Public-private partnership in the Portuguese health sector

Rodrigues, Nuno J. P.; Carvalho, João M. S.

doi:10.1016/j.heliyon.2023.e19122

Cited by 6 publications

(4 citation statements)

References 49 publications

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“…However, there are conflicting results [37], and we observed the dependence on political and economic changes that lead to both successes and failures in this field [37,40]. Another concern identified in the proposed model is the public interest in healthcare provision.…”

Section: Public-private Collaboration In La Riojamentioning

confidence: 88%

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986–2019)

Jiménez-Buñuales,

León-Sanz,

González-Diego

et al. 2024

Healthcare

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In Spain, the public National Health Service provides care to Spaniards and other residents and is tailored for a decentralized state of autonomies. Each Autonomous Community has legislative capacity in its organization and management. We study the case of the collaboration between private hospitals and the public health service in La Rioja, an Autonomous Community of Spain located in the North of the Iberian Peninsula, due to the importance that this relationship has in health systems, in general. We applied the case study method as a methodological tool in a long-term local study. The interpretation was carried out within a national context, which allows us to understand its meaning and the historical keys to hospital development in this region. Primary sources have been reviewed (mainly reports, catalogs, and censuses of hospitals from the Ministry of Health and the Government of La Rioja) and other secondary sources, located in archives, libraries, Institute of Rioja Studies, and Department of Health. The hospital system in La Rioja was characterized by a predominance of public beds compared with private ones, although there has been a growing trend in the number of private beds from 2013 onwards due to the incorporation of health and social care convalescent hospitals (two). La Rioja has been promoting public–private collaboration (seen as a strategic alliance) and focusing on agreements in the socio-health space, particularly using the management service agreement and the concession of work formulas. The development of the public health service in La Rioja, from 1986 to 2019, has been determined by a progressive lower dependence on specialized hospitals from other health services of neighboring Autonomous Communities and by a mixed public–private hospital system.

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Section: Public-private Collaboration In La Riojamentioning

confidence: 88%

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986–2019)

Jiménez-Buñuales,

León-Sanz,

González-Diego

et al. 2024

Healthcare

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“…In this regard, the interviewees highlighted key developments in healthcare favoring older adults in recent decades. Notably, in the Portuguese context, these advancements include the establishment of a comprehensive care network facilitating the coordination of healthcare services with social support for dependent individuals [31] and the construction of new healthcare facilities through public-private partnerships [32].…”

Section: Discussionmentioning

confidence: 99%

Unlocking the WHO’s Age-Friendly Healthcare Principles: Portugal’s Quest and Recommendations

Tavares,

Santinha,

Rocha

2023

IJERPH

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Countries worldwide are grappling with a pressing demographic challenge characterized by a growing older population. This poses a significant healthcare dilemma, presenting challenges for healthcare systems and providers. To address these challenges, the World Health Organization (WHO) has devised a set of Age-Friendly Principles, aimed at optimizing healthcare provision for older people. This article delves into the current state of healthcare adaptation for older adults in Portugal and assesses the implementation of the WHO Principles. Case studies were conducted in three distinct regions of Portugal, involving semistructured interviews with key decision makers from both the healthcare sector and organizations wielding direct influence over health policies (n = 11). A comprehensive content analysis was conducted employing the webQDA software. The findings unveiled a noteworthy trend in which most interviewees displayed limited familiarity with the WHO Principles. Nevertheless, all interviewees acknowledged the need to adapt the healthcare system accordingly. Strengths were identified, primarily within the healthcare management system, but noteworthy gaps were also revealed, particularly in terms of facility preparedness and professional training. Interviewees proposed various interventions to enhance age-friendly healthcare provision; however, they concurrently pinpointed challenges related to human resources, infrastructure, and financial management. In their concluding recommendations, interviewees underscored the development of tools to facilitate the application and evaluation of the WHO Principles, as well as the development by the WHO of an accreditation system to encourage the application of the principles in healthcare providers across the world.

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“…An ideal PPP maintains high mutuality while preserving organisational identities, distinguishing it from conventional contracting, extension of competence, and eventual absorption. Rodrigues and Carvalho (2023:1) define a PPP as a structured collaboration between public and private partners in planning, constructing, and/or operating infrastructure. It involves the sharing or redistribution of risks, costs, benefits, resources, and responsibilities.…”

Section: Discussionmentioning

confidence: 99%

“…It involves the sharing or redistribution of risks, costs, benefits, resources, and responsibilities. Rodrigues and Carvalho (2023:1-2) also suggest that applying the PPP model to healthcare, particularly hospitals, involves a critical assessment which would lead to a clear model for success. Globally, most hospital PPP implementations have favourable outcomes in healthcare unit performance and cost-effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Monitoring and evaluation of eye health service delivery: a public-private case study in the uMgungundlovu District, KwaZulu-Natal.

Majid

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Public-private partnership in the Portuguese health sector

Cited by 6 publications

References 49 publications

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986–2019)

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986–2019)

Unlocking the WHO’s Age-Friendly Healthcare Principles: Portugal’s Quest and Recommendations

Monitoring and evaluation of eye health service delivery: a public-private case study in the uMgungundlovu District, KwaZulu-Natal.

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