La colaboración público-privada en sanidad: hasta dónde y cómo delimitar sus fronteras

Abstract

El artículo revisa algunas áreas de colaboración entre sector público y privado en sanidad. En particular, las que conciernen a la formación continuada de los profesionales, la investigación en salud y la gestión de los servicios sanitarios. En las dos primeras se pone de manifiesto la necesidad de controlar los conflictos de interés para evitar interferencias indeseadas de la industria. En la última, y tras varias décadas de «experimentos», se subraya la imprescindible y urgente mejora de la gestión pública, que solo si es muy buena podrá sacar partido de las ventajas que ofrecen las distintas fórmulas de colaboración público-privada.
 

Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals

“…Unlike the relative abundance of studies using efficiency frontier models on public and private hospitals, the available evidence on the efficiency of PPP models compared to other hospital management structures is based primarily on case studies using partial indicators [ 13 , 43 , 44 , 45 ]. There is no agreement on whether PPP models are more or less efficient compared to more conventional models [ 14 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ].…”

Arrangements with the NHS for providing healthcare services: do they improve financial performance of private for-profit hospitals in Spain?

“…Outsourcing implies the separation of different activities, which belong to a production process of a public company and allows firms in the private sector to carry out all or part of them. Along this line, developed countries are delivering healthcare services in collaboration between public and private sectors [29,38]. It can take on several forms, and one of them, called commissioning, is traditionally the most common practice in the Spanish healthcare system.…”

Multilevel Zero-One Inflated Beta Regression Model for the Analysis of the Relationship between Exogenous Health Variables and Technical Efficiency in the Spanish National Health System Hospitals

“…PPP is defined as a long-term contract between a private actor and a government agency to provide a public asset or service, in which the private actor assumes the risks and management responsibility [ 30 , 31 ]. The available evidence on the efficiency of PPP models compared to other hospital management structures is limited and contradictory [ 26 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ].…”