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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1694</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2024-28-1-47-52</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Models of private-public partnership in medical activities (according to foreign and domestic literature)</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Sarkisyan</surname><given-names>Armen D.</given-names></name><bio></bio><email>sarkisyan.ad@medsigroup.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shapovalenko</surname><given-names>Tat'jana V.</given-names></name><bio></bio><email>shapovalenko.tv@medsigroup.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Darenkov</surname><given-names>Sergej P.</given-names></name><bio></bio><email>darenkov@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Agamov</surname><given-names>Zagir H.</given-names></name><bio></bio><email>agamov.zh@medsigroup.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Clinical Hospital No. 1 Medsi, Moscow, Russia</aff><aff id="aff-2">Central State Medical Academy of Department of Presidential Affairs, Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2024-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2024</year></pub-date><issue>1</issue><fpage>47</fpage><lpage>52</lpage><history><pub-date date-type="received" iso-8601-date="2025-10-15"><day>15</day><month>10</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2024,</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>Public-private partnership (PPP) is based on the principle of attracting private investment to finance public structures or the transfer of part of state functions to enterprises with private capital, and is currently widely used in medicine all over the world, including Russia. The article presents in detail the PPP models, used in healthcare (accommodation model, franchises, mixed ownership, the basis of a shareholder agreement); furthermore, the advantages and disadvantages of PPP are described. It is shown that despite the fact that PPP in the field of medical services in Russia is still at its initial stage, this financing model is promising and requires further research to improve and subsequent implementation in medical institutions.</abstract><kwd-group xml:lang="en"><kwd>public-private partnerships</kwd><kwd>health care system</kwd><kwd>health financing</kwd><kwd>literature review</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>частно-государственное партнёрство</kwd><kwd>система здравоохранения</kwd><kwd>финансирование здравоохранения</kwd><kwd>обзор литературы</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>von Grafenstein L., Gao H. O. Infrastructure policy and public health: evidence from OECD countries. Sci. Total Environ. 2021;750:141157. DOI: 10.1016/j.scitotenv.2020.141157</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Jakovljevic M., Camilleri C., Rancic N. et al. Cold war legacy in public and private health spending in Europe. Front. Public Health. 2018;6:215. DOI: 10.3389/fpubh.2018.00215</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>De Pinho Campos K., Norman C. D., Jadad A. R. Product development public-private partnerships for public health: a systematic review using qualitative data. Soc. Sci. Med. 2011;73(7):986—994. DOI: 10.1016/j.socscimed.2011.06.059</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Joudyian N., Doshmangir L., Mahdavi M. et al. Public-private partnerships in primary health care: a scoping review. BMC Health Serv. Res. 2021;21(1):4. DOI: 10.1186/s12913-020-05979-9</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>La Forgia G., Harding A. Publicprivate partnerships and public hospital performance in São Paulo, Brazil. Health Aff. (Millwood). 2009;28(4):1114—1126.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Moskovceva L. V., Burljukina O.Ju., Mitrofanova O. N. Public-private partnership in healthcare. Modern Science. 2020;(2—1): 68—72.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Musin A. D. The state of public-private partnership in Russia. Vestnik nauki. 2021;4(1):70—74.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Roehrich J. K., Lewis M. A., George G. Are public-private partnerships a healthy option? A systematic literature review. Soc. Sci. Med. 2014;113:110—119. DOI: 10.1016/j.socscimed.2014.03.037</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Torchia M., Calabrò A., Morner M. Public-private partnerships in the Health Care Sector: a systematic review of the literature. Public Manag. Rev. 2015;17(2):236—261.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Raman A. V., Björkman J. W. Public-private partnerships in healthcare. In: Kuhlmann E., Blank R. H., Bourgeault I. L. et al. (eds.) The palgrave international handbook of healthcare policy and governance. London; 2015:376—392.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Singh A., Prakash G. Public-private partnerships in health services delivery: a network organizations perspective. Public Manag. Rev. 2010;12(6):829—856.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Tonge A. The role and relevance of public private partnerships in English healthcare. Healthc. Manage Forum. 2021;34(4):229—233. DOI: 10.1177/08404704211004623</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>van den Hurk M., Hueskes M. Beyond the financial logic: realizing valuable outcomes in public—private partnerships in Flanders and Ontario. Environ. Plann. C Polit. Space. 2017;35(5):784—808.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Skietrys E., Raipa A., Bartkus E. V. Dimensions of the efficiency of public-private partnership. Eng. Econ. 2008;58:45—50.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Barlow J., Köberle-Gaiser M. Delivering innovation in hospital construction: contracts and collaboration in the UK’s Private Finance Initiative Hospitals Program. Calif. Manage Rev. 2009;51:126—143.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Kostyak L., Shaw D. M., Elger B., Annaheim B. A means of improving public health in low- and middle-income countries? Benefits and challenges of international public-private partnerships. Public Health. 2017;149:120—129. DOI: 10.1016/j.puhe.2017.03.005</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Schram A., Townsend B., Youde J., Friel S. Public health over private wealth: rebalancing public and private interests in international trade and investment agreements. Public Health Res. Pract. 2019;29(3):2931919. DOI: 10.17061/phrp2931919</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Mayston D. J. The Private finance initiative in the National Health Service: an unhealthy development in new public management? Financ. Account Manag. 1999;15:249—274.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Blanken A., Dewulf G. PPPs in health: static or dynamic? Aust. J. Publ. Admin. 2010;69:S35—S47.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Almalki A., Al-Hanawi M. Public private partnerships and collaboration in the health sector in the Kingdom of Saudi Arabia: a qualitative study. Glob. J. Health Sci. 2018;10(6):10.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Ratanova P. S. Public-private partnership in the field of healthcare on the example of the Yekaterinburg Center MNTK «Mikrohirurgija glaza». Alleja nauki. 2019;3(6):692—697.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Agamov Z. H., Sarkisjan A. D., Darenkov S. P. et al. Experience in the implementation of the program for early diagnosis of prostate cancer in the city polyclinic of Moscow. Kremlevskaja medicina. Klinicheskij vestnik. 2022;(2):136—148.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Gil&amp;apos;fanova L.G., Rodnjanskiĭ? D. V. On the issue of implementing public-private partnership partnership in the field of healthcare in the Republic of Tatarstan. Current problems in the humanities and natural sciences. 2015;(11—3):53—57.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Caballer-Tarazona M., Clemente-Collado A., Vivas-Consuelo D. A cost and performance comparison of Public Private Partnership and public hospitals in Spain. Health Econ. Rev. 2016;6(1):17. DOI: 10.1186/s13561-016-0095-5</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Comendeiro-Maaløe M., Ridao-López M., Gorgemans S. et al. A comparative performance analysis of a renowned public private partnership for health care provision in Spain between 2003 and 2015. Health Policy. 2019;123(4):412—418.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Margalitadze O. N., Gorbunov V. S. Features of the development of the world economy and foreign economic activity in the context of globalization and regionalization: monograph. Moscow; 2019. 170 p.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Plekhanov A. N. Results and prospects of health care quality on the example of public-private partnership. Bulletin of Buryat State University. Medicine and pharmacy. 2017;(1):3—9.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Shachnev E. N., Liang O. V., Kochetov A. G. Public-private partnership in the healthcare system of Russia: the possibility of implementation at the present stage. Laboratory service. 2015;4(2):59—62.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Bystrykh A. V., Golovina O. D. Franchising in the field of medical services as optimal direction of business organization. Menedžment: teoriâ i praktika. 2021;(3—4):138—141.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Suleymenov E. M. The utilization of the franchising to attract investment in healthcare on the example of the Republic of Kazakhstan. Magyar Tudományos Journal. 2020;(43):4146.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Moskovtseva L. V., Poljanskih A. A. Public-private partnerships of the Russian Federation: problems of application in the health sector. Current problems and prospects for economic development: Russian and foreign experience. 2020;(4):17—23.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Stallworthy G., Boahene K., Ohiri K. et al. Roundtable discussion: what is the future role of the private sector in health? Global Health. 2014;10:55. DOI: 10.1186/1744-8603-10-55</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Malan D. P. Public-private partnerships in global health. N. Engl. J. Med. 2019;381(2):193. DOI: 10.1056/NEJMc1905724</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Palaco I., Park M. J., Kim S. K., Rho J. J. Public-private partnerships for e-government in developing countries: an early stage assessment framework. Eval. Program Plann. 2019;72:205—218. DOI: 10.1016/j.evalprogplan.2018.10.015</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Basabih M., Prasojo E., Rahayu A. Y. S. Hospital services under public-private partnerships, outcomes and, challenges: a literature review. J. Public Health Res. 2022;11(3):22799036221115781. DOI: 10.1177/22799036221115781</mixed-citation></ref></ref-list></back></article>
