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Public-private partnership in the Portuguese health sector

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, f...

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Detalles Bibliográficos
Autores principales: Rodrigues, Nuno José Pinho, Carvalho, João M.S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457536/
https://www.ncbi.nlm.nih.gov/pubmed/37636464
http://dx.doi.org/10.1016/j.heliyon.2023.e19122
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author Rodrigues, Nuno José Pinho
Carvalho, João M.S.
author_facet Rodrigues, Nuno José Pinho
Carvalho, João M.S.
author_sort Rodrigues, Nuno José Pinho
collection PubMed
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 (value-for-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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spelling pubmed-104575362023-08-27 Public-private partnership in the Portuguese health sector Rodrigues, Nuno José Pinho Carvalho, João M.S. Heliyon Research Article 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 (value-for-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. Elsevier 2023-08-14 /pmc/articles/PMC10457536/ /pubmed/37636464 http://dx.doi.org/10.1016/j.heliyon.2023.e19122 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Article
Rodrigues, Nuno José Pinho
Carvalho, João M.S.
Public-private partnership in the Portuguese health sector
title 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_short Public-private partnership in the Portuguese health sector
title_sort public-private partnership in the portuguese health sector
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457536/
https://www.ncbi.nlm.nih.gov/pubmed/37636464
http://dx.doi.org/10.1016/j.heliyon.2023.e19122
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