Private partnership in health care: Moscow's case

Public-private partnership (PPP) is one of the priority areas of healthcare development in Russia being considered as an effective tool for improving the material and technical base of health services, introducing innovative treatments, improving access to and quality of medical care. In Russian healthcare, PPP develops within the framework of a unified approach, but with certain specificity, associated, among other things, with regional specifics. At the same time, as healthcare and medical services belong to the social sphere forms of attracting private investors that prove themselves effective in other sectors of the economy may be unacceptable. In addition, the state performs significant social and regulatory functions (budget allocation and asset management), guarantees the quality of medical care for the citizens of the country. The business seeks to profit from its investments, to increase its share in the service market. Therefore, the success of a PPP largely depends on how optimally the functions of partners (government and business) are combined in the implementation of joint projects. The article analyses existing PPP projects in healthcare in the city of Moscow, as well as the practice of functioning of health services created on the basis of PPP. In the first part of the article, the authors analyze the specifics of promoting PPPs in Russian healthcare at both federal and regional levels. The second part provides an overview of innovative PPP projects in Moscow followed by a discussion of specific projects, peculiarities of their formation and modern state, analysis of the main problems of further development of PPPs in health care in Moscow