Welcome to site of Scientific Works of NDFI (demo).

№ 2/2018

Nauk. pr. NDFI 2018 (2): 117–132https://doi.org/10.33763/npndfi2018.02.117

FINANCIAL AND ECONOMIC REGULATION

PAVLIUK Klavdiia ¹, KAMINSKA Olena ²

¹SESE “The Academy of Financial Management”
OrcID ID : https://orcid.org/0000-0002-9495-6630
²SESE “The Academy of Financial Management”
OrcID ID : https://orcid.org/0000-0001-5859-5623

Foreign experience of development of public-private partnerships in the health system

The article examines the experience of introducing public-private partnerships (PPPs) in the field of health care in developed foreign countries. PPP has become an effective tool for addressing health problems in modern conditions. In Ukraine, in the conditions of limited state financial resources, poor quality and availability of health services, there is a growing need for the development of such partnerships. The advantages of the PPP mechanism are considered in the context of the problem under study which contributes, in particular, to reducing the burden on the budget, increasing efficiency in the implementation of projects, and accelerating the solution of socially important tasks in public health. The problems of PPP development are opacity in decision-making processes, inadequate public control and public participation in the process of PPP projects implementation, social justice restrictions, high cost, and complexity of implementation on a large scale. The main forms and models of PPPs are disclosed, the risks of their application are the risk of capital investments, the risk of receipt, market risk, and the risk of transferring risks to the public sector. The factors that restrict the development of PPP, including in Ukraine: organizational, institutional, economic, social and psychological. Recommendations are formulated regarding the prospects for the development of PPPs in Ukraine: developing and adopting legislative initiatives to create transparent, competitive conditions for the functioning of PPPs in health care; the formation of a road map for PPPs; creation of a specialized institution for management and monitoring of PPPs; introduction of model agreements on joint activities within the framework of PPP, concession and lease; formation of methodical recommendations for the selection and use of financial PPP models; registration of objects realized on the basis of PPP in the registers of capital investment objects and state contracts; disclosure in the budget documents and the financial performance report for each PPP project information; implementation of budgetary planning in the evaluation of prospective expenditures for PPP projects and setting of limit levels of these expenditures both within the medium-term planning and in the long-term budget forecast.

Keywords:public-private partnership, health care, financial resources

JEL: I14, I15,I18, L32

PAVLIUK K. . Foreign experience of development of public-private partnerships in the health system / K. . PAVLIUK, O. Kaminska // Наукові праці НДФІ. - 2018. - № 2. - C. 117-132.

Article original in Ukrainian (pp. 117 - 132)

Download

Downloads :708

1. Torchia, M., Calabrò, A. (2015). Public-Private Partnerships in the Health Care Sector: A Systematic Review of the Literature. Retrieved from www.researchgate.net/publication/255172193_Public-Private_Partnerships_in_the_Health_Care_Sector_A_Systematic_Review_of_the_Literature.
2. Barrows, D., MacDonald, I., Supapol, A., Dalton-Jez, O. & Harvey-Rioux, S. (2011, March). Public private partnerships in Canadian Healthcare. A case study of the Brampton civic hospital. Retrieved from: www.oecd.org/gov/budgeting/47814779.pdf.
3. Chahine, G., Bitar, J. & Idnani, N. (2012). Harnessing the Power of Public-Private Partnerships in Healthcare Imperatives for GCC Governments. Retrieved from www.strategyand.pwc.com/media/uploads/Strategyand_Harnessing-The-Power-Of-Public-Private-Partnerships-In-Healthcare.pdf.
4. Venkat, R. A. (n. d.). Public-private partnership in health care: context, models, and lessons. Retrieved from www.who.int/global_health_histories/seminars/Raman_presentation.pdf.
5. Lovin, M. S. (2014). Public-Private Partnerships – A Growing Trend in the U.S. Health Sector. Retrieved from www.linkedin.com/pulse/20141019200735-2957001-public-private-partnerships-a-growing-trend-in-the-u-s-health-sector/.
6. Saltman, R. B., Figueras, J. (2000). European health care reform. Analysis of current strategies. Moscow: GE’OTAR MEDICINA [in Russian].
7. Thadani, K. B. (2014). Public Private Partnership in the Health Sector: Boon or Bane. Retrieved from ac.els-cdn.com/S1877042814058534/1-s2.0-S1877042814058534-main.pdf?_tid=d674dd53-0786-4724-863c-e15f14a2147f&acdnat=1523365032_7b26149dafec1115f75a8a10d878225a.
8. Aleshko, D., Kostina, A. (2013). Public-private partnership in healthcare. Retrieved from www.legalalliance.com.ua/ukr/publikacii/derzavno-privatne-partnerstvo-v-sferi-ohoroni-zdorova/ [in Ukrainian].
9. Hojda, N. H., Kurdil’, N. V. & Voronenko, V. V. (2013). The public-private partnership regulatory support of the healthcare sector in Ukraine. Zaporozhye Medical Journal, 5, 104–108. Retrieved from elibrary.ru/item.asp?id=20517528 [in Ukrainian].
10. Gafurova, G. T. (2013). Foreign experience in the development of public-private partnership mechanisms. Finance and credit, 48, 62–72 [in Russian].
11. Dutko, N. H. (2011). Directions of development of public-private partnership: healthcare. Economy and state, 1, 105–108. Retrieved from www.economy.in.ua/pdf/1_2011/30.pdf [in Ukrainian].
12. Martyakova, O. V., Try’koz, I. V. (2011). Public-private partnership in healthcare. Bulletin of the Berdyansk University of Management and Business, 1 (13), 37–43. Retrieved from old.bumib.edu.ua/sites/default/files/visnyk/6-1-13-2011.pdf [in Ukrainian].
13. Olijny’k, H. (2013). Public private partnership as a mechanism to reduce social risks. Bulletin of Taras Shevchenko National University of Kyiv. Economics, 3 (168), 67–72 [in Ukrainian].
14. Pavlyuk, K. V., Pavlyuk, S. M. (2010). Essence and role of partnership of the state and private business in socio-economic development. Collection of Scientific Works of Kirovohrad National Technical University. Economic Sciences, 17, 10–19 [in Ukrainian].
15. Pavlyuk, K. V. (2013). Healthcare: try the mechanisms of public-private partnership. Independent auditor, 3, 66–70 [in Ukrainian].
16. Pidhayec’, S. V., Sitash, T. D. (2012). Problems and prospects of public-private partnership in health protection system. Economics of Development, 3,
32.–37 [in Ukrainian].
17. Sachek, M. M., Khejfec, N. E. & Petrov, V. S. (2016). Public private partnership in healthcare: international experience. Issues of organization and information health, 1, 18–34. Retrieved from minzdrav.gov.by/dadvfiles/001028_50178_2_Probl_2_.pdf [in Russian].
18. Stepanova, O. V. (2014). Strategic directions for development of public-private partnership of Ukraine’s health care. Effective economy,
6. Retrieved from www.economy.nayka.com.ua/?op=1&z=3157 [in Ukrainian].
19. Torchia, M., Calabrò, A. (2016). Increasing the Governance Standards of Public-Private Partnerships in Healthcare. Evidence from Italy. Retrieved from www.researchgate.net/profile/Andrea_Calabro/publication/308909378_Increasing_the_Governance_Standards_of_Public-Private_Partnerships_in_Healthcare_Evidence_from_Italy/links/57fe097708aeaf819a5bfc54.pdf?origin=publication_list.
20. IFC. (n. d.). Health. Retrieved from www.ifc.org/wps/wcm/connect/Industry_EXT_Content/IFC_External_Corporate_Site/PPP/Priorities/Health/.
21. HM Treasury. (2016). Private Finance Initiative and Private Finance 2 projects: 2015 summary data. Retrieved from www.gov.uk/government/uploads/system/uploads/attachment_data/file/504374/PFI_PF2_projects_2015_summary_data.pdf.
22. Booth, L., Starodubtseva, V. (2015). PFI: costs and benefits. Retrieved from researchbriefings.parliament.uk/ResearchBriefing/Summary/SN06007.
23. Healthcare UK. (2013, December 18). Healthcare: Public Private Partnerships. Retrieved from www.gov.uk/government/publications/public-private-partnerships/public-private-partnerships#public-private-partnerships-innovative-approaches-to-extend-healthcare-provision.
24. Value for money? (n. d.). bankwatch.org. Retrieved from bankwatch.org/documents/PPPs/PPP-background-6.pdf.
25. Nicolich, I. A., Maikish, H. (2006). Public-Private Partnerships and Collaboration in the Health Sector. An Overview with Case Studies from Recent European Experience. Retrieved from citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.490.3442&rep=rep1&type=pdf.
26. ÖPP Deutschland AG. (2014). Öffentlich-Private Partnerschaften in Deutschland. Retrieved from www.pd-g.de/fileadmin/Daten/OEPP-Markt/OEPP-Marktzahlen/140829_OEPP_Deutschland_Halbjahresbericht_2014.pdf [in German].
27. NSW Treasury. (2008). Royal North Shore Hospital and Community Health Services Public Private Partnership. Summary of contracts as at 28 October 2008. Retrieved from www.treasury.nsw.gov.au/__data/assets/pdf_file/0016/13417/RNSH_Audited_Contract_Summary.pdf.
28. New Karolinska Solna. (n. d.). group.skanska.com. Retrieved from group.skanska.com/projects/57344/New-Karolinska-Solna.
29. Raman, V., Björkman, J. W. (2017). Public-Private Partnership in Health Care Services in India. Retrieved from www.pppinharyana.gov.in/ppp/sector/health/report-healthcare.pdf.
30. Barnes, J. (2011). Designing Public-Private Partnerships in Health. Retrieved from www.abtassociates.com/abtassociates/files/49/49a01920-2254-433a-879d-76843f2ecd
28.pdf.
31.. Pourasghari, H., Jafari, M., Gorji, H. A. & Maleki, M. (n. d.). Public Hospital Facilities Development Using Build-Operate-Transfer Approach: Policy Consideration for Developing Countries. Retrieved from ircmj.com/?page=article&article_id=39866.
32.. European Union. (2013). Health and Economics Analysis for an evaluation of the Public Private Partnerships in health care delivery across EU. Retrieved from ec.europa.eu/health/expert_panel/sites/expertpanel/files/ppp_finalreport_en.pdf.