Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal

Detalhes bibliográficos
Autor(a) principal: Ferreira, D.C.
Data de Publicação: 2021
Outros Autores: Marques, R.C.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.5/28316
Resumo: Public-private partnerships (PPPs) are widely spread long-term arrangements between governments and strategic private partner(s). One of their objectives is to reduce the financial pressure on the public treasury with regard to new investments. PPPs have been employed within the health care sector which, in turn, carries a huge social burden. In Portugal, for instance, PPPs in health care concern bundling hospital infrastructure and clinical services management. Notwithstanding the need to ensure sustainability and efficient use of hospital resources, it is clearly compulsory to guarantee that patients receive appropriate and timely care, with maximum security, and equitable manner. Still, little or even no attention has been paid in the literature to the clinical response capacity of PPP hospitals and to the populism arguing that these entities have a lower social performance than typical public hospitals. This study uses robust benchmarking methodologies alongside recent data about Portuguese hospitals (FY2012-FY2017) to demystify this idea and to demonstrate that, actually, PPP hospitals can deliver health care services with social performance levels at least as good as public hospitals.
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spelling Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from PortugalHealth policy; Public-private partnerships; Public hospitals; Social performance; Benefit of doubtPublic-private partnerships (PPPs) are widely spread long-term arrangements between governments and strategic private partner(s). One of their objectives is to reduce the financial pressure on the public treasury with regard to new investments. PPPs have been employed within the health care sector which, in turn, carries a huge social burden. In Portugal, for instance, PPPs in health care concern bundling hospital infrastructure and clinical services management. Notwithstanding the need to ensure sustainability and efficient use of hospital resources, it is clearly compulsory to guarantee that patients receive appropriate and timely care, with maximum security, and equitable manner. Still, little or even no attention has been paid in the literature to the clinical response capacity of PPP hospitals and to the populism arguing that these entities have a lower social performance than typical public hospitals. This study uses robust benchmarking methodologies alongside recent data about Portuguese hospitals (FY2012-FY2017) to demystify this idea and to demonstrate that, actually, PPP hospitals can deliver health care services with social performance levels at least as good as public hospitals.ElsevierRepositório da Universidade de LisboaFerreira, D.C.Marques, R.C.2023-08-29T13:45:53Z2021-022021-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/28316engD.C. Ferreira, R.C. Marques, Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal, Socio-Economic Planning Sciences, Volume 73, 2021, 100798, ISSN 0038-0121, https://doi.org/10.1016/j.seps.2020.100798. (https://www.sciencedirect.com/science/article/pii/S0038012119301697)10.1016/j.seps.2020.100798info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-03T01:31:51Zoai:www.repository.utl.pt:10400.5/28316Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:28:08.254009Repositório 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 Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
title Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
spellingShingle Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
Ferreira, D.C.
Health policy; Public-private partnerships; Public hospitals; Social performance; Benefit of doubt
title_short Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
title_full Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
title_fullStr Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
title_full_unstemmed Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
title_sort Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
author Ferreira, D.C.
author_facet Ferreira, D.C.
Marques, R.C.
author_role author
author2 Marques, R.C.
author2_role author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Ferreira, D.C.
Marques, R.C.
dc.subject.por.fl_str_mv Health policy; Public-private partnerships; Public hospitals; Social performance; Benefit of doubt
topic Health policy; Public-private partnerships; Public hospitals; Social performance; Benefit of doubt
description Public-private partnerships (PPPs) are widely spread long-term arrangements between governments and strategic private partner(s). One of their objectives is to reduce the financial pressure on the public treasury with regard to new investments. PPPs have been employed within the health care sector which, in turn, carries a huge social burden. In Portugal, for instance, PPPs in health care concern bundling hospital infrastructure and clinical services management. Notwithstanding the need to ensure sustainability and efficient use of hospital resources, it is clearly compulsory to guarantee that patients receive appropriate and timely care, with maximum security, and equitable manner. Still, little or even no attention has been paid in the literature to the clinical response capacity of PPP hospitals and to the populism arguing that these entities have a lower social performance than typical public hospitals. This study uses robust benchmarking methodologies alongside recent data about Portuguese hospitals (FY2012-FY2017) to demystify this idea and to demonstrate that, actually, PPP hospitals can deliver health care services with social performance levels at least as good as public hospitals.
publishDate 2021
dc.date.none.fl_str_mv 2021-02
2021-02-01T00:00:00Z
2023-08-29T13:45:53Z
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.5/28316
url http://hdl.handle.net/10400.5/28316
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv D.C. Ferreira, R.C. Marques, Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal, Socio-Economic Planning Sciences, Volume 73, 2021, 100798, ISSN 0038-0121, https://doi.org/10.1016/j.seps.2020.100798. (https://www.sciencedirect.com/science/article/pii/S0038012119301697)
10.1016/j.seps.2020.100798
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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