Europe Sees Mixed Results from Public-Private Partnerships for Building and Managing Health Care Facilities and Services

  title={Europe Sees Mixed Results from Public-Private Partnerships for Building and Managing Health Care Facilities and Services},
  author={James G Barlow and Jens K. Roehrich and Steve Wright},
  journal={PSN: Health Care Delivery (Topic)},
Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date… 
Public-Private Partnerships for Health Services: Construction, Protection and Rehabilitation of Critical Healthcare Infrastructure in Europe
The Chapter places health sector Public-Private Partnerships (PPPs) in their wider historical context, and shows the market size over time; Europe has seen the majority of projects. We define the
Delivering European Healthcare Infrastructure Through Public-Private Partnerships: The Theory and Practice of Contracting and Bundling
This chapter reviews the European experience in delivering healthcare infrastructure and services through public-private partnerships (PPPs), a strategic alliance between public and private partners
Public private partnerships for hospitals
Clinical staff employment levels seem to be substantially lower in Public–Private Partnership hospitals than in directly managed public hospitals, particularly as regards nursing staff, and in those types of hospitals where the private sector manages both clinical and non-clinical staff.
Are Public-Private Partnerships a Healthy Option? A Systematic Literature Review
A cost and performance comparison of Public Private Partnership and public hospitals in Spain
Through a comparison of public and PPP hospital performance, cost and quality indicators, the efficiency of the PPP experience in five hospitals is evaluated to identify the influence of private management in the results.
A Public-Private Partnership Improves Clinical Performance In A Hospital Network In Lesotho.
It is concluded that health care public-private partnerships may improve hospital performance in developing countries and that changes in management and leadership practices might account for differences in clinical outcomes.
Public-private partnerships in non-profit hospitals: Case study of China.
This paper has selected one case each from three different models of non-profit hospital PPP projects in the national PPP project database, operated by the Ministry of Finance, and compared how these projects were operated to identify the differences among them.
The Public–Private Mix in Primary Care Development: The Case of Ireland
  • Julien Mercille
  • Political Science
    International journal of health services : planning, administration, evaluation
  • 2019
The nature and extent of private and public sector involvement in establishing the PCC network since 2001 is examined, resulting in a more commercialized network subject to financial risks associated with public–private partnerships.
Are publiceprivate partnerships a healthy option? A systematic literature review
Governments around the world, but especially in Europe, have increasingly used private sector involvement in developing, financing and providing public health infrastructure and service delivery


Exporting public–private partnerships in healthcare: export strategy and policy transfer
The literature on policy transfer has paid insufficient attention to the role of commercial interests in the transfer of policy. The British government has developed a healthcare industrial strategy
Public-private partnerships and public hospital performance in São Paulo, Brazil.
Results of a successful reform in São Paulo, Brazil are presented, showing that the PPP model gave facility managers latitude to manage human resources--a factor critical to success.
De facto privatization or a renewed role for the EU? Paying for Europe's healthcare infrastructure in a recession
Major expenditure is needed, not only in the new member states – predominantly those with health systems inherited from the former Soviet era – but also in countries with a more modern estate such as Germany.
The Effects of the Financial Crisis on Public-Private Partnerships
The paper investigates the impact of the global financial crisis on public-private partnerships (PPPs) and the circumstances under which providing support to new and existing projects is justified.
The Simple Micro-Economics of Public-Private Partnerships
We build a unified theoretical framework to analyze the main incentive issues in Public Private Partnerships (PPPs) and the shape of optimal contracts in those contexts. We present a basic model of
Delivering Innovation in Hospital Construction: Contracts and Collaboration in the UK's Private Finance Initiative Hospitals Program
�he increasing pace of change in healthcare technologies and policies has generated increased interest in the future adaptability in the physical infrastructure that supports health services. This
Public private partnership financiers' perceptions of risks
This research report looks at PPP schemes from a new and different viewpoint by examining financiers' perceptions of risks and then comparing them to the perceptions of their public sector partners.
Public Private Partnerships: Identifying practical issues for an Accounting Research Agenda
This article provides a structured framework for research into the accounting implications of Public Private Partnerships.
The World Bank.
The Principles and Guidelines are a distillation of international best practice on design aspects of insolvency and creditor rights systems, emphasizing contextual, integrated solutions and the policy choices involved in developing those solutions.
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This bibliography, which was compiled in conjunction with a review of the developmental disabilities literature focusing on interventions with challenging behavior, contains references for 151