Management of public-private partnership projects and their risks in the healthcare system of the Kyrgyz Republic

Objective: This study is devoted to the practice of implementing a public-private partnership (PPP) project in the healthcare system with an emphasis on the organization of medical care for patients in need of programmed hemodialysis (HD).The aim of the study was to develop effective technologies for the organization and provision of medical care to the population in need of HD based on a comprehensive medical and social research.Methods: In the course of the study, materials on the activities of the dialysis service were studied, copied from primary accounting and reporting medical documentation, medical records of patients, the study and generalization of practical experience, the method of expert assessments, systematic and financial and economic analysis, as well as organizational and functional modelling were carried out.Results: Providing high-quality medical services to patients with stage 5 of chronic kidney disease (CKD) is possible only through the use of hemodiafiltration in combination with unified technical means and high-performance technologies; a comparative analysis of the situation in the market of dialysis services to provide therapeutic and diagnostic measures has shown that the use of an innovative dialysis method has a significant impact on the quality of services provided to patients with stage 5 CKD (2 = 17.30, df=1, p<0.05). Conclusion:The proposed model of the dialysis service organization makes it possible to ensure high quality for patients in need, and the use of the developed and implemented model as the basis for a regional program for the development of substitution treatment services makes it possible to ensure a unified standard of quality of medical care at the regional level.