Year: 2025
Type: article
Abstract: The article examines the theoretical and methodological foundations for developing principles of public administration of digital transformation of the healthcare system. It is substantiated that digitalization transforms not only technological and information processes in healthcare but also the requirements for public administration, the nature of interaction between stakeholders, mechanisms for making public administration decisions, and ensuring the sustainable functioning of the digital healthcare system. Based on an analysis of scientific approaches to defining the principles of public administration and public policy in healthcare, the absence of a unified approach to their structure and content has been established. Existing approaches are mainly focused on the general principles of healthcare system functioning or specific public administration mechanisms, which does not fully account for the specific features of its digital transformation. The author proposes a multilevel system of principles for public administration of digital transformation of the healthcare system, developed with consideration of the properties of the digital system and the specific features of its transformation processes. The system comprises four interrelated groups of principles: strategic, organizational, digital functioning, and enabling principles. The strategic principles include strategic orientation, human-centeredness, European integration orientation, innovation, anticipatory development, and scientific validity. The organizational principles encompass systemicity, institutional clarity, institutional interaction, coordination, subsidiarity, delineation of powers and responsibilities, accountability, competence, continuity of the management cycle, and organizational adaptability. The principles of digital functioning include interoperability, data-centricity, digital continuity, traceability, intelligentization, digital accessibility, scalability, and technological adaptability. The enabling principles comprise legality, comprehensive security, risk orientation, resource sufficiency, workforce capacity, economic feasibility, resilience through backup and recoverability, controllability, ethics, and social inclusiveness. The content of the proposed principles and directions for their practical implementation in the processes of formulating, making, implementing, monitoring, and adjusting public administration decisions are substantiated. It is demonstrated that the proposed system of principles provides a theoretical and methodological foundation for comprehensive public administration of digital transformation of the healthcare system and contributes to its efficiency, continuity, security, adaptability, and human-centered orientation.
Source: Society and Security
Author: Igor Dmytrenko
Institution: Zhytomyr Polytechnic State University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7204228801