AN INTEGRATIVE MODEL OF STATE-CIVIL SOCIETY INTERACTION IN ENSURING THE RIGHT TO HEALTH CARE IN UKRAINE

Abstract

The article substantiates an integrative model of interaction between the state and civil society in Ukraine’s health-care sector. Its effectiveness is defined not by the number of consultations or joint activities but by the capacity to transform social needs, professional knowledge and patient experience into governance signals that must be considered, translated into transparent decisions and followed by policy adjustment. The study examines constitutional health guarantees, public-health legislation, the strategic priorities of health-system development until 2030 and contemporary approaches to social participation. The proposed model includes information and analytical, deliberative, organisational, service-delivery and oversight components linked by clear access to information, representation procedures, decision rights, response deadlines and accountability mechanisms. The scientific novelty lies in distinguishing integration from administrative subordination and the substitution of state functions. Civil society retains its autonomy and critical oversight role, while the state remains ultimately responsible for guarantees, standards, financing and equal access. Effectiveness is assessed through access to care, fairness of representation, the quality of reasoned responses, removal of barriers, trust and the actual influence of participation on decisions.