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Friday, 11 May 2018

DOI: 10.21045/2071-5021-2018-60-2-4

Manakina E.S., ¹Medvedeva O.V., ¹Manakin I.I.
I.P.Pavlov Ryazan State Medical University, Ministry of Health of Russian Federation, Ryazan

Contacts: Manakina Ekaterina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Manakina E.S., http:// orcid.org/0000-0002-65084378
Medvedeva O.V., https://orcid.org/0000-0002-3637-9062
Manakin I.I., http:// orcid.org/0000-0002-7181-623X
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.


The need to develop public-private partnerships is one of the main objectives of the national Patient-centered system and is one of the key areas of the healthcare development strategy in the Russian Federation.

Purpose: to analyze indicators defining possible expansion of business integration into public sector of the healthcare and perspective directions for developing a public-private partnership.

Methods. To achieve the purpose, the current state of infrastructure at the regional level was analyzed, provisions on developing public-private partnerships and prospects of their realization to ensure competitive environment and enabling conditions motivating the private medical organizations to provide high-quality primary care were investigated.

To calculate rating of perspective directions for developing public-private partnerships in the health sector the following indicators were used: capacity of outpatient facilities by 10,000 population, disease incidence and availability of doctors by 10,000 population at the regional level.

To substantiate the need and identify the most perspective directions for developing public-private partnerships the following indicators were analyzed: the number of institutions providing health care, level of hospitalization and care seeking behavior.


In the Ryazan region, the integral index is one of the lowest in the Central federal district due to the lowest capacity of outpatient facilities and high morbidity rates, with comparable levels of staffing.

Discussion. The need to look for and practically use new progressive organizational forms of work of medical organizations, use new technologies, modern preventive, diagnostic and treatment methods and approaches to address the increasing demand in outpatient care, is determined on the one hand, by the reduced capacity of outpatient facilities in the Ryazan region against the background of negative dynamics of morbidity from main classes of diseases, and on the other hand, by the development of the hospital-replacing care with the increased load on outpatient facilities in the Ryazan region.

Conclusions. Primary health care could become the most rational direction for developing public-private partnerships in healthcare, because it doesnĺt require high expenses and is perspective for increasing the role of private medical organizations operating within the system of compulsory health insurance.

Keywords: public-private partnership; regional healthcare; integrated indicator.


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