ARCHITECTONICS OF THE ENTREPRENEURIAL ECOSYSTEM OF MEDICAL SERVICES AS A COMPONENT OF HEALTHCARE SYSTEM DEVELOPMENT

Authors

DOI:

https://doi.org/10.32782/city-development.2026.2-5

Keywords:

architectonics, healthcare services, medical entrepreneurship, entrepreneurial ecosystem, medical services market, innovations, healthcare system, management, digital medicine, digitalization

Abstract

The article examines the architectonics of the entrepreneurial ecosystem of medical services as a component of healthcare system development. The relevance of the study is determined by digitalization, innovation, changes in healthcare financing, growing competition in the medical services market, and the impact of military, demographic and socio-economic challenges. Under these conditions, healthcare is transforming from a set of separate institutions into a multi-level ecosystem based on the interaction of public authorities, private medical providers, educational and scientific institutions, investors, digital platforms, public organizations, patients and partners. The purpose of the study is to develop a conceptual model of the architectonics of the entrepreneurial ecosystem of medical services and to characterize its key elements and interrelations. The research methodology is based on a systemic approach, structural-functional analysis, logical generalization, conceptual modeling, and systematization of scientific sources on entrepreneurial ecosystems, digital healthcare ecosystems, medical entrepreneurship and healthcare transformation. The study substantiates that the architectonics of the entrepreneurial ecosystem of medical services should be interpreted as an ordered structure that reflects the composition of key actors, the logic of their interaction, functional contours, resource flows, digital connections, coordination mechanisms and expected outcomes for healthcare. The proposed model includes subject, object, managerial-regulatory, functional-resultative, entrepreneurial-innovative, digital-communication, investment-resource, educational-scientific, personnel and social-partnership elements. It is proved that their interaction forms an adaptive, innovation-oriented and sustainable healthcare ecosystem capable of improving the accessibility, quality, competitiveness and efficiency of medical services. The practical significance of the results lies in the possibility of using the proposed conceptual model to improve strategic management mechanisms in healthcare, develop digital transformation policies, strengthen medical entrepreneurship, enhance interaction between ecosystem actors and modernize the healthcare system under contemporary socio-economic and technological transformations.

References

Коломієць О. О. Система охорони здоров’я в Україні: недоліки та перспективи реформування. Ефективна економіка. 2018. № 6. URL: https://ev.fmm.kpi.ua/article/view/135920/132896

Корнілова О. В. Розвиток системи охорони здоров’я як необхідна складова соціально-економічного розвитку держави. Економіка та суспільство. 2023. № 52. DOI: https://doi.org/10.32782/2524-0072/2023-48-87

Кравчик Ю. Проблематика системного розвитку закладів охорони здоров’я в Україні. Вісник Хмельницького національного університету. 2022. Т. 312, № 6(2). С. 345–350.

Мельник А. Трансформаційна модель ринку охорони здоров’я в Україні в умовах сучасних викликів. Вісник економіки. 2022. № 2. С. 111–127.

Музика-Стефанчук О. А., Стефанчук М. О., Якимчук Н. Я. Система охорони здоров’я в умовах цифровізації та реформування фінансування. Аналітично-порівняльне правознавство. 2023. № 5. С. 359–365.

Acharya V. Intelligent healthcare ecosystems: optimizing the iron triangle of healthcare (access, cost, quality). Journal of Latex Class Files. 2025. Vol. 1, No. 1. URL: https://arxiv.org/pdf/2510.03331

Durdykulyyeva M. The role of the entrepreneurial approach in the development of medical services within the healthcare services market. E-Forum Working Papers. Economic Forum. 2025. Vol. 15, No. 3. P. 73–86.

Giannaraki D., Kutsikos K. The emergence of business ecosystems in the healthcare industry. Computational and Strategic Business Modelling. IC-BIM 2021. Springer Proceedings in Business and Economics. Cham : Springer, 2024. URL: https://www.researchgate.net/publication/378187904_The_Emergence_of_Business_Ecosystems_in_the_Healthcare_Industry

Glover W. J., College B., Crocker A., Brush C. G. Healthcare entrepreneurship: an integrative framework for future research. Journal of Business Venturing Insights. 2024. Vol. 22. URL: https://www.sciencedirect.com/science/article/pii/S2352673424000283?via%3Dihub

Owaishiz A. S. An assessment model of the healthcare entrepreneurship ecosystem : dissertations and theses. Portland : Portland State University, 2022. 291 p.

Poček J. Healthcare organizations in entrepreneurial ecosystems. Technological Forecasting and Social Change. 2026. Vol. 86. URL: https://www.sciencedirect.com/science/article/pii/S0160791X26000345?via%3Dihub

Tiwari N. The strategic imperative for healthcare organizations to build proprietary foundation models. 2025. 72 p.

United Nations. Entrepreneurship and innovation in the new health economy : series 2. New York : United Nations Publications, 2022. URL: https://unctad.org/system/files/official-document/diae2022d2_en.pdf

Wilden R., Garbuio M., Angeli F., Mascia D. Entrepreneurship in healthcare. London : Routledge, 2018. 264 p.

Kolomiiets O. O. (2018) Systema okhorony zdorovia v Ukraini: nedoliky ta perspektyvy reformuvannia [Healthcare system in Ukraine: shortcomings and prospects for reform]. Efektyvna ekonomika – Efficient Economy, no. 6. Available at: https://ev.fmm.kpi.ua/article/view/135920/132896 (in Ukrainian)

Kornilova O. V. (2023) Rozvytok systemy okhorony zdorovia yak neobkhidna skladova sotsialno-ekonomichnoho rozvytku derzhavy [Development of the healthcare system as a necessary component of the socio-economic development of the state]. Ekonomika ta suspilstvo – Economy and Society, no. 52. DOI: https://doi.org/10.32782/2524-0072/2023-48-87 (in Ukrainian)

Kravchyk Yu. (2022) Problematyka systemnoho rozvytku zakladiv okhorony zdorovia v Ukraini [Problems of systemic development of healthcare institutions in Ukraine]. Visnyk Khmelnytskoho natsionalnoho universytetu – Herald of Khmelnytskyi National University, vol. 312, no. 6(2), pp. 345–350. (in Ukrainian)

Melnyk A. (2022) Transformatsiina model rynku okhorony zdorovia v Ukraini v umovakh suchasnykh vyklykiv [Transformation model of the healthcare market in Ukraine under modern challenges]. Visnyk ekonomiky – Bulletin of Economics, no. 2, pp. 111–127. (in Ukrainian)

Muzyka-Stefanchuk O. A., Stefanchuk M. O., Yakymchuk N. Ya. (2023) Systema okhorony zdorovia v umovakh tsyfrovizatsii ta reformuvannia finansuvannia [Healthcare system under conditions of digitalization and financing reform]. Analitychno-porivnialne pravoznavstvo – Analytical and Comparative Jurisprudence, no. 5, pp. 359–365. (in Ukrainian)

Acharya V. (2025) Intelligent healthcare ecosystems: optimizing the iron triangle of healthcare (access, cost, quality). Journal of Latex Class Files, vol. 1, no. 1. Available at: https://arxiv.org/pdf/2510.03331

Durdykulyyeva M. (2025) The role of the entrepreneurial approach in the development of medical services within the healthcare services market. E-Forum Working Papers. Economic Forum, vol. 15, no. 3, pp. 73–86.

Giannaraki D., Kutsikos K. (2024) The emergence of business ecosystems in the healthcare industry. Computational and Strategic Business Modelling. IC-BIM 2021. Springer Proceedings in Business and Economics. Cham: Springer. Available at: https://www.researchgate.net/publication/378187904_The_Emergence_of_Business_Ecosystems_in_the_Healthcare_Industry

Glover W. J., College B., Crocker A., Brush C. G. (2024) Healthcare entrepreneurship: an integrative framework for future research. Journal of Business Venturing Insights, vol. 22. Available at: https://www.sciencedirect.com/science/article/pii/S2352673424000283?via%3Dihub

Owaishiz A. S. (2022) An assessment model of the healthcare entrepreneurship ecosystem: dissertations and theses [Assessment model of the healthcare entrepreneurship ecosystem] (PhD Thesis). Portland: Portland State University, 291 p.

Poček J. (2026) Healthcare organizations in entrepreneurial ecosystems. Technological Forecasting and Social Change, vol. 86. Available at: https://www.sciencedirect.com/science/article/pii/S0160791X26000345?via%3Dihub

Tiwari N. (2025) The strategic imperative for healthcare organizations to build proprietary foundation models. Available at: https://doi.org/10.48550/arXiv.2506.11412

United Nations (2022) Entrepreneurship and innovation in the new health economy: series 2. New York: United Nations Publications. Available at: https://unctad.org/system/files/official-document/diae2022d2_en.pdf

Wilden R., Garbuio M., Angeli F., Mascia D. (2018) Entrepreneurship in healthcare. London: Routledge, 264 p.

Published

2026-06-25

How to Cite

Diachkov, D. (2026). ARCHITECTONICS OF THE ENTREPRENEURIAL ECOSYSTEM OF MEDICAL SERVICES AS A COMPONENT OF HEALTHCARE SYSTEM DEVELOPMENT. CITY DEVELOPMENT, (2 (10), 42–48. https://doi.org/10.32782/city-development.2026.2-5

Issue

Section

Статті