Public–Private Partnerships in Health Services Delivery

Singh, Avantika; Prakash, Gyan

doi:10.1080/14719037.2010.488860

Cited by 43 publications

(32 citation statements)

References 46 publications

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“…Public sector tertiary care hospitals are located in large cities, overcrowded and understaffed and thus limited in their ability to meet with the ever-increasing demand. In many countries, specialist referral care is provided largely by private sector hospitals which are expensive and out of reach of the average citizens [16,17]. …”

Section: Healthcare Systems and Financingmentioning

confidence: 99%

Hemodialysis in Asia

Prasad

Jha

2015

Kidney Dis

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Background: Asia is the largest, most populous and most heterogeneous continent in the world. The number of patients with end-stage renal disease is growing rapidly in Asia. Summary: A fully informed report on the status of dialysis therapies including hemodialysis (HD) is limited by the lack of systematic registries. Available data suggest remarkable heterogeneities, with some countries like Taiwan, Japan and Korea exhibiting well-established HD systems, high prevalence and universal access to all patients, while low- and low-middle income countries are unable to provide HD to eligible patients because of high cost and poor healthcare systems. Many Asian countries have unregulated dialysis units, with poor standards of delivery, quality control and outcome reporting. This leads to high mortality due to preventable complications like infections. Modeling data suggest that at least 2.9 million people need dialysis in Asia, which represents a gap in availability of dialysis to the tune of -66%. The population is projected to grow rapidly in the coming years. Several countries are expanding access to HD. Innovative modifications in dialysis practice are being made to optimize outcomes. It is important to develop robust systems of documentation and outcome reporting to evaluate the effects of such changes. HD needs to develop in conjunction with effective preventive programs and improvement of health systems. Key Messages: The practice of HD in Asia is growing and evolving. Rapid expansion will improve the currently dismal access to care for large sections of the population. Quality issues need to be addressed if the full benefit of this therapy is to reach the population. Developed countries of Asia can provide substantial messages to developing economies. HD programs must develop in conjunction with prevention efforts. Facts from East and West: (1) While developed Western and Asian countries provide end-stage renal disease patients full access to HD, healthcare systems from South and South-East Asia can offer access to HD only to a limited fraction of the patients in need. Even though the annual costs of HD are much lower in less developed countries (for instance 30 times lower in India compared to the US), patients often cannot afford costs not covered by health insurance. (2) The recommended dialysis pattern in the West is at least three sessions weekly with high-flux dialyzers. Studies from Shanghai and Taiwan might however indicate a benefit of twice versus thrice weekly sessions. In less developed Asian countries, a twice weekly pattern is common, sometimes with dialyzer reuse and inadequate water treatment. A majority of patients decrease session frequency or discontinue the program due to financial constraint. (3) As convective therapies are gaining popularity in Europe, penetration in Asia is low and limited by costs. (4) In Asian countries, in particular in the South and South-East, hepatitis and tuberculosis infections in HD patients are higher than in the West and substantially increase mortality. (5) Pr...

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Section: Healthcare Systems and Financingmentioning

confidence: 99%

Hemodialysis in Asia

Prasad

Jha

2015

Kidney Dis

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“…Despite the vagueness that often affected the first studies on networks and did not permit the building of a welldefined and univocal model of performance evaluation (Kenis and Provan, 2009;Singh and Prakash, 2010), a number of contributions have been able to identify critical factors influencing network outcomes (Menahem and Stein, 2013). These are considered to be essential references in the following attempt to define an evaluation frame of network performance.…”

Section: Evaluating Governance Network' Preconditions Of Performancementioning

confidence: 99%

The evolution of governance networks in a time of crisis. Evidence from the Italian tourism sector

Giovanelli¹,

Rotondo²,

Fadda³

2015

J. Public Adm. Policy Res.

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This paper contributes to an understanding of the development of governance networks in well-defined space-time contexts. The first aim is to highlight features of public-private networks in tourism, under the perspectives of integration and managerialization, and to deduce general principles from the case study of «sistema turistico locale Sardegna Nord-Ovest». In particular, a set of variables to measure the level of integration among participants and the managerialization of a network, seen as pre-conditions of network performance, are identified on the basis of the literature. The second aim is to analyse the evolution of such partnerships, in light of the recent economic crisis, through comparison between performances measured at two moments in time over a three-year period: from the constitution to the renewal (2008-2011), and after two and half years from the renewal of the partnership (2012-2014). The empirical investigation, carried out using a personal interview approach, reveals that the choices of institutional design and process management are more important than the lack of resources for network success and that some contextual factors, such as the 'relationship capital', affect stability of networks. In wider terms, this paper promotes reflection on the impact of the recent socioeconomic crisis as well as on the strategies that, in such a context, can attenuate negative effects and enhance network stability and effectiveness.

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“…We find that the previous studies on trust-control in IORs display a pattern somewhat similar to that recognised by Costa and Biljsma-Frankema (2007). In arguing for a shift from control focus to trust focus, both Huque (2005) and Singh and Prakash (2010) lean towards seeing the phenomena as substitutable. Some papers take an interest in how not only control, but also trust, can be used by the public organisation as a complement to control the behaviour of service providers (Chen, 2009;Ditillo, Liguori, Sicilia, & Steccolini, 2015), or a creative sector where quality is not easily measured (ter Bogt & Tillema, 2016).…”

Section: Previous Research On Trust-control Dynamics In Public Sectormentioning

confidence: 99%

Contextualising the coevolution of (dis)trust and control – a longitudinal case study of a public market

Högberg

Sköld

Tillmar

2018

Journal of Trust Research

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Research into the dynamics of trust-control is still inconclusive. In this paper, we offer an in-depth understanding of how (dis)trust and control coevolve as embedded in multiple dimensions of context. The paper focuses on public markets, a context which is underrepresented in extant studies on trust and control. Our analysis is based on a longitudinal case study of interorganisational relationships (IOR) between boundary spanners representing purchaser and providers on a customer choice market for home care in a midsized municipality in Sweden. We identify, narrate and analyse critical incidents during seven years of the process. A conceptual framework contextualising the trust-control nexus of a public-private IOR is developed and utilised. We find that while the public-private IOR context requires control, control only enables deterrence trust from the municipal officers and only in individual providers. Interferential rather than symbiotic coevolution of trust and control is the dominating pattern. In addition, we find what we denote as mixed coevolution, where control simultaneously has positive and negative impact on trust. In our case in point, control enables trust in specific providers but this trust is not reciprocated due to experienced distrust on the category level.ARTICLE HISTORY

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Public–Private Partnerships in Health Services Delivery

Cited by 43 publications

References 46 publications

Hemodialysis in Asia

Hemodialysis in Asia

The evolution of governance networks in a time of crisis. Evidence from the Italian tourism sector

Contextualising the coevolution of (dis)trust and control – a longitudinal case study of a public market

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