Exploring shared risks through public-private partnerships in public health programs: a mixed method

Abstract

BackgroundThe natural assimilation of the process through which health partners sustain long-term relationships is a key issue in maintaining social well-being, reducing health risk factors, and sustaining public health programs. One global initiative in building effective healthcare systems is public-private partnerships (PPPs). This study elucidates the proposed key performance indicators initiated by the Ministry of Health of Saudi Arabia based on the projections of the government, known as Vision 2030, from the perspective of health risk factors.MethodsThrough an inductive content analysis, this study assessed primary and secondary data in relation to the Saudi National Transformation Program (NTP). To identify the institutions that played a role in formulating the new Saudi Healthcare System, health policies, regulations, and reports published between 1996 and 2016 were categorized. After ranking the risk factors, the investigator selected 13 healthcare professionals in four focus group interviews to insightfully explore the challenges that the NTP faces from a health risk perspective. Thus, the study employed qualitative data gathered through focus group interviews with key figures as well as data extracted from written sources to identify distinct but interrelated partnerships practiced within risk management.ResultsA methodological overview of NTP priority and implementation offered practical guidance in the healthcare context. The five critical factors in maintaining successful and sustainable PPPs were (1) trustworthiness, (2) technological capability, (3) patient-centeredness, (4) competence, and (5) flexibility. Concession on primary and secondary healthcare services might be a good option based on the literature review and considering its popularity in other countries. A high outcome-based risk of PPPs was found as the most commonly shared perspective in risk management.ConclusionsAlthough the impact of the NTP rise has yet to be explored, its potential for challenging health consequences requires consideration and substantial regulatory action. This study contributes to the emerging critical analysis on local health initiatives by highlighting how integration may only be possible with a more radical conceptualization of national health governance.

Cupping therapy in Saudi Arabia: from control to integration

“… 51 Further health system research is needed to include integrated models in the healthcare systems which is currently going a transformation stage toward more privatization. 52 , 53 …”

Risk Assessment Regarding the Implementation of Public-Private Partnership Projects in the World Practice

“…Risk management of the PPP project is carried out at the stage of conclusion of the PPP project agreement between the public and private partners. This reduces risk management in a very short period before the start of the project (Alonazi, 2017). Besides, the capacity of risk management mechanisms depends to a large extent on the provisions of the tender documents approved for the tender to identify a private partner (Langhagen-Rohrbach, 2007).…”

Strategic Approach of Saudi Small and Medium-Sized Enterprises: More of Emergent or Deliberate?

“…According to Oxford Business Group (2015), the SMEs account for around 90% of registered businesses in SA and the sector alone absorbs 75% of the total workforce in SA (Lonial and Carter, 2015). Although there has been considerable support in recent years for the private sector by the government of SA (Alonazi, 2017) as well as according to the G20 Research Group (2016), the privet sector performance and specially the SMEs considered very low. Moreover, according to the World Trade Organization (2016), the median contribution of SMEs to GDP and economic growth in the world is 45% as 49% in developed countries, 35% in developing countries, while is SA the GDP contribution of SMEs is just 20%.…”