Public-Private Partnerships In Health

Abstract

Extract: The current importance of public debt requires governments to increasingly shift towards Public-Private Partnerships (PPPs). They are long-term contracts of private financing method providing or contributing to public service. The payment is made by the public partner and/or users of the service. The World Health Organization (WHO) defines this type of partnership as ‘‘a means to bring together a set of actors for the common goal of improving the health of populations based on mutually agreed roles and principles.’’ Historically, the principle of PPP was established by the Private Finance Initiative (PFI), launched by the conservative government of John Major in 1992. It was from this moment that this model quickly spread to the rest of the world. In the mid-90s and from Australia, PPP agreement began to become part of the language of governments. In 1997, Labour with Tony Blair leading, strongly developed this management method, first and particularly in hospitals and then, in the entire public sector and spreading to the Royal Navy. Today, 10-15% of British public investments are made using PFI method.

Avrupa Birliği Ülkelerinin Sağlık Sistemlerinde Kamu Özel Ortaklığı Uygulamaları

“…90'lı yılların ortalarında ve Avustralya'dan KÖO anlaşması hükümetlerde popülerleşmeye başlamıştır. Tony Blair ile İşçi Partisi, 1997 yılında, bu yönetim yöntemini güçlü bir şekilde geliştirip, ilk ve özellikle hastanelerde ve daha sonra, kraliyet donanmasına ve tüm kamu sektöründe yayılmıştır (Bouti ve Borki, 2015). Literatüre bakıldığında başlıca Avrupa Birliği ülkelerinin kamu özel iş birliklerinin sektörel dağılımlarının ve karşılaştırmalarının eksikliği görülmüştür.…”

Opportunities and Challenges of Implementing Service Agreement between the Government and Faith Based Organizations in Ilala Municipality, Dar Es Salaam, Tanzania

“…1 Governments around the world have increased the use of Private sector in a new form commonly known as the Public private partnerships (PPPs) in improving services provision and accessibility. [1][2][3] Reasons for this varies ranging from rising expenditures for constructing, maintaining and operating public assets, and de cit of government budgets, opting for seeking innovation through private sector and better risk sharing and management. 1,[3][4][5] The private sector plays an ever-growing and diversi ed role in the delivery of public services around the world.…”

“…The level of private involvement in its various forms is now vast. 1,[5][6][7] According to the most recent statistics, private non-for-pro t sector is the second biggest provider of health care after public sector in the world. It constitutes an indispensable addition of 40% to the care provided by the public sector, particularly in rural areas.…”

“…The role of the private sector in bringing about sustainable development in most economies has increasingly been recognized and acknowledged. 1,8,13 One proposed approach to improve coverage and quality of health care for all citizens was to enter into contract with private organizations to deliver speci c services that are pre-de ned by health authorities. 1,2,10,14,15 Public Private Partnership in the Health and Social Welfare Sector can take a variety of forms with differing degrees of public and private sector responsibility and risk.…”