Abstract
This article is devoted to the study of the peculiarities of the public-private partnership implementation as the key form of investing financial resources in the sphere of medical services in Ukraine. The purpose of the investigation is studying issues of public-private partnership in the financing of the medical sector of Ukraine on the example of the Sumy Regional Clinical Cardiology Dispensary. This article examines modern concepts and public-private partnership’s models in the field of health care and the features of their practical implementation. The legislative base of public-private partnership within the health care system of Ukraine is analysed. Methodological support of the research includes the use of the following methods: system analysis, synthesis and scientific abstraction, structural-logical, comparative and statistical analysis, and retrospective method. The results of the study allowed: determine the subjective and object components of public-private partnership; analyse foreign experience in the formation of models combining the functions that are directed to the private partner by government agencies substantiate features of introduction of partnership in the conditions of medical reform; study the practice of implementing partnership projects for health care branch in Ukraine; provide medical and social justification for increasing the quality of medical care for patients with acute coronary syndrome on the basis of the model of public-private partnership; identify barriers while the implementation of public-private partnerships in the field of health care at the present stage of development of the medical services sphere in Ukraine; improve the public-private partnership model based on a joint venture agreement between the public unity service and the private entity in order to improve the quality of emergency care for patients with acute coronary conditions. The paper states that when using the capabilities of the mechanism of public-private partnership, by involving in the provision of quality medical care material and technical and human resources of the private medical enterprise «Alfa-Medica» and by providing invasive medical care to patients with acute cardiac syndrome in 2015-2019 the reduction in mortality and disability has been achieved. The study provides the recommendations for taking into account while creating the strategy for the public-private partnership projects implementation in the field of health care in Ukraine, both state and regional interests in solving medical and social problems through the relevant programs.
Highlights
In the context of socio-economic changes in Ukraine, the processes of health care reform are accompanied by an unresolved problem of state regulation the investment support for the development of the medical sector
In order to further improve the financial support of medical services, in particular in the treatment of cardiovascular problems and vascular diseases, which include diseases of the circulatory system (DCS) and acute coronary syndrome (ACS), based on the use of private partnership (PPP)-form of investment, there should be analyzed the state of morbidity and mortality of the population of Ukraine and Sumy region as a result of these diseases
During 2015-2017, all interventional interventions for patients with ACS were performed exclusively on the equipment of Alfa-Medica LLC (Tables 4 and 5), as only this medical institution had a single angiograph in Sumy region
Summary
In the context of socio-economic changes in Ukraine, the processes of health care reform are accompanied by an unresolved problem of state regulation the investment support for the development of the medical sector. The general requirements of the legislation on the implementation of PPP projects, which are typical for projects in any field, namely in the health care field, include: participation of relevant state bodies and local governments as state partners; the existence of a PPP agreement as a basis for cooperation between public and private partners; implementation of competitive issues in defining the private partner; private investment in partnership is obligatory; the period of PPP validity is from 5 to 50 years (Guidelines, 2018; Vynnytsky et al, 2008). Improving funding mechanisms in the form of PPP in the context of investing in the medical sector involves a step-by-step study of the following aspects: − subject and object components of PPP; − -foreign experience of PPP models of a combination of functions which are transferred to the private partner by state institutions; − features of PPP implementation in the conditions of medical reform; − practical experience in implementing PPP projects in the health care field in Ukraine.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
