MODELS OF STATE REGULATION OF DIGITAL HEALTH SYSTEM TRANSFORMATION: FOREIGN EXPERIENCE AND OPPORTUNITIES FOR ADAPTATION IN UKRAINE
DOI:
https://doi.org/10.34132/pard2026.31.10Keywords:
digital transformation of healthcare systems, digital health, electronic health records, public regulationAbstract
The article emphasizes that, in accordance with the concept of Society 5.0, the digital transformation of the healthcare system is an important instrument for improving the quality of life of citizens. Foreign experience in state regulation of the digital transformation of healthcare systems is examined, and the possibilities of its adaptation in Ukraine are analyzed. Key mechanisms and policies implemented in leading countries of the European Union and other regions of the world are considered, including the integration of electronic medical records (EMRs), telematics infrastructure, and master data management (MDM) solutions. International initiatives and strategies for the digital transformation of healthcare are briefly characterized, including the Digital Decade 2030, the EU eHealth Action Plan 2023–2030, WHO recommendations on digital health, as well as the concepts of smart cities and data-driven healthcare. The state of digital transformation of the healthcare system in Germany, Poland, and the Czech Republic is examined. Particular attention is paid to regulatory frameworks, interoperability standards, and personal data protection practices, as well as their impact on the efficiency of medical services and the quality of clinical decision-making. Key success factors, as well as problems and challenges of digital transformation, are identified, among which the uneven implementation of digital solutions in different countries, the imbalance between the availability and functionality of electronic services, fragmentation of the regulatory framework, cybersecurity risks, and the limited availability of financial and technical resources are highlighted. A system of measures to accelerate the digital transformation of the healthcare system in Ukraine is developed, and a plan for their implementation is defined, including recommendations on legislative, organizational, and technological support. It is emphasized that the research results may be useful for representatives of public administration bodies, healthcare institutions, research institutions, and developers of digital solutions, as they provide a systemic understanding of the role of state regulation in the digital transformation of the healthcare system.
References
Makarenko, M. (2023). Digitalization of Ukraine’s healthcare sector as a priority of public policy in building modern medical services. Investments: Practice and Experience, (9), 138–141. Retrieved from: [in Ukrainian].
European Commission. (2025). Digital Decade 2025: eHealth indicator study. Retrieved from: [in English].
Aleksandrenko, H. (2024). Conceptual foundations of digital health development. Scientific Innovations and Advanced Technologies, 1(2), 170–186. Retrieved from: [in Ukrainian].
Kvitka, S., & Myrhorodska, M. (2024). Digital transformation of the healthcare system: Factors influencing the quality of life of the population. Aspects of Public Administration, 12(1), 14–21. Retrieved from: [in Ukrainian].
Lakhyzha, M. I., Kachan, Ya. V., & Sobchenko, A. O. (2025). State policy in healthcare and the challenge of digital medicine: Public administration aspects. Public Administration and Management in Ukraine, (8), 5–13. Retrieved from: https://doi.org/10.32782/pma2663-5240-2025.48.1
Markevych, Yu. O. (2025). Methodological recommendations for management transformation in the healthcare system. Scientific Notes of Lviv University of Business and Law, (44), 287–294. Retrieved from: [in Ukrainian].
Fishchuk, B. D., & Fishchuk, N. D. (2025). Mechanism of adaptive management of healthcare institutions in the context of digitalization and a volatile security environment. Problems and Prospects of Economics and Management, 1(41), 277–286. Retrieved from: [in Ukrainian].
Kvitka, S., & Shebanov, V. (2025). Digitalization of the healthcare system in rural territorial communities of Ukraine: An integrated approach. Aspects of Public Administration, 13(2), 75–84. Retrieved from: [in Ukrainian].
Manuilova, K. V., Popov, M. P., & Sivak, V. M. (2025). Sustainable healthcare models: International management experience for post-war reconstruction of Ukraine. Central Ukrainian Bulletin of Law and Public Administration, (3), 76–81. Retrieved from: [in Ukrainian].
Hurzhii, P. (2024). Digital technologies in the management process of healthcare institutions. Economy and Society, (70). Retrieved from: [in Ukrainian].
Valchuk, M. S. (2024). Digitalization of healthcare in Ukraine towards ensuring client- and patient-centeredness. Central Ukrainian Bulletin of Law and Public Administration, (3), 14–22. Retrieved from: [in Ukrainian].
European Commission. (2025). State of the Digital Decade 2025 report (Annex 1). Brussels. Retrieved from: [in English].
European Commission. (2024). State of the Digital Decade: eHealth indicator study – Annex: Country factsheets. Retrieved from: [in English].
OECD. (2025). Health at a glance 2025: Germany. Retrieved from: [in English].
European Commission. (2025). State of the Digital Decade 2025 report (Annex 12). Brussels. Retrieved from: [in English].
OECD. (2025). Health at a glance 2025: OECD indicators. Retrieved from: [in English].
European Commission. (2025). The Digital Decade 2025: Special Eurobarometer 566. Retrieved from: [in English].
European Commission. (2025). Digital Decade eHealth indicator study: Annex – Country factsheets. Retrieved from: [in English].
Poland rises to sixth place in EU’s digital health transformation. (2025). Poland-24. Retrieved from: [in English].
Electronic healthcare system of Ukraine. (n.d.). Retrieved from: [in Ukrainian].
Mokhova, Yu. L., & Tokarenko, V. L. (2020). European experience in using electronic services in healthcare. Law and Public Administration, (2), 188–195. Retrieved from: [in Ukrainian].
Makarenko, M. (2021). Basic principles of public policy formation in the sphere of healthcare. In Topical issues of modern science, society and education: Proceedings of the I International Scientific and Practical Conference (pp. 771–774). Kharkiv, Ukraine.
Budniuk Olexandr, Viacheslav Pereviznyk, Hanna Mazurenko, Serhii Shcherbakov, Liudmyla Antonova. (2022) Digitalization as a Means of Anti-Corruption Policy in the Sphere of Health Care in Ukraine. IJCSNS. International Journal of Computer Science and Network Security. Vol. 22 No. 7 pp. 320-326. Retrieved from: [in English].
Havrychenko , D., Antonova, L., Petryk, S., Avtomieienko, Y., Tyshko, D., & Samchuk, P. (2023). Economic assessment of regional challenges of the healthcare sector of Ukraine in the context of sustainable development. Financial and Credit Activity Problems of Theory and Practice, 1(48), 409–417. Retrieved from: [in English].
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