DEVELOPMENT PROJECTS OF UNIVERSITY CLINICS: CHOOSING EFFECTIVE DIRECTIONS OF SYNERGY

Abstract

Relevance of the Study. Today, university clinics play a crucial role in combining medical education, science, and practice. In Ukraine, their development is hindered by the lack of clear regulations, financial support, and a legal framework. Therefore, the issue of creating an effective model for a university clinic is highly relevant for improving the system of training medical professionals and providing quality healthcare. Objective of the Article. The aim of the article is to analyze existing approaches to the organization of university clinics in different countries, identify difficulties in the Ukrainian context, and propose an original model that meets the current needs of medicine and education. Methodological Approaches. The article employs comparative analysis of foreign models of university clinic organization, structural-logical and systemic approaches to assessing the national regulatory framework, case study analysis of pilot initiatives in Ukraine, as well as content analysis methods to generalize data on the current practices of collaboration between medical universities and clinical institutions of various ownership forms. Additionally, expert evaluation elements from open sources, analogy methods to compare the functional structures of university clinics in different countries, and modeling as a tool for developing an adapted concept of a university clinic for Ukraine were used. The application of an interdisciplinary approach allowed for taking into account the interconnection of legal, managerial, financial, and educational components in building an effective system of interaction between medical universities and clinics. Research Results. As a result of the analysis, five main models of university clinic organization were identified (state, autonomous, private, public-private, and hybrid). The advantages and challenges of each model were examined in the context of their potential application in Ukraine. A list of systemic barriers (legal, financial, institutional) hindering the development of university clinics was formulated. An adapted model based on public-private partnership with affiliation was proposed, which includes 10 implementation steps, integrates international experience, and aligns with the strategic goals of the development of domestic medical education and healthcare.