Evaluating the effectiveness of public-private partnership projects in health care

Annotation. In Kazakhstan, the development of the public-private partnership (PPP) mechanism in healthcare has become relevant in the context of the strategic goals outlined in the Presidential Addresses of the Republic of Kazakhstan. In the context of global competitiveness and digitalisation of various sectors of the economy, PPPs are seen as a tool to stimulate long-term investment and improve the quality of healthcare services. The Government of the RK plans to implement 201 PPP projects in the healthcare sector worth KZT 1 trillion by 2025. Despite the importance of PPPs, the COVID-19 pandemic has made adjustments to the plans, actualising the need to jointly address the issues of sanitary and epidemiological safety. PPP research has grown significantly, leading to a diversity of topics and methods. The issues of state-business partnership are mainly researched in the English-language literature. However, in Kazakhstan the processes of scientific and methodological support of PPPs are not intensive enough, there is no standardisation of project selection and evaluation mechanisms, which prevents objective assessment of their effectiveness. The work uses systemic and interdisciplinary approaches, qualitative and quantitative characterisation of phenomena and processes, methods of comparison, generalisation, grouping, economic analysis and modelling. The development of a methodological framework for assessing the effectiveness of PPP projects in healthcare is an urgent task. PPPs should provide additional financing, increase project efficiency, risk sharing and improve service levels. The performance evaluation algorithm consists of three stages: qualitative assessment, conclusion on the need for partnership and quantitative analysis. The main criteria include positive net present value and financial sustainability. There is no universal methodology for assessing the effectiveness of PPPs in healthcare, which requires further development of scientific and methodological approaches and practical recommendations for successful implementation of projects.