The aim: This study is to substantiate the theoretical approaches to determine the financial and economic effect for the Healthcare Institution from the introduction of logistics management methods. Materials and methods: The work utilises a number of methods: Content Analysis, Bibliosemantic, Systematic approach and the analysis of products. Conclusions: The use of logistics management methods is substantiated: synchronization of flow processes, interactive feedback and spatio-temporal timing, as well as the need to take into account in assessing the effectiveness of health facilities not only medical and demographic indicators, but also financial and economic effect. Prospects for further research are related to the development of theoretical and methodological support for the transformation of health care management system, substantiation of methods for determining the relationship between the level of autonomy of institutions and quality of care, taking into account the risks of indirect impact due to reduced access to medical services in rural areas, reduction of the network of specialized institutions and the number of specialized specialists.

The aim: To empirically investigate the psychological readiness of physicians for adaptive learning during the acquisition of professional competences in the system of postgraduate medical education. Materials and methods: We surveyed a sample of 148 physicians who began studying the discipline of Psychology of Conflict, which was specially developed by us on the principles of adaptive learning. There were three occupational groups among doctors: surgeons (n = 47), therapists (n = 53) and pediatricians (n = 48). In the work a range of methods are used: content analysis, biblio-semantic, systematic approach, analysis of products of activity, psycho-diagnostic methods. Results: When characterizing the identified and calculated integral indicators, the most pronounced for the entire study sample is the desire for dominance (85%), adaptation and emotional comfort at 75%. The lowest percentage of self-perception – 65%, slightly higher internality (68%). Acceptance of others at 78%. In general, the dominant factor of the 148 physicians was service motived, indicating that this group is truly focused on the benefit of their patients and others. Our researchers perceive their work as a service, as a means of being useful to people, society and humanity as a whole. This is an indicator of high readiness for adaptive learning in the postgraduate medical education system. The results of the method of “Self-regulation style of behavior” by the doctors of the three medical specialties studied by us testify to their readiness for active inclusion in the system of adaptive training in postgraduate medical education. Conclusions: Based on the results of our empirical study, we are able state that the doctors who participated in the study are ready for adaptive training in the system of postgraduate medical education. The results of our research can be basis for drafting recommendations for adaptive education, which can be grounded on a competent approach.

The identity and institutional capabilities of the European Union (EU) have changed over the years. As a global player in international politics, the EU has recognized the need to develop a comprehensive space policy perspective. This perspective is shaped by changes in the dynamics of the space ecosystem, the "New Space", and this phenomenon consists of new business models, new technologies, new markets, new value chains and new actors. New space actors (private investors) have fundamentally changed the dynamics of space activities. The subject of the research is the peculiarities of the influence of investment processes of the EU and Ukraine on the development of space industries. The methodological basis consisted of general scientific and special methods of knowledge, based on a systematic approach to the consideration of economic processes. The article aims to examine investment in the context of space management in the EU and Ukraine, and to examine in detail the trends in such funding of space companies. In order to better understand the European space system. The article concludes that, recognizing the indisputable importance of space applications and safety of space systems, the EU attaches great importance to taking into account the trend of "New Space" in its governance structure and stimulating changes in this sector. Unfortunately, Ukraine lags far behind in this respect. In the EU, in the initial stages of space research and use, space programs are financed from the general budget, and as individual activities reach a level of profitability, their public funding is reduced. Therefore, the sphere of commercial space activities and the share of private investments in their total financing are rapidly growing. The reduction of state expenditures is compensated by investments of private business in commercial projects. Thus, the article emphasizes the particular importance of private investments in the development of the Ukrainian space industry and points to the need to develop the commercialization of space activities, especially given the potential in the absence of budget financing. It is impossible to compare the sufficiently powerful and effective investment system of the EU and the lack of even state financing of the space industry in Ukraine. Against the backdrop of hostilities in Ukraine, there is a significant need to reconsider investments in this area on the basis of public-private and international partnerships. Conclusion. The main tasks for Ukraine are revision and change of the state policy, right accents on investments into the space industry, qualitative overcoming of bureaucratic obstacles, approval of a new Strategy of Space Industry Development. As an example, one could use the experience of the EU and refer to its previous experience in this sphere to have an opportunity to stay among the world space powers.

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The aim: Scientific justification of the public health management methods and instruments for improvement of its effectiveness. Materials and methods: The authors conducted a complex research of the public health of Ukraine personnel resources development during the system establishment and building. Conclusions: The paper justifies the competence-based model of a specialist (the postgraduate educational level) as well as the university educational standards of the first (bachelor) and second (master) levels of specialty 229 “Public health”, knowledge branch 22 “Healthcare”. The authors have established insufficient level of the youth motivation for obtaining the specialty certification and described disadvantages of both advocacy program within the public health system and its leadership within the preventive system component. The authors emphasize the necessity of an integrated preventive program maintaining and strengthening the population health, using the advocacy component and available information resources of the public health.

SINGLE MEDICAL SPACE OF UKRAINE -A NEW PARADIGM FOR THE DEVELOPMENT OF THE NATIONAL HEALTHCARE SYSTEM"Наука не є і ніколи не буде закінченою книгою…" А. Ейнштейн Охорона здоров'я є надзвичайно складною системою державних і громадських заходів правового, економічного, соціального, наукового, культурного, освітнього, організаційного, технічного, санітарно-гігієнічного тощо характеру. Процес створення єдиного медичного простору в Україніскладний, поступовий і багатоетапний. Це пояснюється передусім Ключові слова: механізми публічної політики єдиний медичний простір України; система охорони здоров'я; парадигма; лікувально-евакуаційна характеристика.

Толстанов Олександр Костянтинович проректор з науково-педагогічної роботи, доктор медичних наук, професор, кафедри управління охороною здоров'я та публічного адміністрування, Національний університет охорони здоров'я України імені П.Л. Шупика, вул. Дорогожицька,

https://orcid.org/0000-0003-4536-2438 ОСОБЛИВОСТІ ВПЛИВУ НЕГАТИВНИХ ЕМОЦІЙ НА РОЗВИТОК ПСИХОСОМАТИЧНИХ ЗАХВОРЮВАНЬ ЛЮДИНИ Анотація. Здоров'я людини є складною, гнучкою системою яка проектується на психологічний, фізичний та соціальний рівні і на духовний теж. Ці рівні взаємоузгоджуються і функціонують як одне ціле. Захворювання в свою чергу є своєрідним «маячком» який вказує на невідповідність в цій системі, пошкодження її окремих елементів і порушення цілісності. Емоційні процеси в організмі людини здатні підвищити ефективність діяльності також здатні дезорганізувати. Іноді це залежить не від характеру емоцій а від емоційностізбудження, інтенсивності і на скільки довго триває емоція, яку переживає людина. Під впливом емоцій стресові фактори викликають різні психосоматичні захворювання. Емоції впливають на людей безліччю різних шляхів. Одна і та ж емоція по-різному впливає на людей, більш того, вона робить неоднаковий вплив на одну і ту ж людину, що потрапляє в різні ситуації. Емоції можуть впливати на всі системи індивіда, на його життя в цілому. Життя людини без емоцій неможливе. Людина не тільки сприймає навколишній світ, але й впливає на нього. До всіх предметів та явищ у неї є певне ставлення, яке виявляється у емоціях. Читаючи книгу, слухаючи музику, відповідаючи урок або спілкуючись із друзями, люди переживають радість, сум. Піднесення, засмученість. Якщо предмети чи явища задовольняють потреби людини, то в неї виникають позитивні емоції (щастя, радість, впевненість. Захоплення, задоволення тощо), які Журнал « Наукові інновації та передові технології» № 1(1) 2021