Public-Private Partnerships for Health Services: Construction, Protection and Rehabilitation of Critical Healthcare Infrastructure in Europe

Author(s):  
Stephen Wright ◽  
James Barlow ◽  
Jens K. Roehrich

Significance Health IoT devices are also useful for collecting patient data, which, at scale, could help medical researchers better understand the virus. However, cybersecurity risks are high and rising. Impacts Public-private partnerships will rise as governments contract private firms for digital health services. If contact-tracing apps become ubiquitous, users are likely to take an increased interest in data protection more generally. IoT security will become a regular part of cyber insurance.


BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e006608 ◽  
Author(s):  
Pauline Bakibinga ◽  
Remare Ettarh ◽  
Abdhalah K Ziraba ◽  
Catherine Kyobutungi ◽  
Eva Kamande ◽  
...  

IntroductionRapid urbanisation in Kenya has resulted in growth of slums in urban centres, characterised by poverty, inadequate social services and poor health outcomes. The government's initiatives to improve access to quality healthcare for mothers and children are largely limited to public health facilities, which are few and/or inaccessible in underserved areas such as the slums. The ‘Partnership for Maternal, Newborn and Child Health’ (PAMANECH) project is being implemented in two Nairobi slums, Viwandani and Korogocho, to assess the impact of strengthening public–private partnerships for the delivery of healthcare on the health of mothers, newborns and young children in two informal settlements in Kenya.Methods and analysisThis is a quasi-experimental study; our approach is to support private as well as public health providers and the community to enhance access to and demand for quality healthcare services. Key activities include: infrastructural upgrade of selected Private Not-For-Profit health facilities operating in the two slums, building capacity for healthcare providers as well as the Health Management Teams in Nairobi, facilitating provision of supportive supervision by the local health authorities and forming networks of Community Health Volunteers (CHVs) to create demand for health services. To assess the impact of the intervention, the study is utilising multiple data sources using a combination of qualitative and quantitative methods. A baseline survey was conducted in 2013 and an end-line survey will be conducted at least 1 year after full implementation of the intervention. Systematic monitoring and documentation of the intervention is on-going to strengthen the case for causal inference.Ethics and disseminationEthical approval for the study was obtained from the Kenya Medical Research Institute. Key messages from the results will be packaged and widely disseminated through workshops, conference presentations, reports, factsheets and academic publications to facilitate uptake by policymakers.Protocol registration numberKEMRI- NON-SSC-PROTOCOL No. 393.


2020 ◽  
Vol 71 ◽  
pp. 91-110
Author(s):  
Jean Marcel Del Ponte Duarte ◽  
Rodrigo Nobre Fernandez ◽  
Rodrigo Vaz Silva

This work aims to verify how the Public-private Partnership contracts can be used as a tool for the policy makers to provide infrastructure in health services, specially seeking to fight the coronavirus pandemic, like the construction of hospitals and health centers, plus research and development of vaccines and medicine. An analysis of PPP cases already currently working in Brazil was conducted, based on the empiric literature. The PPPs arise as a feasible alternative of investments in this sector, particularly in a fragile moment of public accounts, in addition to the need of healthcare improvements throughout the country. Besides being more efficient, this kind of contract also attenuate the pressure on the public accounts since it is financed by private investments.


2020 ◽  
Author(s):  
Said Nuhu ◽  
Chakupewa Joseph Mpambije ◽  
Kinamhala Ngussa

Abstract Background: Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the anticipated outcomes have not been fully realised. This study aimed at investigating challenges encountered in the implementation of public-private partnership institutional arrangements in health service delivery in Kinondoni Municipality, Dar es Salaam, Tanzania.Methods: A qualitative case study design was used, where in-depth interviews with stakeholders were held and document reviews conducted. Fourteen (n=14) participants engaged in this study. Eight (n=8) and six (n=6) of the fourteen participants were from the public and private sector respectively. Thematic approach was used to analyse data and ethical principles were upheld in the research process.Results: Findings revealed that although public-private partnerships are hailed for supplementing the government’s efforts in the provision of health services, institutional arrangements for the smooth provision of these services is lacking. Several challenges encumber smooth provision of health services and these include inadequate resources, ineffective monitoring and evaluation, as well as insufficient consultations between partners.Conclusion: Challenges facing institutional arrangements for public-private partnerships may either be influenced by inadequate legal and policy framework, or ineffective implementation practices. Therefore, strengthening of public-private partnerships is recommended to improve implementation mechanisms and practices such as adherence to partnership agreements and compliance to the policies, laws and regulations.


Author(s):  
Hiwa Mirzaii ◽  
Shoresh Barkhordari ◽  
Nasrin Shaarbafchizadeh ◽  
Reza Rezayatmand ◽  
Faezeh Akbari

Objective: Public-private partnerships can provide the health systems with the required resources to prevent disease, render effective care services, and promote individual and community health. The purpose of this study was to review application of the public-private partnership model in the delivery and promotion of health services to investigate the scope of this model and its success in health systems. Information sources and selection methods for the study: This critical review was conducted by conducting a search in the databases of ISI, Scopus, PubMed, Science Direct, ‌SID, and Magiran using a combination of the following keywords:  public-private partnership, health promotion, health delivery, health improvement, health service, health care services, and providing health services. No time limit was considered in the research process.  A total of 238 articles were extracted and reviewed. Results: Finally, 12 eligible articles were studied, which resulted in 4 main themes: public-private partnerships and prevention, public-private partnerships and infectious-communicable diseases, public-private partnerships and chronic diseases, and public- private partnerships and clinical health services design and information. Conclusion: The public-private partnerships were successful if supported and organized by the government. In most studied articles, the extent of private sector participation and its benefits were not clear. So, clarification of the interactions between these two sectors will increase the confidence of policymakers in public-private partnerships.  


2020 ◽  
Author(s):  
Said Nuhu ◽  
Chakupewa Joseph Mpambije ◽  
Kinamhala Ngussa

Abstract Background: Public-private partnership in the health sector was introduced to improve the delivery of health services in Tanzania. Contrary, the expected outcomes have not been fully realised. This study aimed at investigating challenges encountered in implementing public-private partnership institutional arrangements in health service delivery in Kinondoni Municipality, Dar es Salaam, Tanzania.Methods: A qualitative case study design was employed, where in-depth interviews with stakeholders were held and document reviews conducted. Fourteen (n=14) participants engaged in this study. Eight (n=8) and six (n=6) of the fourteen participants were from the public and private sector, respectively. The thematic approach was used to analyse data, and ethical principles in the research process were upheld.Results: Findings revealed that although public-private partnerships are hailed for supplementing the government’s efforts in the provision of health services, institutional arrangements for the smooth provision of these services are lacking. Several challenges encumber smooth provision of health services and these include inadequate resources, ineffective monitoring and evaluation, and insufficient consultations between partners.Conclusion: Inadequate legal and policy framework, or ineffective implementation practices may influence challenges facing institutional arrangements for public-private partnerships. Therefore, strengthening of public-private partnerships is recommended to improve implementation mechanisms and practices such as adherence to partnership agreements and compliance to the policies, laws and regulations.


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