UDC [338.46:61]:35.072.1; JEL H51, I18, I19
Shults, S. L., & Karpyak, M. O. (2017). Orhanizatsiyno-instytutsiyni osoblyvosti reformuvannya systemy okhorony zdorovya v Ukrayini v umovakh detsentralizatsiyi [Organizational and institutional peculiarities of health care system reforming in Ukraine under decentralization]. Rehional'na ekonomika - Regional Economy, 85(3), 108-115. [in Ukrainian].
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Resume

The article outlines the theoretical principles of reforming of the health care system in Ukraine in the conditions of decentralization, explores the peculiarities and directions of implementation of health care reforms, identifies the problems of organization of the system of medical care in Ukraine and the possible ways of improving the medical care of the population in the context of decentralization reform.
The essence of the notion of a hospital district as a functional association of health facilities located on the relevant territory, which provides provision of secondary (specialized) medical care to the population of this territory, is considered and outlined. The criteria of the formation of hospital districts are defined, the features of establishing boundaries and the composition of the district as well as the technical process of its creation are highlighted.
The essence and principles of the functioning of the Hospital Council, its main tasks and functions are determined. The sources of funding the activities approved in the Hospital District Development Plan for the next five years are determined. The development of the plan for the development of the hospital district in order to determine the actual loading of medical infrastructure objects and the distribution of relevant functions is emphasized, among which, in particular, the directing of flows to the medical institution with the corresponding level of technical and personnel support.
In order to avoid numerous questions about the decentralization reform in the field of health care of the population in Ukraine, it is also necessary to conduct a large-scale information campaign among the regions in terms of clarifying the areas of responsibility of the central and regional authorities in relation to the principles of the functioning of the established hospital districts, as well as to reduce the political and social tension.

Keywords:

decentralization, reform of health care system, medical infrastructure, hospital district