scholarly journals Formation of regional conditions for the development of healthy lifestyle infrastructure using public and private partnership mechanisms

2021 ◽  
Vol 296 ◽  
pp. 04010
Author(s):  
Daria Travnikova ◽  
Elena Dvoryadkina

The article considers the conditions for the formation of a healthy lifestyle infrastructure in the context of the development of the health care system using the foreign practice of public-private partnership. The article also focuses on the imperfection of the existing health care system and the system of ensuring a healthy lifestyle of the population, on the regional specifics that must be taken into account when implementing the state policy in the field of public health protection in a certain territory. A study of the infrastructure of the health care system and the infrastructure of a healthy lifestyle was conducted. The economic and institutional assessment of the activities of health authorities in the context of the use of public-private partnership mechanisms is given. It is noted that the development of the health care system is impossible without the joint efforts of private organizations, central and territorial state authorities. The author’s definition of the concept of healthy lifestyle infrastructure is given in the article. Improving the infrastructure of a healthy lifestyle, at the same time, is possible only with the use of public-private partnership (PPP), as a key mechanism for interaction between authorities, legal entities and citizens, especially taking into account the regional and municipal specifics of a certain territory.

2021 ◽  
pp. 126-135
Author(s):  
Tetiana Popova ◽  
Nataliia Gavkalova

Introduction. In Ukraine, in conditions of insufficient funding and too slow reforms, an inefficient health care system (HE) has developed, which is not able to fully meet the requirements of the time and overcome such negative factors as low logistics, low staff costs, underdeveloped system health insurance, etc. Goal. The purpose of the article is to specify the concept of PPP in relation to the specifics of the health sector, as well as to clarify the definition of PPP in the field of health. Method (methodology). In the process of research the methods of scientific cognition were used, in particular monographic, bibliosemantic, historical, dialectical, logical generalization, system analysis. Results. The inefficiency of public administration and financing of the health care system has been stated, which creates obstacles to improving the quality of health care. Foreign experience in attracting private investment in the industry, which will create the foundations for improving the level and quality of health care, maintaining social stability, improving citizens' access to health services. It is established that this will also have a positive effect on optimizing public spending and accelerating the reform of the industry as a whole. A new definition of the term "public-private partnership" in the field of health care has been proposed, which can be used for further scientific and practical developments. The necessity of reforming the industry with the use of alternative ways of attracting investments, namely the mechanisms of public-private partnership, is substantiated. It was found that a promising model of PPP in the field of health care can be the implementation of a private partner reconstruction of a state (municipal) medical institution, as well as obtaining the right to operate and maintain the infrastructure of such an institution during the payback period. It was found that the interaction of the state and private business in the field of health care can also be manifested in the participation of private institutions in providing free medical care to the population. Possible options for cooperation between the state and business within the PPP in the field of health care in Ukraine are considered. Priority is given to the development of health infrastructure based on attracting private investment and long-term interaction between the state and business.


Economical ◽  
2019 ◽  
Vol 2 (2(21)) ◽  
pp. 27-29
Author(s):  
Olga Popova ◽  
◽  
Serhii Kravchenko ◽  
Nataliia Podluzhna ◽  
◽  
...  

The aim of the work is to study the motivation for the development of the private medical sector in the system of public-private partnership on the basis of sustainability. Results. Emphasis is placed on the challenges of sustainability in the health care system, including the fragmentation of the health care system, labor constraints, and investment in improving technologies that put pressure on the financial capacity of health systems to meet needs. It has been shown that various forms of interaction and ways of cooperation between the public and private sectors, known as public-private partnerships, are increasingly being studied as a means of mobilizing resources to increase the capacity and sustainability of the health care system. public-private partnership on the basis of sustainability. Recommendations for building a portfolio of basic motives for the development of the private medical sector in the system of public-private partnership on the basis of sustainability.


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Dr. Rajesh Kumar Shastri ◽  
Mr. Rinki Verma

India stands on 67<sup>th</sup> position out of 133 (approx) developing countries with regard to the number of doctors, while stands on 75<sup>th</sup> position with respect to number of nurses. Out of total healthcare spending in India, the government owned health facilities accounts for only 20% in comparison to 80% of private sector. Over 72.2% of Indian population lives in rural areas under poor and unsatisfactory environmental conditions, with high levels of openness to diseases and ill health. A significant proportion of poor in India are destitute due to lack of affordability to the services of private hospitals, characterized by highly qualified doctors and costly equipments, whereas public hospitals are noticeable by insufficient number of facilities, lack of personnel, medicines along with long queues which further highlights economical disparity problems of Indian people to thrash about the health related problems. As per the NFHS 2 data, only 43% of the urban poor children are fully immunized by the completion of one year of age. The percentage of severely underweight children among the urban poor is 23.0 which is twice the urban average (11.6%) and five times (4.5%) that of urban high income group. The vast majority of the country suffers from a poor standard of healthcare infrastructure which has not kept up with the growing economy. The only hope for the improvement in condition of the health care system of developing countries can be the mixture of public –private through Public Private Partnership. This paper aims to examine the current status of health infrastructure in developing countries like India, about the challenges lying in front of Government in developing health care system, identifying critical gap and requirements in Health services besides the comparison with other developing economies. It also seeks to examine the socio-economic environment of developing country, attracted towards private sector participation in health care development and review of potential benefits and risk involved, to ensure success and sustainability of Public Private Partnership.


2017 ◽  
Vol 7 (02) ◽  
Author(s):  
Debabrata Jana ◽  
Abhijit Sinha

A Public-Private Partnership (PPP) is a government service or private business venture which is funded and operated through a partnership of government and one or more private sector companies. Public-Private Partnerships and Collaboration (PPPs and PPC) in the Health Sector is important and timely in light of the challenges the public sector is facing in healthcare finance, management, and provision. PPPs and PPC in the health sector can take a variety of forms with differing degrees of public and private sector responsibility and risk but are characterized by various similarities as well. In our country, with regard to health care, the main responsibility is that of the state which aims to provide free access to health care system to all sections of the society. But a look at the health infrastructure of our country shows that in rural areas, in particular, there is insufficient infrastructure, be it hospitals, primary health care systems, ambulances etc. Hence, the urgent need of the government is to immediately take measures that will help to develop a basis to provide the needed medical support to all. Although the private sector is inequitable and expensive with over-application of clinical/operational procedures, it is perceived to be easily accessible, better managed and more efficient than its public counterpart. It is expected that PPP model in the sector will prove the success story of Indian health care system.


Economical ◽  
2019 ◽  
Vol 1 (1(20)) ◽  
pp. 168-176
Author(s):  
Iaroslav Liashok ◽  
◽  
Olga Popova ◽  
Serhii Kravchenko ◽  
Valentina Antonenko ◽  
...  

The article describes the current world experience in the formation and development of the private medical sector in the health care system of the country on the basis of public-private partnership. The traditional approach to the formation of consumer behavior and ensuring its environmental orientation by determining the content of the relationship between social and environmental forms of capital has been adapted. It is established that the priority areas of socially responsible business in the medical sector on the basis of public-private partnership are the development of internal programs for its staff, participation in socio-environmental projects, participation in regional and local development programs in cooperation with local authorities, charity. It is substantiated that the consumer can be considered as an entity that organizes actions for the consumption of goods and services and encourages producers to introduce certain methods of production, which ensures the satisfaction of social needs in full. As a result of satisfaction, producers reimburse costs, and the added value becomes an indicator of economic development and plays an important role in financially ensuring qualitative and quantitative changes in the management system aimed at socializing the behavior of private health sector consumers in public health on a public-private basis. partnerships. The use of the developed proposals and recommendations for improving the conceptual foundations of socialization of private medical sector consumers in the health care system on the basis of public-private partnership will ensure harmony and proportional development in the system "production - consumption - environment" and will have a positive impact on society. in the national economy.


2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.


Author(s):  
Santhanathan S Rajendram ◽  
Muhamad Danial Muhamad Hamdan

Dispensing separation in Malaysia has been a widely discussed topic among the medical fraternity. It is a highly sensitive topic as it involves both professional and economic considerations for doctors, pharmacists, and the general public. There has been no decision made thus far but the discussion is ongoing, making a study on this topic very relevant. The subjects of this study, final year students of Bachelor of Pharmacy Programme in Malaysian universities, are chosen to reflect their awareness, preparedness, and knowledge on dispensing separation, which will affect their future in the pharmacy profession. The study was conducted among all 20 Public and Private Institutions of Higher Learning recognized by the Pharmacy Board, Malaysia. This was a cross-sectional study design, and data was collected using a convenience sampling method. The research instrument was an online questionnaire. The first part of the questionnaire covers the demographic information about the respondent, like name, age, gender, and institution. The second part covers the knowledge, awareness and perspectives of respondents towards the implementation of the separation of prescribing and dispensing activities in Malaysia. The final part of the survey focuses on suggestions or problems arising. There were 126 respondents to the survey, way above the 96 respondents needed to make the survey valid. The majority of them are aware of and understand the dispensing separation. Most of them agree that the government should legalize the dispensing separation activities as they believe pharmacists are more knowledgeable and better equipped to dispense drugs. The majority of them believe by implementing dispensing separation, the health care system will be better optimized, and the service will be better. They also believe that patients can accept and adapt to the role of the pharmacist in dispensing medication. The majority of them also agree that the price of medicine will be lowered by the implementation of dispensing separation. Based on the study, these students who are future pharmacists are very knowledgeable on the dispensing separation issue. They believe strongly that the implementation of dispensing separation in Malaysia will bring more beneficial changes to the health care system. The patients will also benefit from this. With such a positive attitude, the implementation of dispensing separation in Malaysia could be imminent  


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