Fedorchak, O., & Shypov, Yu.
(2025).
Public policy in the field of integration of medical and social services.
Democratic Governance,
18(2),
16-30.
https://doi.org/10.56318/dg/2.2025.16
In the context of modern warfare and the transformation of healthcare and social protection systems in Ukraine, there is a need to develop a comprehensive model of integrated care that ensures continuity, comprehensiveness, and a person-centred approach. The study aimed to substantiate the feasibility of integrating medical and social services and to identify key directions for developing public policy on the implementation of this type of care, based on an analysis of international experience. The methodological framework was based on a comparative analysis of various integration models, content analysis of Ukrainian regulatory and legal acts, and a systems approach to the interpretation of data on the organisation of medical and social service delivery. As a result of the analysis of international practices, various types of integration presented in the scientific literature were identified: organisational, functional, clinical, professional, regulatory, financial, informational, sectoral, intersectoral, international, horizontal, and vertical integration, as well as service integration and patient-centred integration. It has been demonstrated that medical and social services integration contributes to improved quality and accessibility of care, increased patient satisfaction, more efficient use of resources, strengthened intersectoral interaction, and support for the development of multidisciplinary collaboration. This study systematised contemporary approaches to medical and social services integration, clarified the terminological foundations, and developed criteria for defining medical and social services and their application in the Ukrainian context. The practical significance of the obtained results lies in their potential use for shaping public policy in the field of integrated care, improving government programs, regulatory frameworks, and managerial decisions in the areas of healthcare and social protection
public administration; healthcare; social policy; integrated care; intersectoral collaboration; international experience
Received 12.08.2025, Revised 05.11.2025, Accepted 10.12.2025
Retrieved from Volume 18, No. 2, 2025
https://doi.org/10.56318/dg/2.2025.16
Pages 16-30
[1] Collins, M., Mazzei, M., Baker, R., Morton, A., Frith, L., Syrett, K., Leak, P., & Donaldson, C. (2023). Developing a combined framework for priority setting in integrated health and social care systems. BMC Health Services Research, 23(1), article number 901. doi: 10.1186/s12913-023-09866-x.
[2] Curry, N., & Ham, C. (2010). Clinical and service integration: The route to improved outcomes. London: The King’s Fund.
[3] Dobbins, M.I., Thomas, S.A., Melton, S.L., & Lee, S. (2016). Integrated care and the evolution of the multidisciplinary team. Primary Care, 43(2), 177-190. doi: 10.1016/j.pop.2016.01.003.
[4] Goodwin, N. (2013). Understanding integrated care: A complex process, a fundamental principle. International Journal of Integrated Care, 13, article number e011. doi: 10.5334/ijic.1144.
[5] Kodner, D.L. (2009). All together now: A conceptual exploration of integrated care. Healthcare Quarterly, 13, 6-15. doi: 10.12927/hcq.2009.21091.
[6] Law of Ukraine No. 2168-VІІІ “On State Financial Guarantees of Medical Services to the Population”. (2017, October). Retrieved from https://zakon.rada.gov.ua/laws/show/2168-19#Text.
[7] Law of Ukraine No. 2671-VIII “On Social Services.” (2019, January). Retrieved from https://zakon.rada.gov.ua/laws/show/2671-19#Tex.
[8] Law of Ukraine No. 2801-XII “Fundamentals of the Legislation of Ukraine on Health Care”. (1992, November). Retrieved from https://zakon.rada.gov.ua/laws/show/2801-12#Text.
[9] Law of Ukraine No. 966-IV “On Social Services.” (2003, June). Retrieved from https://zakon.rada.gov.ua/laws/show/966-15#Text.
[10] Leutz, W.N. (1999). Five laws for integrating medical and social services: Lessons from the United States and the United Kingdom. Milbank Quarterly, 77(1), 77-110. doi: 10.1111/1468-0009.00125.
[11] Matos, C.R., Nascimento, G., Fernandes, C.A., & Matos, C. (2025). Health and social care integration: Insights from international implementation cases. Journal of Market Access and Health Policy, 13, article number 28. doi: 10.3390/jmahp13020028.
[12] Mercer, S., Henderson, D., Huang, H., Donaghy, E., Stewart, E., Guthrie, B., & Wang, H. (2021). Integration of health and social care: Necessary but challenging for all. British Journal of General Practice, 71(711), 442-443. doi: 10.3399/bjgp21x717101.
[13] Miller, R., Glasby, J., & Dickinson, H. (2021). Integrated health and social care in England: Ten years on. International Journal of Integrated Care, 21(S2), article number 6.
[14] Minkman, M.M.N., Zonneveld, N., Hulsebos, K., van der Spoel, M., & Ettema, R. (2025). The renewed development model for integrated care: A systematic review and model update. BMC Health Services Research, 25(1), article number 434. doi: 10.1186/s12913-025-12610-2.
[15] Nazar, N.I. (2022). Development of social work in the field of health in Canada and Ukraine: A comparative analysis. (Doctoral thesis, Lviv Polytechnic National University, Lviv, Ukraine).
[16] Nolte, E., & Pitchforth, E. (2014). What is the evidence on the economic impacts of integrated care? Copenhagen: World Health Organization.
[17] Order of the Ministry of Health of Ukraine No. 67 “Temporary Sectoral Classifier of Medical Procedures (Services) and Surgical Operations”. (2007, February). Retrieved from https://www.dec.gov.ua/wp-content/uploads/2019/12/2007_67_klasifikator_mp_xo.pdf.
[18] Order of the Ministry of Social Policy of Ukraine No. 282 “On Approval of the Methodological Recommendations for the Implementation of the Integrated Social Protection System”. (2019, February). Retrieved from https://old.msp.gov.ua/files/deinst/metod/282.pdf.
[19] Order of the Ministry of Social Policy of Ukraine No. 429 “On the Approval of the Classifier of Social Services” (2020, June). Retrieved from https://zakon.rada.gov.ua/laws/show/z0643-20#Text.
[20] Semihina, T., Slozanska, H., & Stolyaryk, O. (2024). Classification and standardization of social services: International and Ukrainian experience. Kyiv: UNDP.
[21] Shaw, S., Rosen, R., & Rumbold, B. (2011). What is integrated care? Research report. London: Nuffield Trust.
[22] Shuftan, N., Scarpetti, G., Polin, K., Kasekamp, K., Behmane, D., Murauskiene, L., & Struckmann, V. (2025). Integrated care in the Baltic countries over a five-year period: An expert-informed cross-country analysis of progress, challenges, and future directions. Health Policy. https://doi.org/10.1016/j.healthpol.2025.105526.
[23] Simpson, G., Entwistle, C., Short, A.D., Morciano, M., & Stokes, J. (2023). A typology of integrated care policies in the care home sector: A policy document analysis. Frontiers in Public Health, 11, article number 943351. doi: 10.3389/fpubh.2023.943351.
[24] State Statistics Service of Ukraine. (2010). Classification of types of economic activity (KVED-2010). Retrieved from https://kved.ukrstat.gov.ua/KVED2010/SECT/KVED10_Q.html.
[25] Strandberg-Larsen, M. (2011). Measuring integrated care. Danish Medical Bulletin, 58(2), article number B4245.
[26] Thomson, L.J.M., & Chatterjee, H.J. (2024). Barriers and enablers of integrated care in the UK: A rapid evidence review of review articles and grey literature 2018-2022. Frontiers in Public Health, 11, article number 1286479. doi: 10.3389/fpubh.2023.1286479.
[27] Yeremenko, I. (2025). Modern approaches to the implementation of integrated social services at the community level. Retrieved from https://www.unicef.org/ukraine/media/36691/file/Unicef_Integrated%20social%20services.pdf
[28] Yordanov, D., Oxholm, A.S., Prætorius, T., & Kristensen, S.R. (2024). Financial incentives for integrated care: A scoping review and lessons for evidence-based design. Health Policy, 141, article number 104995. doi: 10.1016/j.healthpol.2024.104995.
[29] Yukalo, M.V. (2025). Development of mechanisms of public administration of healthcare services for the population of Ukraine on the basis of an integration approach. (Doctoral thesis, Lviv Polytechnic National University, Lviv, Ukraine).