Perceived quality and users’ satisfaction with public–private partnerships in health sector
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/11328/4338 https://doi.org/10.3390/ijerph19138188 |
Resumo: | In Portugal, the government has accepted private management within public hospitals since 1996. The objectives of the state were to ensure more efficiency in resource management and maintain or increase the service quality provided to the users. Four public hospitals have been managed with a public–private partnership (PPP) approach. This study aimed to empirically analyse the degree of satisfaction of the Portuguese population regarding the service quality provided by PPP and Public Management Hospitals (PMH) within a structural equation model, and verify if people’s literacy level, age, education, and income moderate their opinions. The study used 2077 valid questionnaire responses applied in the four regions served by the eight hospitals. The results show that the users of the PPP hospitals are more satisfied than those from PMH with statistical significance. Literacy level moderates the relationship between perceived quality and users’ satisfaction, and education moderates the same relationship only in the context of PPP hospitals. More educated people with a high literacy level are more demanding, both regarding PPP and PMH hospitals. Nevertheless, the results are very beneficial to the PPP model; thus, improved decision-making regarding contract renewal might help policymakers consider the findings of this paper. |
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Perceived quality and users’ satisfaction with public–private partnerships in health sectorPublic–private partnershipsPublic management hospitalsQuality of health servicesUsers’ satisfactionLiteracy levelIn Portugal, the government has accepted private management within public hospitals since 1996. The objectives of the state were to ensure more efficiency in resource management and maintain or increase the service quality provided to the users. Four public hospitals have been managed with a public–private partnership (PPP) approach. This study aimed to empirically analyse the degree of satisfaction of the Portuguese population regarding the service quality provided by PPP and Public Management Hospitals (PMH) within a structural equation model, and verify if people’s literacy level, age, education, and income moderate their opinions. The study used 2077 valid questionnaire responses applied in the four regions served by the eight hospitals. The results show that the users of the PPP hospitals are more satisfied than those from PMH with statistical significance. Literacy level moderates the relationship between perceived quality and users’ satisfaction, and education moderates the same relationship only in the context of PPP hospitals. More educated people with a high literacy level are more demanding, both regarding PPP and PMH hospitals. Nevertheless, the results are very beneficial to the PPP model; thus, improved decision-making regarding contract renewal might help policymakers consider the findings of this paper.MDPI - Multidisciplinary Digital Publishing Institute2022-07-05T15:18:13Z2022-07-052022-07-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfCarvalho, J. M. S., & Rodrigues, N. (2022). Perceived quality and users’ satisfaction with public–private partnerships in health sector. International Journal of Environmental Research and Public Health, 19(13), 8188. https://doi.org/10.3390/ijerph19138188. Repositório Institucional UPT. http://hdl.handle.net/11328/4338http://hdl.handle.net/11328/4338Carvalho, J. M. S., & Rodrigues, N. (2022). Perceived quality and users’ satisfaction with public–private partnerships in health sector. International Journal of Environmental Research and Public Health, 19(13), 8188. https://doi.org/10.3390/ijerph19138188. Repositório Institucional UPT. http://hdl.handle.net/11328/4338http://hdl.handle.net/11328/4338https://doi.org/10.3390/ijerph19138188eng1661-7827 (Print)1660-4601 (Electronic)https://www.mdpi.com/1660-4601/19/13/8188http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessCarvalho, João M. S.Rodrigues, Nunoreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:09:24Zoai:repositorio.upt.pt:11328/4338Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:40:26.873486Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
title |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
spellingShingle |
Perceived quality and users’ satisfaction with public–private partnerships in health sector Carvalho, João M. S. Public–private partnerships Public management hospitals Quality of health services Users’ satisfaction Literacy level |
title_short |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
title_full |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
title_fullStr |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
title_full_unstemmed |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
title_sort |
Perceived quality and users’ satisfaction with public–private partnerships in health sector |
author |
Carvalho, João M. S. |
author_facet |
Carvalho, João M. S. Rodrigues, Nuno |
author_role |
author |
author2 |
Rodrigues, Nuno |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Carvalho, João M. S. Rodrigues, Nuno |
dc.subject.por.fl_str_mv |
Public–private partnerships Public management hospitals Quality of health services Users’ satisfaction Literacy level |
topic |
Public–private partnerships Public management hospitals Quality of health services Users’ satisfaction Literacy level |
description |
In Portugal, the government has accepted private management within public hospitals since 1996. The objectives of the state were to ensure more efficiency in resource management and maintain or increase the service quality provided to the users. Four public hospitals have been managed with a public–private partnership (PPP) approach. This study aimed to empirically analyse the degree of satisfaction of the Portuguese population regarding the service quality provided by PPP and Public Management Hospitals (PMH) within a structural equation model, and verify if people’s literacy level, age, education, and income moderate their opinions. The study used 2077 valid questionnaire responses applied in the four regions served by the eight hospitals. The results show that the users of the PPP hospitals are more satisfied than those from PMH with statistical significance. Literacy level moderates the relationship between perceived quality and users’ satisfaction, and education moderates the same relationship only in the context of PPP hospitals. More educated people with a high literacy level are more demanding, both regarding PPP and PMH hospitals. Nevertheless, the results are very beneficial to the PPP model; thus, improved decision-making regarding contract renewal might help policymakers consider the findings of this paper. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-05T15:18:13Z 2022-07-05 2022-07-04T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
Carvalho, J. M. S., & Rodrigues, N. (2022). Perceived quality and users’ satisfaction with public–private partnerships in health sector. International Journal of Environmental Research and Public Health, 19(13), 8188. https://doi.org/10.3390/ijerph19138188. Repositório Institucional UPT. http://hdl.handle.net/11328/4338 http://hdl.handle.net/11328/4338 Carvalho, J. M. S., & Rodrigues, N. (2022). Perceived quality and users’ satisfaction with public–private partnerships in health sector. International Journal of Environmental Research and Public Health, 19(13), 8188. https://doi.org/10.3390/ijerph19138188. Repositório Institucional UPT. http://hdl.handle.net/11328/4338 http://hdl.handle.net/11328/4338 https://doi.org/10.3390/ijerph19138188 |
identifier_str_mv |
Carvalho, J. M. S., & Rodrigues, N. (2022). Perceived quality and users’ satisfaction with public–private partnerships in health sector. International Journal of Environmental Research and Public Health, 19(13), 8188. https://doi.org/10.3390/ijerph19138188. Repositório Institucional UPT. http://hdl.handle.net/11328/4338 |
url |
http://hdl.handle.net/11328/4338 https://doi.org/10.3390/ijerph19138188 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1661-7827 (Print) 1660-4601 (Electronic) https://www.mdpi.com/1660-4601/19/13/8188 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
MDPI - Multidisciplinary Digital Publishing Institute |
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MDPI - Multidisciplinary Digital Publishing Institute |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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