesvitnoi orhanizatsii okhorony zdorovia [International governmental organizations in the system of global health governance: the leading role of the World Health Organization]. Elektronne naukove vydannia «Analitychno-porivnialne pravoznavstvo» Electronic scientific publications «Analytical and comparative jurisprudence». Retrieved from: https://surl.li/pkuewr [in Ukrainian].
Kichurchak, M.V. (2017). Vidtvorennia suspilnykh blah v ekonomichnii systemi Ukrainy [Reproduction of public goods in the economic system of Ukraine]. Doctor’s thesis. Retrieved from: http://www.lnu.edu.ua/wp-content/uploads/2018/01/dis_kichurchak.pdf [in Ukrainian].
Kozlova, L., Malikina, O., Poliakova, O., & Andriiash, V. (2020). Osoblyvosti derzhavnoi polityky rehuliuvannia medychnykh posluh v Ukraini [Peculiarities of state policy for the regulation of medical services in Ukraine]. Publichne upravlinnia ta rehionalnyi rozvytok – Public administration and regional development, 9, (pp. 689-713) [in Ukrainian].
Lepetan, I.M., Zharlinska, R.H. (2025). Hlobalni modeli finansuvannia okhorony zdorovia: porivniannia ta perspektyvy rozvytku [Global models of health care financing: comparison and development prospects]. Investytsii: praktyka ta dosvid – Investments: practice and experience, 3. Retrieved from: https://dspace.vnmu.edu.ua/123456789/6789 [in Ukrainian].
Malikina, O.A., Poliakova, O.A., & Andriiash, V. (2019). Mizhnarodnyi dosvid finansuvannia reform u sferi okhorony zdorovia [International experience of financing reforms in the field of health care]. Publichne upravlinnia ta rehionalnyi rozvytok – Public administration and regional development, 5, (pp. 474-492) [in Ukrainian].
Malikina, O.A., & Andriiash, V.I. (2024). Zovnishnia polityka ta voienna syla suchasnoi natsionalnoi derzhavy v umovakh hlobalizatsii [Foreign policy and military power of a modern nation-state in the context of globalization]. Investytsii: praktyka ta dosvid – Investments: practice and experience, 16. Retrieved from: https://surl.li/wlqvtl [in Ukrainian].
Medychna dopomoha hromadianam Ukrainy na terytorii Polshchi [Medical assistance to citizens of Ukraine in Poland]. (n.d.). (2024). wroclaw.mfa.gov.ua. Retrieved from: https://surli.cc/pbkydq [in Ukrainian].
Mizhnarodnyi pakt pro ekonomichni, sotsialni i kulturni prava [International Covenant on Economic, Social and Cultural Rights]. (n.d.). (2025). zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/995_042#Text [in Ukrainian].
Nerivnist dokhodiv ta zdorovia: dokazy z rozvynenykh krain ta krain, shcho rozvyvaiutsia [Income Inequality and Health: Evidence from Developed and Developing Countries]. (n.d.). (2025). voxukraine.org. Retrieved from: https://voxukraine.org/nerivnist-dohodiv-ta-zdorov-ya-dokazi-z-rozvinenih-krayin-ta-krayin-shho-rozvivayutsya [in Ukrainian].
Opalko, V.V. (2018). Diahnostyka sotsialno-ekonomichnoi nerivnosti u hlobalnomu vymiri [Diagnostics of Socio-Economic Inequality in the Global Dimension]. Ekonomika ta suspilstvo – Ekonomika ta suspilstvo, 17. Retrieved from: https://surl.lu/nbsytn [in Ukrainian].
Povoroznyk, M.Yu. (2022). Kryterialna identyfikatsiia medychnykh posluh yak hlobalnykh suspilnykh blah [Criterionary identification of medical services as global public goods]. auth.scribd.com. Retrieved from: https://auth.scribd.com/u/signup?state [in Ukrainian].
Radionov, Yu.D. (2017). Teoretychni osnovy suspilnykh blah v ekonomichnii systemi derzhavy [Theoretical foundations of public goods in the economic system of the state]. Ekonomika ta derzhava – Economy and state, 2. Retrieved from: http://www.economy.in.ua/pdf/2_2017/8.pdf [in Ukrainian].
Sysoienko, I.V. (2021). Rozvytok medychnoho turyzmu v zarubizhnykh krainakh [Development of medical tourism in foreign countries]. Pravova pozytsiia – Legal position, 3(32). Retrieved from: http://legalposition.umsf.in.ua/archive/2021/3/19.pdf [in Ukrainian].
Smolii, L., & Osipova, A. (2021). Evoliutsiia kontseptu«suspilnyi sektor» vkonteksti teorii ekonomichnoho rozvytku [The evolution of the concept of «public sector» in the context of theories of economic development]. Ekonomika ta suspilstvo – Economy and society, 24. Retrieved from: https://economyandsociety.in.ua/index.php/journal/article [in Ukrainian].
Stryzhak, O.O. (2016). Dykhotomiia formalnykh ta neformalnykh instytutiv [Dichotomy of formal and informal institutions]. Ekonomika ta suspilstvo – Economy and society, 5. Retrieved from: https://economyandsociety.in.ua/journals/5_ukr/4.pdf [in Ukrainian].
Shliakh do YeS: Kopenhahenski kryterii [The Road to the EU: The Copenhagen Criteria]. (n.d.). (2025). www.ier.com.ua. Retrieved from: https://surl.li/plngqv [in Ukrainian].
Villarreal, A.M., Fergusson, I.F. (2015). The North American Free Trade Agreement (NAFTA). fas.org. Retrieved from: https://fas.org/sgp/crs/row/R42965.pdf [in English].
Delegation of the European Union to China. (n.d.). (2022). www.eeas.europa.eu. Retrieved from: https://www.eeas.europa.eu/delegations/china [in English].
EU-China Health Programme Final Report 2019-2023. (n.d). (2023). efmi.org. Retrieved from: https://efmi.org/eu-china-health-summit/ [in English].
European Centre for Disease Prevention and Control. (n.d.). (2020). www.ecdc.europa.eu. Retrieved from: https://www.ecdc.europa.eu/en [in English].
EU-China Dialogue on Health. Official EU Portal. (n.d.). (2022). health.ec.europa.eu. Retrieved from: https://health.ec.europa.eu/international-cooperation/china_en [in English].
EU-China cooperation on COVID-19 response. (n.d.). (2021). www.eeas.europa.eu. Retrieved from: https://www.eeas.europa.eu/_en [in English].
Kinney, E.D. (2009). Yealth care financing and delivery on the United States, Mexico, and Canada: establishing intentional principles for sound integration. Wisconsin International Law Journal, 3, (pp. 935-965) [in English].
Stiglitz, J.E. (2006). Global Public Goods and Global Finance: Does Global Governance Ensure that the Global Public Interest is Served? ideas.repec.org. Retrieved from: https://ideas.repec.org/h/elg/eechap/4094_7.html [in English].
EU-China Joint Initiatives on Global Health. (n.d.). (2022). www.who.int. Retrieved from: https://www.who.int/ [in English].
China, EU strengthen medical supply chain cooperation amid pandemic. (n.d.). (2021). english.news.cn. Retrieved from: https://english.news.cn/ [in English].
Yemelyanov, V., & Andriyash, V. (2024). Public financial systems of foreign countries: institutional features. Publichne upravlinnia ta rehionalnyi rozvytok – Public Administration and Regional Development, 24, (pр. 342-367) [in Ukrainian].









.png)






.png)


















