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

Abstract

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.

Delivery and Prioritization of Surgical Care in Canada During COVID-19: An Environmental Scan

“…Some evidence-based strategies for reducing surgery wait times include outsourcing publicly funded surgeries to private surgical facilities, 23,37,40 central referral and waitlist management systems, 23,41,42 implementing surgical pathways, [43][44][45] and creating a larger role for family physicians and allied healthcare providers. 23,40,46,47 While these strategies have some evidence to support their effectiveness, 21,23,40,41,[43][44][45][46][47][48][49][50] the available evidence is sparse and of lower quality. Policymakers had little evidence to support the development of policies enacted during COVID-19 due to the rapidly evolving nature of COVID-19.…”

Implementation of Maternal Perinatal Surveillance and Response (AMP-SR) Audit in Indonesia: Scoping Review

“…has not yet disseminated recommendations on the results of maternal audits, which is only done at the health facility level; in Southeast Asia, only Malaysia has dissemination recommendations on the results of maternal death audits at the national level (Bandali et al, 2016). The implementation of maternal death assessment also still faces many challenges and obstacles (Basabih, 2022;Mahudin, 2020). Based on this, researchers consider it essential to analyze the latest evidence of AMP-SR implementation in districts/cities in Indonesia.…”

“…Implementing AMP-SR still faces many challenges and obstacles (Basabih et al, 2022). Districts/cities in Indonesia have not carried out all AMP-SR implementations.…”

Knowledge of vascular access among hemodialysis unit nurses and its influencing factors: a cross-sectional study

“…In terms of management, the HD units in a public hospital focus more on the essence of medical services and perform better in terms of improving medical resource allocation, dialysis quality control, and value-added services. In contrast, HD units in capitaldominated private hospitals typically prefer market-based operations (e.g., rapid expansion and standardization), leading to unreasonable planning and management of HD units; as a result, the cooperation between hospital investors and the healthcare team leaders is prone to break down due to inconsistencies in the operating philosophy, which affects the career development of HD nurses (17).…”