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The relevance of the study is that healthcare reform constitutes an important component of decentralisation. The old model of functioning of medical institutions is inefficient; therefore, there is a need for reorganisation, which is carried out by making appropriate decisions. The medical sector is one of the most problematic in Ukraine, especially in terms of organisation of medical care in local communities. Therefore, reform in a decentralised environment is a complex process to address and implement. Reforming the medical sector involves the creation of a new system of territorial organisation, the development of local self-government and the improvement of regional national policy. The development of the medical industry is one of the main factors in achieving the well-being of the population and national security. Most medical facilities are low-capacity hospitals with outdated technical equipment and worn-out fixed assets. New approaches to public health need to be introduced. The purpose of the study is to identify the main problems that negatively affect the development of the medical sector in Ukraine in the context of decentralisation reform. Decentralisation embodies the ability of communities to manage resources and have the authority to implement them. The mechanism of decentralisation reform involves the redistribution of financial resources and powers from central government to regional or local governments. The reform of the healthcare sector stipulates specific steps to improve the quality of life and services rendered, it has a conceptual content and a clear framework. In the process of decentralisation, a wide scope of reforms of regional policy and local self-government are being implemented. Its achievements are reducing corruption, improving governance and activating communities. However, this process is accompanied by numerous problems, challenges, and risks in the medical system, which need to be refined and taken into account for further successful implementation. The practical significance lies in identifying problematic factors in the development of the medical system and establishing relationships that hinder healthcare reform

Problems of Development of the Medical Industry in Ukraine in the Context of the Decentralisation Reform