Scientific Papers

JOURNAL OF INTERNATIONAL STUDIES


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ISSN: 2306-3483 (Online), 2071-8330 (Print)

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    The journal is co-financed in the years 2022-2024 by the Ministry of Education and Science of the Republic of Poland in the framework of the ministerial programme “Development of Scientific Journals” (RCN) on the basis of contract no. RCN/SN/0669/2021/1. Subsidy amount: 80 000 PLN.

     

     

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Analysis of trends in financial and institutional capacity within European public health systems

Vol. 18, No 4, 2025

 

Aleksandra Kuzior

 

Faculty of Organization and Management,

Silesian University of Technology, Poland

aleksandra.kuzior@polsl.pl

ORCID 0000-0001-9764-5320


Analysis of trends in financial and institutional capacity within European public health systems

Alina Vysochyna

 

Department of Accounting and Taxation, 

Sumy State University, Ukraine

a.vysochyna@uabs.sumdu.edu.ua

ORCID 0000-0001-9490-1026


Małgorzata Kęsik-Brodacka

 

National Medicines Institute, Warsaw, Poland

m.kesik@nil.gov.pl

ORCID 0000-0003-1363-7986

 

Andrea Folvarčná

 

Faculty of Entrepreneurship and Law, Pan-European University, Prague, Czechia

andrea.folvarcna@peuni.cz

ORCID 0000-0002-7848-3706

 

 

 

Abstract. The financial and institutional capacity of public health systems is an essential determinant of national socio-economic stability and resilience, especially amid fluctuating global conditions. Monitoring the efficiency and structural strength of public health management requires a thorough analysis of the dynamics, structure, and ratio of various kinds of healthcare inputs and outcomes. The aim of the research is to identify and systematise empirical patterns of change in public health indicator`s. The research is based on a comprehensive dataset spanning 2000–2023 across 34 European countries. The analysis employs 18 indicators that characterise the healthcare system across three crucial dimensions: finance, workforce and infrastructure, and health outcomes. The methodology is structured in several stages: 1) evaluating healthcare indicator fluctuations across historical periods of macroeconomic instability; 2) identifying latent system response patterns through cluster analysis; 3) generalising statistical and cluster analysis results to pointing out crucial changes in public health management as a response to global socio-economic turbulence. The findings offer an evidence base for policymakers, government executives, and academicians, supporting the development of effective regulatory frameworks aimed at strengthening the long-term financial and institutional resilience of European public health systems against future global challenges.

 

Received: January, 2025

1st Revision: October, 2025

Accepted: December, 2025

 

DOI: 10.14254/2071-8330.2025/18-4/8

 

JEL ClassificationC23, H51, I18, O47, O52

Keywordshealth, expenditure, healthcare financing, healthcare institutional capacity, healthcare workforce, European countries