REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot179310.32687/1561-5936-2025-29-2-143-150Original ArticleThe market of public-private partnership projects in the healthcare sector in the Russian Federation: structure and trendsYagovkinaNadezda V.nad0511ya@rambler.ruGabrielyanArtur R.gabrielyanarthur@gmail.comDemuriaLyubov E.demuriaeka@mail.ruSmyshlyaevAlexey V.alexeysmishlyaev@yandex.ruSerovDenis V.serovdv@mos.ruTarkinskayaDovletkhanum S.alex2284@inbox.ruUtkinAlexander V.007Kirov State Medical University, Kirov, RussiaN. A. Semashko National Research Institute of Public Health, Moscow, Russian FederationRoyal Clinic, Moscow, RussiaFederal Research Institute for Health Organization and Informatics, Moscow, RussiaCity Polyclinic No. 46, Moscow, RussiaMedical and Biological University of Innovation and Continuous Education State Scientific Center of the Russian Federation — "Federal Medical Biophysical Center named after A. I. Burnazyan", Moscow, Russia15122025214315017102025Copyright © 2025,2025The aim of the study was to determine the structure and trends of the public-private partnership projects market in the healthcare sector in the Russian Federation. The information and analytical base of the study was data on investment projects implemented on PPP principles and included in the register of the Rosinfra digital platform. Qualitative and quantitative research methods were used. The PPP market in the healthcare sector has been formed and is developing in different areas of industry activity. However, the analysis of the structure and trends showed its imbalance in models, legal forms, and areas of MP. Conditions have not been created for investors in socially significant areas — primary care, medical rehabilitation. The analysis of the structure and trends of the PPP market in the healthcare sector showed that it is necessary to develop mechanisms for attracting investments in the primary care (general therapeutic area) and improve special legislation in terms of PPP agreements in order to replicate infrastructure models in the industry. This will lead to a decrease in the number of low-capital-intensive and short-term projects, which will contribute to more sustainable development of PPP in the healthcare sector.investment projects, public-private partnership, medical organizations, healthcareинвестиционные проектыгосударственно-частное партнёрствомедицинские организацииздравоохранение[Rudenko M. N., Rozhkov D. V. State regulation of medical services in the system of ensuring economic security. Economic Security. 2024;(4):1023—1033. DOI: 10.18334/ecsec.7.4.120959][Minakov A. V., Ivanova L. N. Public-private partnership in managing the socio-economic development of the constituent entities of the Russian Federation. Social Policy and Sociology. 2024;(1):75—83. DOI: 10.17922/2071-3665-2024-23-1-75-83][Pershina T. A., Avilova A. S. Analysis of the dynamics and structure of financing the national project "Healthcare". Finance and Management. 2024;(3):68—78. DOI: 10.25136/2409—7802.2024.3.71378][Grishin V. V., Ragozin A. A. Political economy of health care: how to get out of the crisis // ORGZDRAV: news, opinions, training. Bulletin of the Higher School of Public Health. 2019;(1):30—37. DOI: 10.24411/2411-8621-2019-11003][Yashnikova D. R., Erygin Yu. V. The main mechanisms for stimulating investment activity. Universum: Economics and Jurisprudence. 2024;(1):40—42.][Buevich A. P. Implementation of PPP projects and methods of their financing in Russia // Creative economy. 2024;7:1787—1800. DOI:10.18334/ce.18.7.121206][Karailanov M. G., Moiseeva K. E., Panfilov M. S. et al. Outpatient complementary technologies in the context of the formation of the "New Model of a medical organization providing primary health care". Healthcare Manager. 2024;(5):28—35. DOI: 10.21045/1811-0185-2024-5-28-35][Manyushko S. V. The role of public-private partnership in the formation and development of domestic innovation clusters. Sustainable Development Economy. 2024;(2):364—366.][Smirnova E. V. Updating unified performance indicators of polyclinics and value-oriented healthcare. Health of the Metropolis. 2024;(2):81—91. DOI: 10.47619/2713—2617.zm.2024.v.5i2;81—91][Stadnikova A. V. World experience of public-private partnership in the pharmaceutical market. Economy and Entrepreneurship. 2024;(4):752—754. DOI: 10.34925/EIP.2024.165.4.146][Smyshlyaev A. V. Institutional features of public-private partnerships: a modern look // State power and local self-government. 2022;(12):7—14. DOI: 10.18572/1813-1247-2022-12-7-14][Smyshlyaev A. V. Public-private partnership in healthcare in the Russian Federation: a success story or a failure story? Science of the Young (Eruditio Juvenium). 2024;(3):386—396. DOI: 10.23888/HMJ2024123386-396]