FORMATION AND IMPLEMENTATION OF STATE POLICY TO ENSURE THE FINANCIAL SUSTAINABILITY OF THE HEALTH CARE SYSTEM IN INDETERMINATE CONDITIONS

The article explores the theoretical, methodological, and applied principles of formation and implementation of state policy to ensure the financial sustainability of the health care system in indeterminate conditions. The relevance of the topic is determined by the fact that the health care system functions under the influence of a consistent layering of pandemic, military, macroeconomic, and technological shocks, which requires rethinking approaches to state financing, budget response, and managerial adaptability. The purpose of the study is to develop a theoretical and methodological basis and applied tools for assessing the financial sustainability of the health care system and developing proposals for improving state policy in this area. As a result, an integral index of the financial sustainability of the healthcare system was constructed, the impact of macroeconomic and crisis factors on its dynamics was assessed, and basic, stressed, and adaptive scenarios for our country for 2026–2030 were formed. It was proven that the sustainability of the healthcare system is determined not only by the scale of public spending, but also by the structure of funding sources, the level of direct financial burden on the population, the stability of the healthcare budget priority, and the ability of the state to implement technologies based on artificial intelligence in the management of financial flows. The practical value of the work lies in the possibility of using its results by state authorities to improve budget policy, develop a program of medical guarantees, and form adaptive mechanisms to ensure the financial sustainability of the healthcare system.