In the process of implementation of the reform of the health care system and implementation of priority directions of socio-economic development of Ukraine, which is closely intertwined with the requirements of the time regarding the preservation and improvement of the health of population, attention was paid to the quality management of health care. The purpose of the article is to study the indicators of health care in the dynamics, which determine the state of health system and characterize the quality of medical and service provision. The article outlines the peculiarities of the concept of health protection in Ukraine. It proves that the domestic health care system is outdated, since it is based on the Soviet model of Semashko against the backdrop of high levels of corruption, the lack of proper modernization, non-compliance with the needs of the population, which in general have led to its ineffectiveness. The main indicators of the health system in dynamics are estimated and the periods of expected life expectancy are highlighted. The low average life expectancy in Ukraine is established to be caused mainly by the fundamental difference between the European and Ukrainian standards of living, the level of well-being of the population and the quality of medical services. In order to improve the quality of the provision of medical care in health care institutions in the current conditions of medical reform, it is proposed to transfer to the financing of medicine on an insurance basis, which will allow distributing the risks of illness and expenses for treatment between insured persons, and direct the collected funds to pay for the insured event in case of illness. This can be considered the only way to provide high-quality medical protection without financial stress for Ukrainian citizens. 

health care, quality of medical care, health indicators, health system reform, medical insurance on an insurance basis