Legal mechanisms for the development of public-private partnership in healthcare

Keywords: healthcare system; public-private partnership; legal mechanism; innovations in public administration; healthcare reform; risk management.

Abstract

The article highlights the innovative transformations that have taken place in Ukraine over the past two years within the framework of legislative processes aimed at ensuring effective public management of public-private partnerships (PPPs) in the healthcare sector. In the context of modern challenges, in particular, a full-scale war, the importance of cooperation between public and private organizations has increased significantly. This cooperation contributes to strengthening the infrastructure and ensuring access to quality medical services even in times of crisis. In this context, the emphasis is placed on the latest legal innovations in Ukraine that form the basis for the effective functioning of PPPs in the healthcare sector.
The article examines the evolution of contractual structures that have become more adaptive to modern realities, in particular through the integration of risk management strategies and the implementation of models based on achieving results. Considerable attention is paid to transparency and accountability as key elements of the successful functioning of PPPs. An important aspect is also the involvement of stakeholders, including representatives of the public, the medical community and investors, which ensures a balance of interests and contributes to the long-term sustainability of projects.
The analysis of legal mechanisms for adapting to the challenges of the healthcare sector showed how new approaches help overcome problems such as the restoration of destroyed infrastructure, the lack of qualified personnel, the protection of data confidentiality, patients’ rights and compliance with ethical standards. Special emphasis is placed on international comparative studies that allow adopting best practices and integrating them into the national legal field.
The review of innovative development of the legal mechanism for ensuring PPP includes an analysis of legislative reforms, risk management strategies, adaptation of the regulatory framework, implementation of new contract models, ensuring transparency, compliance with ethical standards and integration of international experience. Such transformations form a dynamic legal environment that stimulates the development of public-private partnerships, creating the foundation for building a healthcare system that is patient-oriented and sensitive to the challenges of modernity.

Downloads

Author Biographies

Oleg Vashev, V. N. Karazin Kharkiv National University, 4 Svobody Sq, Kharkiv, 61022, Ukraine

candidate of medical sciences, associate prof.
Department of Law, National Security and European Integration
Educational and Scientific Institute «Institute of Public Administration»,
V. N. Karazin Kharkiv National University, 4 Svobody Sq., Kharkiv, 61022, Ukraine

Stanislav Khyzhniak, V. N. Karazin Kharkiv National University, 4 Svobody Sq, Kharkiv, 61022, Ukraine

PhD student Department of Law, National Security and European Integration, Educational and Scientific Institute «Institute of Public Administration»,
V. N. Karazin Kharkiv National University, 4 Svobody Sq., Kharkiv, 61022, Ukraine

References

World Health Organization (2022). Public-private partnerships for health infrastructure and services: considerations for policymakers in Ukraine. WHO/EURO:2022-5713-45478-65597. URL: https://iris.who.int/bitstream/handle/10665/362282/WHO-EURO-2022-5713-45478-65597-ukr.pdf (accessed on December 09, 2024) [in Ukrainian].

Verkhovna Rada of Ukraine (2023). Legislation of Ukraine. Normative acts. URL: https://zakon.rada.gov.ua/laws/main/a#/Find (accessed on December 09, 2024). [in Ukrainian].

Kalashnyk, N. S. (2023). Ensuring the Sustainable Development Goals in Ukraine: Conceptual Transformations of Perception in Conditions of Martial Law. Public Administration

Effectiveness, 4(73), 11-16. https://doi.org/10.36930/507301 [in Ukrainian].

Ministry of Health of Ukraine (2023). Official web resource. URL: https://moz.gov.ua/ [in Ukrainian].

Cabinet of Ministers of Ukraine (2023). Partnership for Recovery and Development. Official portal. Decentralization. URL: https://decentralization.gov.ua/ [in Ukrainian].

UN General Assembly (2023). Transforming our world: The 2030 Agenda for Sustainable Development: UN General Assembly Resolution of 25 September 2015. URL: http://21.helsinki.org.ua/index.php?id 1549390061 [in Ukrainian].

Verkhovna Rada of Ukraine (2010, July 1). On public-private partnership: Law of Ukraine No. 2404-VI. URL: https://zakon.rada.gov.ua/laws/show/2404-17 [in Ukrainian].

Cabinet of Ministers of Ukraine (2023). On approval of the Procedure for making a decision on providing state support for the implementation of public-private partnership: Resolution of the Cabinet of Ministers of Ukraine dated 08.02.2023 No. 117. URL: https://zakon.rada.gov.ua/laws/show/117-2023 [in Ukrainian].

Verkhovna Rada of Ukraine (2023). On approval of the Procedure for allocating funds for the preparation of public-private partnership projects and the fulfillment of long-term obligations within the framework of public-private partnership for state-owned objects: Resolution of the Cabinet of Ministers of Ukraine dated 14.03.2023 Nº 222. URL: https://zakon.rada.gov.ua/laws/show/222-2023 [in Ukrainian].

Babacan, H. (2021). Public-Private Partnerships for Global Health. In: Kickbusch, I., Ganten, D. Moeti, M. (eds) Handbook of Global Health. Springer, Cham. https://doi.org/10.1007/978-3-030-45009-0 117

European Bank for Reconstruction and Development. (2023). Public-Private Partnerships For Promoting Sustainable Development Goals. URL: https://www.ebrd.com/documents/ogc/law-in-transition-2023-publicprivatepartnerships-for-promoting-susta-inable-development-goals.pdf

Joudyian, N., Doshmangir, L., Mandavi, M., et al. (2021). Public-private partnerships in primary health care: a scoping review. BMC Health Serv Res, 21, 4. https://doi.org/10.1186/s12913-020-05979-9

Principles to Guide Health System Recovery and Transformation in Ukraine. (2022). Consultation draft / EBRD Regional Office for Europe. Copenhagen. URL: https://www.euro.who.int/en/countries/ukraine/publications/prin-ciples-to-guide-health-systemrecovery-and-transformation-in-uk-raine-consultation-draft-may-202

Public-Private Partnerships (2023). Public-Private Partnerships: Official Web Resource. URL: https://www.investopedia.com/terms/p/public-private-partnerships.asp

APMG International (2023). The APMG public-private partnerships certification program. APMG International Web Resource. High Wycombe. URL: https://ppp-certification.com/

The World Bank (2023). Government Objectives: Benefits and Risks of PPPs. URL: https://ppp.worldbank.org/public-private-partnership/print/pdf/node/3523

Wang, N., & Ma, M. (2020). Public-private partnership as a tool for sustainable development – What literatures say? Sustainable Development, 1-16. https://doi.org/10.1002/sd.212

World Bank. (2018). Procuring infrastructure public-private partnerships report, World Bank and International Bank for Reconstruction and Development. World Bank Publications, Washington, DC. URL: https://pub-docs.worldbank.org/en/256451522692645967/pdf/PIP3-2018.pdf

World Health Organization (2022). Public-Private Partnerships for Health Care Infrastructure and Services: Considerations for Policy Makers in Ukraine, 38. URL: https://iris.who.int/bitstream/handle/10665/359561/WHO-EURO-2022-5713-45478-65097-eng.pdf.jpg?sequence-4

Reich, M. R. (2022). Public-private partnerships for public health. Nat Med, 6(6), 617–620.

Mitchell, M. (2018). An overview of public-private partnerships in health. International Health Systems Program Publication, Harvard School of Public Health.

Published
2025-01-06
How to Cite
Vashev, O., & Khyzhniak, S. (2025). Legal mechanisms for the development of public-private partnership in healthcare. Theory and Practice of Public Administration, 2(79), 314–327. https://doi.org/10.26565/1727-6667-2024-2-15
Section
State Regulation of Economic and Social Development Processes