USING OF PUBLIC-PRIVATE PARTNERSHIP MECHANISMS TO MODERNIZE THE RUSSIAN HEALTH SPHERE IN THE CURRENT ECONOMIC CONDITIONS

Abstract

The key feature of the infrastructure is its auxiliary nature in relation to the main activity, i.e. ensuring well-established production processes or providing socially important services to the population. The level of infrastructure development of any country is one of the fundamental factors affecting both the quality of life of its population and the indicators of economic activity that contribute to economic growth. That is why the quality of implemented infrastructure projects determines the attractiveness of investments in general in different countries and individual regions. The creation and modernization of infrastructure facilities is one of the most capital-intensive projects. In conditions of restrictions, both internal and external, the state is most interested in attracting additional funding to solve state tasks to provide the population with infrastructure. The most promising way to attract extra-budgetary financing to this day is the implementation of projects based on the principles of public-private partnership. In this article, the author examines the advantages and disadvantages of using public-private partnership mechanisms for the modernization of the Russian healthcare infrastructure in the conditions of current economic sanctions and limited budget resources of the regions of the Russian Federation to subsidize the creation of social infrastructure. Within the framework of this issue, the main features of each form of partnership were considered, factors hindering the wider use of public-private partnership mechanisms in the medical field were identified, and recommendations were proposed that could contribute to a more effective application of the mechanism in practice for the implementation of infrastructure projects in the field of healthcare and improving the quality of medical services provided to the population of Russia. Particular attention is paid to the analysis of the types of state support within the framework of infrastructure projects and possible proposals on how to optimize their structure from the public partner.