Public-Private Partnerships in Healthcare

Raman, Aparna; Björkman, James Warner

doi:10.1057/9781137384935_23

Cited by 13 publications

(7 citation statements)

References 4 publications

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“…The PPP model has been identified as a key strategy to enhance public health systems and mitigate the rising costs of an already expensive and unsustainable private healthcare sector [ 11 , 12 ]. A PPP is an agreement between a government institution and a private party, where (i) the private party performs an institutional function and/or uses state property in terms of output specifications and (ii) substantial project risk (financial, technical, operational) is transferred to the private party, and the private party benefits through unitary payments from government budgets and/or user fees [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…In Uganda, the government partnered with a local church to construct Ruharo Mission Hospital [ 20 ]. Therefore, it is evident that PPPs may leverage resources by collaborating in mutually beneficial partnerships with private healthcare providers to create an effective, efficient, and responsive public health sector through the transfer of private-sector technical skills, innovation, and resources [ 12 , 21 , 22 ]. Government is tasked with improving their health systems to meet the needs of majority of citizens who depend on public health.…”

Section: Introductionmentioning

confidence: 99%

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Mapping global evidence on public-private partnership for medical rehabilitation services delivery: a scoping review protocol

2023

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Introduction Access to medical rehabilitation remains poor in Sub-Saharan Africa. This is partly due to inadequate service delivery emanating from ill-defined public health policies. Developed countries have adopted public-private partnership (PPP) agreements between the government and private sectors, thus presenting superior quality and access to rehabilitation services. To help develop a PPP model for physiotherapy service delivery in South Africa, this scoping review will map research linked to PPP for medical rehabilitation services delivery and outcomes in the global context. Methodology The Arksey and O’Malley (2005) framework (identify the research question, identify relevant research, select studies, chart the data, collate, summarize, and report findings) will be used to guide this review. Peer-reviewed literature will be searched in PubMed, EBSCOhost, Cochrane library, SCOPUS, and Google Scholar from 2000-2022 using a combination of keywords, Medical Subject Headings, and Boolean terms. Screening of the articles at all stages will be conducted independently by two reviewers using the eligibility criteria as a guide. The reference lists of retrieved articles will be manually searched for relevant studies. Emerging themes and sub-themes will be collated, summarized, and the results reported in the narrative form. Discussion We anticipate identifying literature gaps for future research to inform policy on PPP for rehabilitation services delivery in Sub-Saharan Africa and actual practice. The results of this review will contribute to building a model that will enable the provision of equitable rehabilitation services at the district health level using PPP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mapping global evidence on public-private partnership for medical rehabilitation services delivery: a scoping review protocol

2023

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“…(9,10) A number of researchers agree that PPP is a form of collaboration, which is defined as a collaborative effort with clear accountability, mutually agreed obligations, and a readiness to share risks within a well-structured management to produce or provide public commodities, with defined performance results, within a certain timeframe by the interests of public sector and private one. (11) As is the case in many countries, budget constraints have prompted the Indonesian Government to choose PPP to overcome the problems of infrastructure, access, and service quality gaps. (12) PPP as a funding strategy in the health sector will continue to be developed by Indonesian Government as written in the National Medium-Term Development Plan (RPJMN).…”

Section: Introductionmentioning

confidence: 99%

“…( 13) PPP in the health sector has four models, namely infrastructure, service delivery, financial protection, and other model. (11,14) Service delivery is a commonly used PPP model which aims to expand access to service as well as to upgrade the quality and efficiency of services. (15,16) Service delivery in the Indonesian context is known as Operational Cooperation (KSO), KSO itself is a PPP practice that has been around for a long time and is mostly done in government hospitals (12), especially Regional General Hospital (RSUD) which is the largest proportion of Government-owned hospitals, with a percentage of 76%.…”

Section: Introductionmentioning

confidence: 99%

Potrait of Public Private Partnership Policy Substances in Regional Hospitals in Indonesia

Basabih

2023

J INDO HEALTH POLICY ADM

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Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting document analysis related to the operational cooperation policies of regional hospitals and reviewing the substance of operational cooperation policies at the national and regional levels. Study found that there are no articles governing service level agreements; no performance indicators of cooperation in monitoring and evaluation, limited autonomy; several regional head regulations are not accompanied by technical guidelines; and there are variations in the substance of the regional head regulations. This study concludes that the KSO policy framework for regional hospitals is inadequate, incomplete, and limits the autonomy of regional hospitals.

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“…[ 8 ] Studies from South Asian countries suggest that policies for PT of health workers are frequently ambiguous and arbitrary, presenting a major managerial and organizational challenge. [ 9 10 11 ] Opaqueness of PT policies and a lack of appropriate mechanisms to ensure fair transfers have been reported as important sources of dissatisfaction among the workforce. [ 12 13 ]…”

Section: Introductionmentioning

confidence: 99%

Health worker posting and transfer at primary level in Tamil Nadu: Governance of a complex health system function

Garimella

Sheikh

2016

J Family Med Prim Care

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Background:Posting and transfer (PT) of health personnel – placing the right health workers in the right place at the right time – is a core function of any large-scale health service. In the context of government health services, this may be seen as a simple process of bureaucratic governance and implementation of the rule of law. However the literature from India and comparable low and middle-income country health systems suggests that in reality PT is a contested domain, driven by varied expressions of private and public interest throughout the chain of implementation.Objective:To investigate policymaking for PT in the government health sector and implementation of policies as experienced by different health system actors and stakeholders at primary health care level.Methodology:We undertook an empirical case study of a PT reform policy at primary health care level in Tamil Nadu State, to understand how different groups of health systems actors experience PT. In-depth qualitative methods were undertaken to study processes of implementation of PT policies enacted through ‘counselling’ of health workers (individualized consultations to determine postings and transfers).Results:PT emerges as a complex phenomenon, shaped partially by the laws of the state and partially as a parallel system of norms and incentives requiring consideration and coordination of the interests of different groups. Micro-practices of governance represent homegrown coping mechanisms of health administrators that reconcile public and private interests and sustain basic health system functions. Beyond a functional perspective of PT, it also reflects justice and fairness as it plays out in the health system. It signifies how well a system treats its employees, and by inference, is an index of the overall health of the system.Conclusions:For a complex governance function such as PT, the roles of private actors and private interests are not easily separable from the public, but rather are intertwined within the complexities of delivery of a public service. This complexity blurs conventional boundaries of private and public ownership and behaviour, and raises critical questions for the interpretation of coordinated governance. Hence, the imperative of enforcing rules may need to be complemented with bottom-up policy approaches, including treating PT not merely as system dysfunction, but also as a potential instrument of governance innovations, procedural justice and the accountability of health services to communities they seek to serve.

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Public-Private Partnerships in Healthcare

Cited by 13 publications

References 4 publications

Mapping global evidence on public-private partnership for medical rehabilitation services delivery: a scoping review protocol

Mapping global evidence on public-private partnership for medical rehabilitation services delivery: a scoping review protocol

Potrait of Public Private Partnership Policy Substances in Regional Hospitals in Indonesia

Health worker posting and transfer at primary level in Tamil Nadu: Governance of a complex health system function

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