GLOBAL TRENDS IN THE EVOLUTION OF PUBLIC-PRIVATE PARTNERSHIPS IN HEALTHCARE
Abstract
The modern healthcare system of Ukraine requires the renewal of financial, managerial, and quality control mechanisms. One of the most effective instruments for modernization is public-private partnership (PPP), which combines the potential of the state, private business, and local self-government. The article examines the specific features of forming cooperative relationships between public authorities, private investors, and territorial communities in the context of healthcare infrastructure development. The purpose of the study is to generalize the theoretical and methodological foundations of PPP as a tool for improving management efficiency in the healthcare sector and to substantiate the directions of its further application. The research methodology is based on systemic and institutional approaches, as well as methods of analysis and comparison to identify the advantages of partnership models in healthcare management. The results of the study include the identification of key factors influencing the success of PPP implementation in medical institutions, particularly regulatory, organizational, and financial ones. The practical value of the article lies in the possibility of applying the obtained conclusions by state authorities and municipalities in the process of developing strategies for healthcare modernization and regional development.
References
Закон України «Про державно-приватне партнерство» від 01 липня 2010 р. № 2404-VI. Відомості Верховної Ради України. 2010. № 40. Ст. 524.
Запатріна І. В. Публічно-приватне партнерство в Україні: теоретико-методологічні засади та практика реалізації. Київ : Наукова думка, 2018. 312 с.
Васильєва Т. А. Фінансово-економічні аспекти публічно-приватного партнерства у сфері охорони здоров’я. Фінанси України. 2022. № 2. С. 40–62.
Кравченко О. В. Інституційні передумови розвитку державно-приватного партнерства у медичній сфері. Державне управління: удосконалення та розвиток. 2021. № 11. С. 108–118.
Бойко Л. М. Європейський досвід залучення приватного сектору до фінансування охорони здоров’я. Економіка та держава. 2023. № 3. С. 95–108.
OECD. Public–Private Partnerships for Infrastructure: Principles of Good Governance. Paris : OECD Publishing, 2020. 172 p.
World Health Organization. Public–Private Partnerships for Health: Policy and Practice. Geneva : WHO Press, 2021. 224 p.
World Bank Group. PPP Knowledge Lab: Healthcare Public–Private Partnerships. Washington : The World Bank, 2020. 98 p.
Bloomfield M. J. Public–Private Partnerships in the Health Sector: Lessons from Europe. Journal of Health Management. 2020. Vol. 22(2). P. 175–189.
Hodge G. A., Greve C. The Challenge of Public–Private Partnerships: Learning from International Experience. Cheltenham : Edward Elgar Publishing, 2017. 258 p.
European Bank for Reconstruction and Development (EBRD). Partnering for Impact: Healthcare Infrastructure through PPPs. London : EBRD, 2022. 98 p.
WHO & USAID. Private Sector Engagement for Health: Global Report. Geneva : WHO Press, 2022. 65 p.
Rönnberg L., Larsson A. Public–Private Collaboration in Swedish Healthcare: Challenges and Success Factors. Health Policy. 2021. Vol. 125(5). P. 623–630.
World Economic Forum. Investing in Health Systems Strengthening through PPPs. Geneva : WEF, 2021. 112 p.
Міністерство охорони здоров’я України. Національна стратегія реформування системи охорони здоров’я на період 2021–2027 років. Київ : МОЗ України, 2021. 62 с.
International Finance Corporation (IFC). Public–Private Partnerships in Health: Models, Lessons and Trends for Developing Countries. Washington, D.C. : The World Bank, 2019. 145 p.
European Commission. Guide to the Successful Implementation of Public–Private Partnerships. Brussels : EC Publications Office, 2020. 88 p.
United Nations Development Programme (UNDP). Strengthening Healthcare Resilience through Public–Private Cooperation. New York : UNDP, 2023. 76 p.
Zakon Ukrainy «Pro derzhavno-pryvatne partnerstvo» [Law of Ukraine “On Public–Private Partnership”]. (2010, July 1). Vidomosti Verkhovnoi Rady Ukrainy, No. 40, Art. 524.
Zapatrina, I. V. (2018). Publichno-pryvatne partnerstvo v Ukraini: teoretyko-metodolohichni zasady ta praktyka realizatsii [Public–Private Partnership in Ukraine: Theoretical and Methodological Principles and Implementation Practice]. Kyiv: Naukova Dumka.
Vasylieva, T. A. (2022). Finansovo-ekonomichni aspekty publichno-pryvatnoho partnerstva u sferi okhorony zdorovia [Financial and economic aspects of PPP in healthcare]. Finansy Ukrainy, No. 2, pp. 40–62.
Kravchenko, O. V. (2021). Instytutsiini peredumovy rozvytku derzhavno-pryvatnoho partnerstva u medychnii sferi [Institutional prerequisites for the development of PPP in healthcare]. Derzhavne upravlinnia: udoskonalennia ta rozvytok, No. 11, pp. 108–118.
Boiko, L. M. (2023). Yevropeiskyi dosvid zaluchennia pryvatnoho sektoru do finansuvannia okhorony zdorovia [European experience of private sector engagement in healthcare]. Ekonomika ta derzhava, No. 3, pp. 95–108.
OECD. (2020). Public–Private Partnerships for Infrastructure: Principles of Good Governance. Paris: OECD Publishing.
World Health Organization. (2021). Public–Private Partnerships for Health: Policy and Practice. Geneva: WHO Press.
World Bank Group. (2020). PPP Knowledge Lab: Healthcare Public–Private Partnerships. Washington, D.C.: The World Bank.
Bloomfield, M. J. (2020). Public–Private Partnerships in the Health Sector: Lessons from Europe. Journal of Health Management, Vol. 22, No. 2, pp. 175–189.
Hodge, G. A., & Greve, C. (2017). The Challenge of Public–Private Partnerships: Learning from International Experience. Cheltenham: Edward Elgar Publishing.
European Bank for Reconstruction and Development (EBRD). (2022). Partnering for Impact: Healthcare Infrastructure through PPPs. London: EBRD.
WHO & USAID. (2022). Private Sector Engagement for Health: Global Report. Geneva: WHO Press.
Rönnberg, L., & Larsson, A. (2021). Public–Private Collaboration in Swedish Healthcare: Challenges and Success Factors. Health Policy, Vol. 125, No. 5, pp. 623–630.
World Economic Forum. (2021). Investing in Health Systems Strengthening through PPPs. Geneva: WEF.
Ministerstvo okhorony zdorovia Ukrainy. (2021). Natsionalna stratehiia reformuvannia systemy okhorony zdorovia na period 2021–2027 rokiv [National Strategy for Healthcare Reform for 2021–2027]. Kyiv: Ministry of Health of Ukraine.
International Finance Corporation (IFC). (2019). Public–Private Partnerships in Health: Models, Lessons and Trends for Developing Countries. Washington, D.C.: The World Bank.
European Commission. (2020). Guide to the Successful Implementation of Public–Private Partnerships. Brussels: EC Publications Office.
United Nations Development Programme (UNDP). (2023). Strengthening Healthcare Resilience through Public–Private Cooperation. New York: UNDP.
