Public-private partnership in the Portuguese health sector
Autor(a) principal: | |
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Data de Publicação: | 2023 |
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/11328/5034 https://doi.org/10.1016/j.heliyon.2023.e19122 |
Resumo: | Since 2001, in Portugal, constant reforms in hospital management have accompanied the transformations in the management models applied to public administration, intending to ensure a higher quality of services and, simultaneously, a more significant economic efficiency. This study aims to analyse, for the period between 2012 and 2021, the economic and financial results (valuefor-money) of the PPP model, compared with the public management hospitals (PMH). It used a mixed research approach based on multiple case studies and archival research. As the main results, it was found that: i) the PPP model, applied to the health sector, appears to be advantageous, not only regarding the economic and financial results but also concerning the quality of service provision; and ii) despite the value-for-money generated by the PPP model, the lower operating costs and the superior performance in comparison with PMH, the government has permanently opted to revert from a PPP model to a PMH model. This study concluded that the hospital management model is instead seen as an instrumentalised political instrument than a management tool that could generate savings for the taxpayers. Several practical implications are presented. |
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Public-private partnership in the Portuguese health sectorPublic management hospitalsPublic-private partnershipsHealth service qualityValue-for-moneyPublic sector comparatorSince 2001, in Portugal, constant reforms in hospital management have accompanied the transformations in the management models applied to public administration, intending to ensure a higher quality of services and, simultaneously, a more significant economic efficiency. This study aims to analyse, for the period between 2012 and 2021, the economic and financial results (valuefor-money) of the PPP model, compared with the public management hospitals (PMH). It used a mixed research approach based on multiple case studies and archival research. As the main results, it was found that: i) the PPP model, applied to the health sector, appears to be advantageous, not only regarding the economic and financial results but also concerning the quality of service provision; and ii) despite the value-for-money generated by the PPP model, the lower operating costs and the superior performance in comparison with PMH, the government has permanently opted to revert from a PPP model to a PMH model. This study concluded that the hospital management model is instead seen as an instrumentalised political instrument than a management tool that could generate savings for the taxpayers. Several practical implications are presented.Elsevier2023-08-30T11:43:23Z2023-08-302023-08-14T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfRodrigues, N. J. P. , & Carvalho, J. M. S. (2023). Public-private partnership in the Portuguese health sector. Heliyon, 9(8), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19122. Repositório Institucional UPT. http://hdl.handle.net/11328/5034http://hdl.handle.net/11328/5034Rodrigues, N. J. P. , & Carvalho, J. M. S. (2023). Public-private partnership in the Portuguese health sector. Heliyon, 9(8), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19122. Repositório Institucional UPT. http://hdl.handle.net/11328/5034http://hdl.handle.net/11328/5034https://doi.org/10.1016/j.heliyon.2023.e19122eng2405-8440https://www.sciencedirect.com/science/article/pii/S2405844023063302?via%3Dihubhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessRodrigues, Nuno José PinhoCarvalho, João M. S.reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T02:08:45Zoai:repositorio.upt.pt:11328/5034Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:40:11.917499Repositório 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 partnership in the Portuguese health sector |
title |
Public-private partnership in the Portuguese health sector |
spellingShingle |
Public-private partnership in the Portuguese health sector Rodrigues, Nuno José Pinho Public management hospitals Public-private partnerships Health service quality Value-for-money Public sector comparator |
title_short |
Public-private partnership in the Portuguese health sector |
title_full |
Public-private partnership in the Portuguese health sector |
title_fullStr |
Public-private partnership in the Portuguese health sector |
title_full_unstemmed |
Public-private partnership in the Portuguese health sector |
title_sort |
Public-private partnership in the Portuguese health sector |
author |
Rodrigues, Nuno José Pinho |
author_facet |
Rodrigues, Nuno José Pinho Carvalho, João M. S. |
author_role |
author |
author2 |
Carvalho, João M. S. |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Rodrigues, Nuno José Pinho Carvalho, João M. S. |
dc.subject.por.fl_str_mv |
Public management hospitals Public-private partnerships Health service quality Value-for-money Public sector comparator |
topic |
Public management hospitals Public-private partnerships Health service quality Value-for-money Public sector comparator |
description |
Since 2001, in Portugal, constant reforms in hospital management have accompanied the transformations in the management models applied to public administration, intending to ensure a higher quality of services and, simultaneously, a more significant economic efficiency. This study aims to analyse, for the period between 2012 and 2021, the economic and financial results (valuefor-money) of the PPP model, compared with the public management hospitals (PMH). It used a mixed research approach based on multiple case studies and archival research. As the main results, it was found that: i) the PPP model, applied to the health sector, appears to be advantageous, not only regarding the economic and financial results but also concerning the quality of service provision; and ii) despite the value-for-money generated by the PPP model, the lower operating costs and the superior performance in comparison with PMH, the government has permanently opted to revert from a PPP model to a PMH model. This study concluded that the hospital management model is instead seen as an instrumentalised political instrument than a management tool that could generate savings for the taxpayers. Several practical implications are presented. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-30T11:43:23Z 2023-08-30 2023-08-14T00:00:00Z |
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 |
Rodrigues, N. J. P. , & Carvalho, J. M. S. (2023). Public-private partnership in the Portuguese health sector. Heliyon, 9(8), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19122. Repositório Institucional UPT. http://hdl.handle.net/11328/5034 http://hdl.handle.net/11328/5034 Rodrigues, N. J. P. , & Carvalho, J. M. S. (2023). Public-private partnership in the Portuguese health sector. Heliyon, 9(8), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19122. Repositório Institucional UPT. http://hdl.handle.net/11328/5034 http://hdl.handle.net/11328/5034 https://doi.org/10.1016/j.heliyon.2023.e19122 |
identifier_str_mv |
Rodrigues, N. J. P. , & Carvalho, J. M. S. (2023). Public-private partnership in the Portuguese health sector. Heliyon, 9(8), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19122. Repositório Institucional UPT. http://hdl.handle.net/11328/5034 |
url |
http://hdl.handle.net/11328/5034 https://doi.org/10.1016/j.heliyon.2023.e19122 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2405-8440 https://www.sciencedirect.com/science/article/pii/S2405844023063302?via%3Dihub |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
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 |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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