Health Care and the Implementation of Public–Private Partnership (PPP) Instruments in Transition Balkan Countries

Ombashi, Besa; Cepiku, Denita; Persiani, Niccolò

doi:10.1007/978-3-031-05351-1_19

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Albania stood out as a compelling case study for different reasons. The country has been actively working to align its healthcare system with European health standards as part of its pre-adhesion process to the European Union [Ombashi et al, 2023]. Moreover, Albanian healthcare system's organizational model provided a straightforward framework for evaluating the impact of COVID-19 on both pre-hospital and in-hospital EMSs, as well as within local health facilities, across different phases of the pandemic.…”

Section: Research Design and Case Study Selectionmentioning

confidence: 99%

The Evaluation of the Impact of Health Emencency Strategies Adopted Against Covid-19 Pandemic in Albania

Giusti,

Persiani

2024

Preprint

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BACKGROUND. During the COVID-19 pandemic, healthcare systems worldwide have implemented diverse health emergency strategies to address the unprecedented crisis. Following initial predominantly hospital-centred approaches, territorial health assistance emerged as a more effective response to the needs of the population. In low-middle-income countries, and particular in the so-called transitioning countries, where both the hospital network and the territorial primary care centres are weaker, adapting to this shift in strategy was particularly challenging, primarily due to the complexities of integrating pre-hospital and in-hospital Emergency Medical Services (EMSs). This research aimed to evaluate the impact of changes in health strategies over time for managing the COVID-19 pandemic, specifically examining the roles played by both pre-hospital and in-hospital EMSs in a transitioning country. METHOD. The country case study methodology was deemed the most fitting approach for this research. Albania was selected as a notable case study due to its continuous endeavours towards achieving national welfare aligned with European standards, especially in the healthcare sector, as it has been moving towards pre-adhesion to the European Union. Furthermore, the recent establishment of the modern National Emergency Centre 127 in 2018 represented a significant development and an extensible example in completing the healthcare emergency network by integrating pre-hospital and in-hospital EMSs. RESULTS. The data indicated that at the onset of the COVID-19 pandemic in 2020, the initial response aligned with the national strategy, primarily was an hospital-centred approach in line with worldwide approach. Subsequently, as the pandemic progressed, a new health emergency strategy was implemented in 2021, shifting the focus towards reinforcing territorial health assistance. In this revised strategy, the responsibility for handling COVID-19 cases transitioned from the infectious disease departments of university hospitals to regional healthcare entities. The data illustrated that this transition allowed for the effective care of a higher number of patients with a more efficient utilization of resources. CONCLUSION. The evolution of Albanian national health emergency strategies to struggle COVID-19 pandemic - that promoted the territorial response to COVID-19 in accordance with the emerging evidence - was not only implemented but also suggested and supported by EMSs system. The compresence of pre-hospital and in-hospitals EMSs permitted to provide an effective response both in hospitals and in the territory, overcoming the usual weaknesses in terms of coordination and integration of EMSs in transiting countries.

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Section: Research Design and Case Study Selectionmentioning

confidence: 99%

The Evaluation of the Impact of Health Emencency Strategies Adopted Against Covid-19 Pandemic in Albania

Giusti,

Persiani

2024

Preprint

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“…In developed countries, the evolution of PPP to "state after welfare", reflects a shared experience in systems theory that has evolved substantially, particularly in Western European economies [Ombashi, Cepiku, Persiani, 2022].…”

Section: Introductionmentioning

confidence: 99%

Public-private partnership in the health care sector: The case of Albania

Ombashi¹,

Cepiku²,

Persiani³

2023

Vestnik SPbSU. Management

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This paper aims to analyse the implementation of public-private partnership in the healthcare sector as a way to use private financing and expertise to achieve public policy goals in Albania. The study consists of an overview of the four public-private partnerships in the healthcare sector and the detailed analysis of major charateristics of two of them. The healthcare sector as a study object was chosen due to the implemented reforms aimed to improve the public health system, and the quality of service. The case study is based on the data collected from the analysis of the contracts signed between the parties, reports, interviews and the documents on the management of these contracts. The research also relies on secondary sources of information focused on legislation and other government legal acts. The article highlights the need to adopt a long-term strategy in the field of healthcare as well as applicable standards of monitoring of the implementation procedures. During the COVID-19 pandemic time, the implementation of these contracts became even more important for a the country where the contracts were treated as a way to improve the quality of public services. A number of offered recommendations in the paper may encourage further research in this field of study.

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Health Care and the Implementation of Public–Private Partnership (PPP) Instruments in Transition Balkan Countries

Cited by 2 publications

References 13 publications

The Evaluation of the Impact of Health Emencency Strategies Adopted Against Covid-19 Pandemic in Albania

The Evaluation of the Impact of Health Emencency Strategies Adopted Against Covid-19 Pandemic in Albania

Public-private partnership in the health care sector: The case of Albania

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