Spanish healthcare Public Private Partnerships: the ?Alzira model

  title={Spanish healthcare Public Private Partnerships: the ?Alzira model},
  author={Basilio Acerete and Anne Stafford and Pamela Stapleton},
  journal={Critical Perspectives on Accounting},

Figures and Tables from this paper

New global healthcare PPP developments
A closer look at the evidence shows that handing over control of service delivery to the private sector is difficult to monitor and evaluate, carries cost implications which remain largely unquantified and can create additional risk.
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 Comparative Policy Analysis of Healthcare PPPs: Examining Evidence from Two Spanish Regions from an International Perspective
The comparative policy analysis shows that competent learning from cross-national experience is complex because in practice it is difficult to identify specific institutional factors, evaluate operational costs, and determine whether risks have transferred.
Public-Private Partnerships in Infrastructures Projects in Health Sector First and Second Generation Hospitals : The Portuguese Case
  • J. Maia
  • Political Science, Medicine
  • 2012
Although no model is clearly superior, the understanding of each model's characteristics and peculiarities may help in the decision of the best partnership profile for the development of new hospitals, resulting in a more efficient contractual process.
Innovation through Public-Private Partnerships in the Greek Healthcare Sector: How is it achieved and what is the current situation in Greece?
ABSTRACTPublic Private Partnerships (PPPs) constitute a partnership with many different applications in the social sphere, in healthcare as well. Some European countries were pioneers in establishing
PFI redux? Assessing a new model for financing hospitals.
The Painful Effects of the Financial Crisis on Spanish Health Care
It is argued that immediate health care cuts may not be the best long-term answer and evidence-driven interventions that involve the portfolio of free services and the private sector, while ensuring that the most vulnerable are protected are suggested.
Healthcare Marketisation in Spain: The Case of Madrid’s Hospitals
This chapter assesses the consequences for efficiency and service quality of introducing market-driven mechanisms in Madrid, one of the most enthusiastic adopters of marketisation policies in health care in Spain.
Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals?
This article addresses the relationship between Public-Private Partnerships (PPP) and the sustainability of public spending in smart hospitals. Smart (technological) hospitals represent long-termed
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.


PPPs in Health: Static or Dynamic?
Public-Private Partnerships (PPPs), or in the Private Finance Initiative (PFI) form throughout the Anglo-Saxon world, are gaining in popularity for the provision of hospitals. Increasingly common
Using public–private partnerships to achieve value for money in the delivery of healthcare in Australia
This research locates the use of public private partnerships (PPP) within the new public management (NPM) reforms that have swept the Australian public sector. Empirical evidence from policy
NHS Capital Investment and Pfi: From Central Responsibility to Local Affordability
The findings show that PFI is leading to additional costs and complexity that make the achievement of the NHS's objectives difficult.
Public-private partnerships for hospitals.
While it is premature to say whether the problems experienced relate to the underlying model or to their implementation, it does seem that a public-private partnership further complicates the already difficult task of building and operating a hospital.
Diversity and regional inequalities in the Spanish 'system of health care services'.
Examination of health care reform in Spain along with empirical evidence on regional diversity, efficiency and inequality of these changes in the Spanish NHS suggest that besides significant heterogeneity, once region-specific needs are taken into account, there is evidence of efficiency improvements whilst inequalities in inputs and outcomes do not appear to have increased in the last decade.
Spanish health district tests a new public-private mix.
  • M. Bes
  • Political Science, Medicine
    Bulletin of the World Health Organization
  • 2009
With public health systems facing shrinking budgets, in part due to the global financial crisis, governments are looking at new ways to make the most of limited resources. A handful of Spanish health
Provider payments and patient charges as policy tools for cost-containment: How successful are they in high-income countries?
The overall potential of these instruments in cost-containment policies is assessed, which consists of patient charges and reference price systems for pharmaceuticals and provider payment methods that influence the price and quantity of health care.
The Cost of Using Private Finance to Build, Finance and Operate Hospitals
The cost of using private finance to build hospitals under the UK government's Private Finance Initiative (PFI) is analyzed to show how PFI charges create budget inflexibilities and are increasing the pressure on the NHS to cut their largest cost: the jobs, working conditions and pay of their staff.
Managing the Risks of Public-Private Partnerships in Scottish Local Government
The involvement of the private sector in the financing and provision of public services has been placed at the core of the Labour government's second-term public sector reform agenda. PFI/PPP is a