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Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal
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Autores
Orientador(es)
Resumo(s)
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.
Descrição
Palavras-chave
Health policy; Public-private partnerships; Public hospitals; Social performance; Benefit of doubt
Contexto Educativo
Citação
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)
Editora
Elsevier