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Public-private partnership in Iranian hospitals: Challenges and opportunities

BACKGROUND: Nowadays, various strategies are applied by governments to control costs and finance hospitals and the health sector. Public-private partnership (PPP) option is one of these strategies. Considering the growing importance of hospitals in different communities and their problems, this stud...

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Autores principales: Etemadi, Ghazaal, Rezayatmand, Reza, Shaarbafchizadeh, Nasrin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9170222/
https://www.ncbi.nlm.nih.gov/pubmed/35677282
http://dx.doi.org/10.4103/jehp.jehp_1646_20
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author Etemadi, Ghazaal
Rezayatmand, Reza
Shaarbafchizadeh, Nasrin
author_facet Etemadi, Ghazaal
Rezayatmand, Reza
Shaarbafchizadeh, Nasrin
author_sort Etemadi, Ghazaal
collection PubMed
description BACKGROUND: Nowadays, various strategies are applied by governments to control costs and finance hospitals and the health sector. Public-private partnership (PPP) option is one of these strategies. Considering the growing importance of hospitals in different communities and their problems, this study aimed to identify PPP challenges, opportunities and solutions in hospitals. This study aimed to identify the challenges and opportunities of PPP in the country's hospitals and then offered an appropriate solution to overcome these challenges. MATERIALS AND METHODS: This is a qualitative study and content analysis approach is undertaken. The participants were selected through purposive sampling and data were collected using a semi-structured interview with experts in the public and private health sector until the saturation point achieved. Data analysis was performed through the thematic analysis of expert's statements using MAXQDA. 10 software in this sector. RESULTS: According to the study results, 3 main themes (challenges, opportunities, and solutions), 10 sub-themes, and 32 codes were identified in relation to the public and private partnership. 4 sub-themes on challenges of PPP, 3 sub-themes on partnership opportunities and 3 sub-themes on challenges solutions were identified. CONCLUSION: The results of this study revealed that given the discussed challenges the most important challenge seems to be not evaluated outsourcings, incorrect usage of participatory models, and inadequate and inappropriate postoutsourcing supervision, however, it appears evaluated outsourcing backed with adequate supervision could solve many current hospitals’ problems.
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spelling pubmed-91702222022-06-07 Public-private partnership in Iranian hospitals: Challenges and opportunities Etemadi, Ghazaal Rezayatmand, Reza Shaarbafchizadeh, Nasrin J Educ Health Promot Original Article BACKGROUND: Nowadays, various strategies are applied by governments to control costs and finance hospitals and the health sector. Public-private partnership (PPP) option is one of these strategies. Considering the growing importance of hospitals in different communities and their problems, this study aimed to identify PPP challenges, opportunities and solutions in hospitals. This study aimed to identify the challenges and opportunities of PPP in the country's hospitals and then offered an appropriate solution to overcome these challenges. MATERIALS AND METHODS: This is a qualitative study and content analysis approach is undertaken. The participants were selected through purposive sampling and data were collected using a semi-structured interview with experts in the public and private health sector until the saturation point achieved. Data analysis was performed through the thematic analysis of expert's statements using MAXQDA. 10 software in this sector. RESULTS: According to the study results, 3 main themes (challenges, opportunities, and solutions), 10 sub-themes, and 32 codes were identified in relation to the public and private partnership. 4 sub-themes on challenges of PPP, 3 sub-themes on partnership opportunities and 3 sub-themes on challenges solutions were identified. CONCLUSION: The results of this study revealed that given the discussed challenges the most important challenge seems to be not evaluated outsourcings, incorrect usage of participatory models, and inadequate and inappropriate postoutsourcing supervision, however, it appears evaluated outsourcing backed with adequate supervision could solve many current hospitals’ problems. Wolters Kluwer - Medknow 2022-04-28 /pmc/articles/PMC9170222/ /pubmed/35677282 http://dx.doi.org/10.4103/jehp.jehp_1646_20 Text en Copyright: © 2022 Journal of Education and Health Promotion https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Etemadi, Ghazaal
Rezayatmand, Reza
Shaarbafchizadeh, Nasrin
Public-private partnership in Iranian hospitals: Challenges and opportunities
title Public-private partnership in Iranian hospitals: Challenges and opportunities
title_full Public-private partnership in Iranian hospitals: Challenges and opportunities
title_fullStr Public-private partnership in Iranian hospitals: Challenges and opportunities
title_full_unstemmed Public-private partnership in Iranian hospitals: Challenges and opportunities
title_short Public-private partnership in Iranian hospitals: Challenges and opportunities
title_sort public-private partnership in iranian hospitals: challenges and opportunities
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9170222/
https://www.ncbi.nlm.nih.gov/pubmed/35677282
http://dx.doi.org/10.4103/jehp.jehp_1646_20
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