Health Care Reform In Ukraine: Public-Private Partnership Issues

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.