PUBLIC-PRIVATE PARTNERSHIP AS A FACTOR OF ENHANCING THE RESILIENCE OF THE HEALTHCARE SYSTEM UNDER CRISIS CHALLENGES

Abstract

The article examines public–private partnership (PPP) as a strategic instrument for strengthening the resilience of Ukraine’s healthcare system under multidimensional crisis conditions caused by war, pandemic threats, economic turbulence, and limited public resources. It is substantiated that traditional administrative and budgetary approaches fail to ensure sufficient responsiveness, adaptability, and quality of management decisions, whereas PPP creates an institutional environment that enables the synergy of financial, organizational, and technological resources between the public and private sectors. The study demonstrates that business participation in medical infrastructure projects, service models, and digital platforms enhances the efficiency of capital investment, improves operational capacity, accelerates the transfer of innovations, and ensures the continuity of healthcare services in emergencies. The key determinants of PPP effectiveness are identified as regulatory clarity and predictability, transparent risk allocation, contractual accountability, unified performance indicators, and mutual trust among partners. The managerial logic of the PPP project life cycle in healthcare is revealed — from initiation and preparation to monitoring and post-contract audit — with emphasis on proactive risk management, digital analytics, and the integration of value-for-money mechanisms into decision-making. The article generalizes relevant international practices proving that PPP can reduce fiscal burdens, expand access to advanced medical technologies, and enhance the social responsibility of private partners. The proposed directions for adapting European experience to the Ukrainian context include establishing a coordination center for methodological support of projects, standardizing contractual provisions, implementing a unified performance evaluation system, and developing electronic registers and public reporting frameworks. It is concluded that PPP is not merely an alternative to budget financing but a comprehensive paradigm of strategic governance capable of ensuring institutional stability, innovation, and long-term efficiency of Ukraine’s healthcare system during the recovery period and further modernization.