THE CONCEPT OF PUBLIC-PRIVATE PARTNERSHIP IN HEALTHCARE IN UKRAINE: HARMONIZATION WITH APPROACHES OF INTERNATIONAL ORGANIZATIONS
DOI:
https://doi.org/10.51547/ppp.dp.ua/2024.5.2Keywords:
public governance, public policy, public-private partnership, healthcare, international organizations, harmonization of approaches in governanceAbstract
The article examines the current problem of Ukraine in facilitating access to and improving the quality of medical services through the implementation and development of public-private partnerships in the healthcare sector, which is important both in the context of reforming public governance of the healthcare sector and in the context of business management to achieve sustainable development goals. An analysis of the World Health Organization’s recommendations on developing publicprivate partnerships in the healthcare sector in Ukraine led to the conclusion that international organizations are willing to act as guarantors and investors in healthcare partnership projects. Still, it is necessary to harmonize the conceptual platform for understanding public-private partnerships between potential partnership participants in Ukraine and international organizations. Therefore, the purpose of the article is to compare the concepts of public-private partnerships in the practice of international organizations and the regulatory and legal field of Ukraine, to identify their common and distinctive features, and to harmonize the concept of public-private partnerships in the healthcare sector in Ukraine with the concepts of public-private partnerships of international organizations. Based on the study of the scientific field formed around public-private partnership in foreign theory and practice, the feasibility of grouping scientific views on the definition of the concept of public-private partnership into seven approaches was argued. They are as follows: legal, economic, social, operational, regulatory, functional, transformational. A comparison of the concepts of public-private partnership, which are used in practice by international organizations, with the concepts defined by the Law of Ukraine and the methodology of the Ministry of Health of Ukraine, showed that the specific concept of public-private partnership in the healthcare sector, both in international organizations and in Ukraine, is not used, there are characteristics of the general concept of public-private partnership, according to which there are coincidences and differences in interpretations. It was established that in the practice of international organizations in the understanding of public-private partnership, operational and economic approaches prevail, and in Ukraine – legal and economic approaches are dominant. On this basis, a refined concept of public-private partnership in the healthcare sector in Ukraine was proposed, harmonized with the concept of public-private partnership of international organizations.
References
WHO report “Public-private partnerships for health care infrastructure and services: considerations for policy makers in Ukraine” (2022). World Health Organization. https://pppagency.me.gov.ua/who-report-public-private-partnershipsfor-health-care-infrastructure-and-services-considerations-for-policy-makers-in-ukraine/
Dominique Custos, John Reitz, Public-Private Partnerships, The American Journal of Comparative Law, Volume 58, Issue suppl_1, Supplement 2010, Pages 555–584. https://doi.org/10.5131/ajcl.2009.0037
Kitsos, J. (2015). Privitisation and Public Private Partnerships: Defining the Legal Boundaries from an International Perspective. Eur. Procurement & Pub. Private Partnership L. Rev., 10, 17.
AZIZ D. Global Public-Private Partnerships in International Law. Asian Journal of International Law. 2012;2(2):339-374. doi:10.1017/S2044251312000148
Du, J., Wu, H., & Jin, R. (2019). Capital structure of public-private partnership projects: A sustainability perspective. Sustainability, 11(13), 3505.
Chauhan, Y., & Marisetty, V. B. (2019). Do public-private partnerships benefit private sector? Evidence from an emerging market. Research in International Business and Finance, 47, 563-579.
Hellowell, M. (2018). Public private partnerships and the quality and efficiency of healthcare services. Public-Private Partnerships in Health: Improving Infrastructure and Technology, 1-13.
Adighibe, C. N. (2015). Public private partnership infrastructure delivery: Benefits and costs for society (Doctoral dissertation, Queensland University of Technology).
Henjewele, C., Fewings, P., & D. Rwelamila, P. (2013). De-marginalising the public in PPP projects through multistakeholders management. Journal of Financial Management of Property and Construction, 18(3), 210-231.
Wojewnik-Filipkowska, A., & Węgrzyn, J. (2019). Understanding of public–private partnership stakeholders as a condition of sustainable development. Sustainability, 11(4), 1194.
Cheng, M., Liu, G., Xu, Y., & Chi, M. (2021). Enhancing trust between PPP partners: the role of contractual functions and information transparency. Sage Open, 11(3), 21582440211038245.
Rybnicek, R., Plakolm, J., & Baumgartner, L. (2020). Risks in public–private partnerships: A systematic literature review of risk factors, their impact and risk mitigation strategies. Public Performance & Management Review, 43(5), 1174-1208.
Alonazi, W. B. (2017). Exploring shared risks through public-private partnerships in public health programs: a mixed method. BMC public health, 17, 1-7.
Bovis, C. H. (2015). Risk in public-private partnerships and critical infrastructure. European Journal of Risk Regulation, 6(2), 200-207.
Trebilcock, M., & Rosenstock, M. (2015). Infrastructure public–private partnerships in the developing world: Lessons from recent experience. The Journal of Development Studies, 51(4), 335-354.
Petersen, O. H. (2010). Emerging meta-governance as a regulation framework for public-private partnerships: An examination of the European Union's approach. International Public Management Review, 11(3), 1-21.
Soecipto, M., Verhoest, K., Scherrer, W., & Petersen, O. H. (2015). Diverging or converging PPP policies, regulations and supporting arrangements. Public Private Partnerships in Transport: Trends and Theory. Routledge.
Casady, C. B., Eriksson, K., Levitt, R. E., & Scott, W. R. (2019). (Re)defining public-private partnerships (PPPs) in the new public governance (NPG) paradigm: an institutional maturity perspective. Public Management Review, 22(2), 161–183. https://doi.org/10.1080/14719037.2019.1577909
Krishnaraj, R., Subbaiyan, A., Viswanathan, R., & Velusamy, S. (2024). Analyzing key success factors in publicprivate partnership BOT projects: an empirical study on financing influences, insights, and analysis in construction management. Matéria (Rio de Janeiro), 29(2), e20240140. https://doi.org/10.1590/1517-7076-rmat-2024-0140
Zaw, W. (2023). A Study on Investment and Financial Return of PPP (BOT) Highway Project and Benefit for Public Sector (Case Study: Yangon-Mandalay Union Highway Project)(Wunna Zaw, 2023) (Doctoral dissertation, MERAL Portal).
Selim, A. M. (2022). A new era for public–private partnership (PPPs) in Egypt’s urban water supply projects: Risk assessment and operating model. HBRC Journal, 18(1), 157-182.
Corrêa, T. L., & Morais, D. C. (2024). Private Partner Prioritization for Public–Private Partnership Contracts in a Brazilian Water Company Using a Multi-Criteria Decision Aid Method. Mathematics, 12(13), 2041.
Meissner, D. (2019). Public-private partnership models for science, technology, and innovation cooperation. Journal of the Knowledge Economy, 10(4), 1341-1361.
Carbonara, N., & Pellegrino, R. (2020). The role of public private partnerships in fostering innovation. Construction management and economics, 38(2), 140-156.
Immonen, M. (2011). Public-Private Partnerships: Managing organizational change for acquiring value creative capabilities. Lappeenranta University of Technology.
Mohd Nafi, S. N., Jaganathan, M., & Zainol Abidin, M. A. (2021). Public–Private Partnership and Social Innovation in Malaysia. In Modeling Economic Growth in Contemporary Malaysia (pp. 177-189). Emerald Publishing Limited.
Simamora, A. S. (2023). World Bank Group Engagement in Public-Private Partnerships: Strengthening Sustainable Finance in International Investment Standards. https://www.diva-portal.org/smash/get/diva2:1769861/FULLTEXT01.pdf
What is a PPP: Defining "Public-Private Partnership". The World Bank. Public-Private Partnership Resource Center. https://ppp.worldbank.org/public-private-partnership/what-ppp-defining-public-private-partnership
Porcher, S. (2022). A Case Study of the London Underground’s PPP failure. Available at SSRN 3597476.
What are PPPs? UN Trade and Development. Investment Policy Hub. https://investmentpolicy.unctad.org/pages/27/what-are-ppps
Recommendation of the Council on OECD Legal Instruments Principles for Public Governance of Public-Private Partnerships (2024). OECD. https://legalinstruments.oecd.org/public/doc/275/275.en.pdf
Public-Private Partnership (PPP). ICAO. Economic Development. https://www.icao.int/sustainability/Pages/im-ppp.aspx
Introducing Public-Private Partnership. Volume 2. Part 2. World Customs Organization. https://www.wcoomd.org/-/media/wco/public/global/pdf/topics/facilitation/instruments-and-tools/tools/single-window/compendium/swcompendiumvol2partii.pdf
Public-Private Partnerships. International Monetary Fund. https://www.imf.org/external/pubs/ft/fandd/2001/09/gerrard.htm
Public-Private Partnerships. International Finance Corporation. https://www.ifc.org/en/what-we-do/sector-expertise/public-private-partnerships
Public-Private Partnerships. PWC. https://www.pwc.com/id/en/industry-sectors/cpi/public-private-partnerships.html
Public-Private Partnership (PPP). Handbook. Asian Development Bank. https://www.adb.org/sites/default/files/institutional-document/31484/public-private-partnership.pdf
Public-Private Partnership (PPPs). European Bank for Reconstruction and Development. https://www.ebrd.com/infrastructure/infrastructure-ppp.html
A smarter way to think about public–private partnerships. McKinsey & Company. https://www.mckinsey.com/capabilities/risk-and-resilience/our-insights/a-smarter-way-to-think-about-public-private-partnerships
What is Public-private Partnerships? Deloitte. https://www2.deloitte.com/cn/en/pages/real-estate/articles/what-ispublic-private-partnerships.html
Pro derzhavno-pryvatne partnerstvo, Zakon Ukrainy No 2404-VI (2010) (Ukraina). [On Public-private Partnership, Law of Ukraine No. 2404-VI]. https://zakon.rada.gov.ua/laws/show/2404-17#Text [in Ukrainian].
Metodychni rekomendatsii dlia derzhavnykh ta komunal'nykh zakladiv okhorony zdorov’ia, dlia pratsivnykiv orhaniv upravlinnia u sferi okhorony zdorov’ia dlia vprovadzhennia proektiv derzhavno-pryvatnoho partnerstva u sferi okhorony zdorov’ia (2018) (Ukraina). [Methodological recommendations for state and municipal healthcare institutions, for employees of healthcare management bodies for the implementation of public-private partnership projects in the healthcare sector, Methodological recommendations of Ministry of Health of Ukraine]. https://moz.gov.ua/uploads/1/7840-1234567890.pdf [in Ukrainian].
NATSIONAL'NE POLOZHENNYA (STANDART) bukhhalters'koho obliku 1 «Zahal'ni vymohy do finansovoi zvitnosti» No 73 (2013) (Ukraina). [NATIONAL ACCOUNTING REGULATION (STANDARD) 1 "General Requirements for Financial Reporting", Order of the Cabinet of Ministers of Ukraine No. 73]. https://zakon.rada.gov.ua/laws/show/z0336-13#Text [in Ukrainian].