The dissertation is devoted to the theoretical substantiation of conceptual provisions and organizational and functional bases of introduction of strategic design as a technology of public administration of medical rehabilitation development in Ukraine and establishment of a conceptual model of strategic project portfolio management as a state mechanism of coordination of project activities of medical rehabilitation subjects. 18
The generalization of modern scientific approaches, organizational and legal principles and foreign experience in the organization of medical rehabilitation as a component of the health care system, allowed to reasonably determine strategic guidelines and priority areas for improving the current state mechanism: development and approval of the Strategy for Medical Rehabilitation in Ukraine and the relevant State target program; creation of a separate Department of Rehabilitation and Sanatorium-and-health-resort Treatment in the Ministry of Health, the activities of which are conditioned by a number of necessary but currently absent services; technologicalization of the state mechanism of medical rehabilitation in Ukraine, which should be based on the understanding of the fact that one of the most effective approaches to the implementation of medical rehabilitation is project management and the formation of new mechanisms of public administration.
Identifying the institutional features of the coordinating interaction of the medical rehabilitation subjects allowed revealing the essence of the state mechanism of organization of the medical rehabilitation system according to institutional and functional approaches. Institutionally, the state mechanism for organizing the medical rehabilitation system is a set of organizational and legal norms governing the subject-object and subject-subject relations of authorized entities (central executive bodies, state trust funds, other bodies of public authorities, state institutions and enterprises, specialized medical and rehabilitation institutions and institutions of various forms of ownership), as well as practical measures, principles, methods and tools through which the resource provision of state policy in the field of medical rehabilitation is carried out. Functionally, the state mechanism of organization of the medical rehabilitation system is the interaction of public administration mechanisms that ensure the performance of specific functions (administrative, economic, organizational, regulatory, informational) to create conditions for effective rehabilitation services at all levels of health care.
The functional scheme of the state mechanism of organization of the medical rehabilitation system in Ukraine is developed and it is proved that the state mechanism of the organization of the medical rehabilitation system provides strategic planning of administrative actions and forecasting the state of development of the medical rehabilitation system as a result of political decisions, and, accordingly, is characterized by the following features: purpose, functional block, institutional block, resource provision block.
