Can public-private partnership (PPP) improve hospitals’ performance indicators?

Bastani, Peivand; Barati, Omid; Sadeghi, Ahmad; Ramandi, Sajad; Javan‐Noughabi, Javad

doi:10.47176/mjiri.33.4

Cited by 5 publications

(17 citation statements)

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“…The growing interest in assessing the effectiveness of services and patient outcome has proven that measures of satisfaction are becoming unmistakable in evaluating the performance of the health-care systems (Akinci and Sinay, 2003). Although quantitative measures are mostly used to assess performance, service quality and patient satisfaction should be considered as qualitative indicators, along with the quantitative ones for a better understanding of the changes that have occurred in the hospital after PPP (Bastani et al, 2019).…”

Section: Ijoa 296mentioning

confidence: 99%

“…While most studies have addressed the efficiency component, bringing about clear accord, few have tackled effectiveness outcomes in the PPP context (Domberger, 1998;Hodge, 1998). Bastani et al (2019) highlighted the need to evaluate service quality and patient satisfaction to better understand the changes that occurred after PPP implementation. They also revealed the importance of addressing the impacts of PPP on the qualitative aspects, including accessibility of a health facility, perceived waiting time, manner and quality of physicians, physical characteristics (equipment) and explanation of treatment details.…”

Section: Public-private Partnership In Health Carementioning

confidence: 99%

“…Perceived quality of care, as evidenced by patients' satisfaction and their perception ratings, performs better in a PPP-model hospital. Studies highlighted the need to evaluate service quality and patient satisfaction as success factors to achieve a better understanding Public-private partnerships of the changes that have occurred after PPP implementation and to ensure its success (Bastani et al, 2019). In fact, the unique characteristics of PPPs to a particular country require a study of success factors that are specific in Lebanon.…”

Section: Rp7mentioning

confidence: 99%

“…According to some studies, improvement in hospital performance indicators and quality of services were among the most important achievements following PPP implementation (Bastani et al, 2019). Another similar study showed that through the implementation of PPP, better provision of hospital services grew significantly.…”

Section: Conclusion Implications and Future Research Conclusionmentioning

confidence: 99%

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Patient satisfaction in the context of public–private partnerships

Mallat

Vrontis

Thrassou

2020

IJOA

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Purpose This study aims to provide insights into the public–private partnerships (PPP) concept and its performance measurement in the health-care sector, identifying and refining critical success factors, including the perceived quality of health care, as evidenced by patient satisfaction and policy requirements for successful PPP implementation. Design/methodology/approach This theoretical study explores the existing literature on the relationship between service quality and patient satisfaction, to propose a culture-specific conceptual model interlinking the drivers of patient satisfaction with PPP. The in-depth theoretical research focuses on the qualitative performance indicators of PPPs, as well as their corresponding peripheral factors. Findings The research presents theoretical evidence that the concept of patient satisfaction can only be viewed through a multifactor perspective that incorporates demographics of patients, perceived service quality factors and emotions. It is found that significant improvements in service quality and patient satisfaction do, indeed, emphasize the effective role of PPP in hospitals. Practical implications The theoretical model is based on a comprehensive set of both cognitive and affective determinants. And considering these, as well as their causes, effects and interrelations, sets the foundations for testing and for further research to develop. Moreover, the outcomes of this study can be used as a theoretical base for the development of a PPP qualitative performance measurement framework. Originality/value This study attempts to fill the gap in knowledge on service quality and patient satisfaction as qualitative indicators for hospital performance after and toward PPP, while setting explicit factors and opening clear research avenues for further studies to follow.

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Section: Ijoa 296mentioning

confidence: 99%

Section: Public-private Partnership In Health Carementioning

confidence: 99%

Section: Rp7mentioning

confidence: 99%

Section: Conclusion Implications and Future Research Conclusionmentioning

confidence: 99%

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Patient satisfaction in the context of public–private partnerships

Mallat

Vrontis

Thrassou

2020

IJOA

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“…2 On the other hand, hospitals are also considered a health facility that needs many resources. 3 Hospital’s expenditure in OECD countries is around 26%–53% of the country’s total health budget. 4 The high cost of health services, especially hospitals, is caused by changes in demographics, epidemiology such as the trend of increasing chronic degenerative diseases, and technological developments.…”

Section: Introductionmentioning

confidence: 99%

Hospital services under public-private partnerships, outcomes and, challenges: A literature review

Basabih

Prasojo

Rahayu

2022

Journal of Public Health Research

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Public-private partnerships (PPP) is used to advance health service access and quality. PPP implementation in hospitals is vital to shorten the service and quality gap. Hospitals are the most significant health budget spender, and this study aimed to identify the PPP effect on hospital performance indicators and its implementation challenges. Thirty-three inclusive articles were filtered and collected from Pubmed, ScienceDirect, Medline, and Sage Publication databases. Results showed that various articles succeeded in implementing PPP and improving the access and quality of health services. Several hospital performance indicators such as diagnosis, therapy, service waiting time, length of stay, referral rate, mortality rate, and patient satisfaction were reported to show better results. However, there was insufficient evidence to say the same on related financial indicators. Policy, resource, communication and trust, risk, and evaluation monitoring were considered challenges in PPP implementation. Its success was not only influenced by major factors such as governance model, finance, politics, and social but also was influenced by the medical practice model applied within the organization. This study contributed to whether PPP affects the hospital performance indicators.

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Eliciting preference for private health services among patients in Iran: evidence from a discrete choice experiment

Ansari

Rafiei

Kakemam

et al. 2022

IJHRH

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Purpose The provision of private health-care services by public hospitals is common in Iran. Examining factors associated with patients’ preferences to use private health services and using this knowledge in health planning and policymaking can help expand the use of such services. Thus, this study aims to investigate patients’ preferences for private health services delivered in public hospitals. Design/methodology/approach Based on a discrete choice experiment from a sample of 375 patients in a public training hospital in Qazvin, northwest city of Iran, the authors evaluated participants’ preference over the health-care attributes affecting their choice to use private health-care services delivered in the hospital. The authors also estimated the marginal willingness to pay to determine the maximum amount a patient was willing to pay for the improvement in the level of each health-care attributes. Findings The findings revealed that patients were 2.7 times more likely to choose private hospital services when the waiting time was reduced to less than a week. Furthermore, as patients had complimentary insurance coverage, they were over 60% more likely to receive such services from training hospitals. Finally, continuity of care and reduced health-care tariffs were significant factors that increased patients’ preference to choose private services by 52 and 37%, respectively. Originality/value Examining factors associated with patients’ preferences to use private health services and using this knowledge in policymaking can help expand such services. The findings affirmed that various incentives, including service quality factors, are required to increase the likelihood of patients choosing private services.

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Can public-private partnership (PPP) improve hospitals’ performance indicators?

Abstract: Background implementing P Methods: Th Iranian unit tha validity and re normalization. significant leve Results: Dra hospital, and th Conclusion: sector. The sign of this hospital quantitative ind

Cited by 5 publications

References 0 publications

Patient satisfaction in the context of public–private partnerships

Patient satisfaction in the context of public–private partnerships

Hospital services under public-private partnerships, outcomes and, challenges: A literature review

Eliciting preference for private health services among patients in Iran: evidence from a discrete choice experiment

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