GENERAL ANALYSIS OF CHANGES IN THE QUALITY OF MEDICAL SERVICES IN UKRAINE IN RECENT YEARS

The study is relevant due to systemic changes in Ukraine’s healthcare sector in the context of reforms, the coronavirus pandemic, and the full-scale war, which have affected the quality, accessibility, and governance of medical services. The study aimed to analyze the main trends in the qualitative transformation of medical services in Ukraine over the past five years, including managerial, financial, and organizational crises and challenges. The research methods were based on a narrative review with content analysis of 26 scientific publications and analytical reports from 2021 to 2025, as well as generalization of data on healthcare reform, financing, accessibility of medical care, public administration, digitalization, and the impact of the coronavirus pandemic and war on the functioning of the healthcare system in Ukraine. The review indicates that the simultaneous implementation of reform and the presence of crisis factors contributed to disparities in the quality of medical services across different regions of Ukraine. Nevertheless, this increased transparency and efficiency in healthcare system management, but had an uncontrolled impact on quality depending on managerial capacity and allocated resources. Economic pressure and limited access to healthcare exacerbated regional inequalities. Digitalization (especially eHealth) certainly helped improve coordination and accounting of services, but could not independently significantly improve the quality of care. The coronavirus pandemic overloaded the system in the short term, while the full-scale invasion became a major long-term challenge for the quality of healthcare. These findings suggest that reforms, proper public governance, equitable resource distribution, and rational use of digital technologies should be integrated to improve the quality of medical services.