Public–Private Partnerships in the health sector: the Danish experience

2008 ◽  
Vol 3 (2) ◽  
pp. 141-163 ◽  
Author(s):  
KARSTEN VRANGBÆK*
Keyword(s):  
Health Care ◽  
Large Scale ◽  
Health Sector ◽  
Theoretical Models ◽  
Public Private Partnerships ◽  
Public And Private ◽  
Theoretical Approaches ◽  
General Terms ◽  
Danish Health ◽  
Private And Public

AbstractThis article investigates the current use of Public–Private Partnerships (PPP) in the Danish health sector based on an initial discussion of theoretical approaches that analyze PPP. The empirical analysis concludes that PPP has been used very sparsely in the Danish health sector. There are few examples of large-scale partnership projects with joint investment and risk taking, but a number of smaller partnerships such as jointly owned companies at the regional level. When defining PPP more broadly, we can identify a long tradition for various types of collaboration between public and private actors in health care in Denmark. An analysis of the regulatory environment is offered as an explanation for the limited use of PPPs in Denmark. Major political and institutional actors at the central level differ in their enthusiasm for the PPP concept, and the regulatory framework is somewhat uncertain. A number of general issues and concerns related to PPPs are also discussed. It is suggested that a risk-based framework can be useful for mapping the potential and challenges for both private and public partners. Such a framework can be used to feed into game theoretical models of pros and cons for PPP projects. In general terms, it is concluded that more empirical research is needed for the assessment of the various risk factors involved in using PPPs in health care. Most PPPs are still very young, and the evidence on performance and broader governance issues is only just emerging. Ideally, such assessments should include comparisons with a purely public alternative.

Clinical update on public and private psychiatric practice shared-care partnerships – Can the twain work together?

2021 ◽  
pp. 103985622110528
Author(s):  
Jeffrey C.L. Looi ◽  
Michelle Atchison ◽  
May Matias
Keyword(s):  
Policy Development ◽  
Health Sector ◽  
Mental Healthcare ◽  
Shared Care ◽  
Psychiatric Practice ◽  
Public And Private ◽  
Health Strategy ◽  
Care Models ◽  
Private And Public ◽  
National Mental Health

Objective: We explore the previous research and current context regarding opportunities for shared-care partnerships between public and private psychiatric practice. Conclusions: Since the early 2000s, when there was impetus for the development of public-private psychiatric shared-care models as part of a previous National Mental Health Strategy, there has been surprisingly little research and policy development. Given an apparent exodus of psychiatrists to private practice due to current challenges facing the public health sector, it is timely to reconsider models of private and public sector shared-care that may improve the quality of public mental healthcare.

scholarly journals ANALYSIS OF FACTORS INFLUENCING REPORTED HOUSING MAINTENANCE COSTS IN SWEDEN’S PUBLIC AND PRIVATE RENTAL SECTORS

2017 ◽  
Vol 21 (3) ◽  
pp. 284-295 ◽  
Author(s):  
Henry Gonza MUYINGO
Keyword(s):  
Large Scale ◽  
Unit Area ◽  
Panel Data Analysis ◽  
Rental Housing ◽  
Public And Private ◽  
Public Companies ◽  
Maintenance Costs ◽  
The Public ◽  
Public Rental Housing ◽  
Private And Public

The reported maintenance costs per unit area within the public rental housing sector in Sweden are consistently higher than those within the private rental sector. This paper uses crosssectional panel data analysis as well as a questionnaire survey sent to 196 managers in the private and public housing sectors to identify the factors that might explain this divergence. The findings indicate that “fundamental” factors such as the age of the houses or the composition of the tenants cannot explain the observed difference. However how the activities are classified and the timing of the measures are factors that can. The conclusions from the study are that the public companies should act more as the private sector in their accounting; wait longer than they currently do before carrying out some renovations; and that they should be more stringent when determining the resources to spend on large-scale maintenance and/or renovation projects.

Medical Expenditures on and by Immigrant Populations in the United States: A Systematic Review

2018 ◽  
Vol 48 (4) ◽  
pp. 601-621 ◽  
Author(s):  
Lila Flavin ◽  
Leah Zallman ◽  
Danny McCormick ◽  
J. Wesley Boyd
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Policy ◽  
Age Groups ◽  
Health Care Expenditures ◽  
The United States ◽  
Public And Private ◽  
Health Insurance Markets ◽  
Private And Public

In health care policy debates, discussion centers around the often-misperceived costs of providing medical care to immigrants. This review seeks to compare health care expenditures of U.S. immigrants to those of U.S.-born individuals and evaluate the role which immigrants play in the rising cost of health care. We systematically examined all post-2000, peer-reviewed studies in PubMed related to health care expenditures by immigrants written in English in the United States. The reviewers extracted data independently using a standardized approach. Immigrants’ overall expenditures were one-half to two-thirds those of U.S.-born individuals, across all assessed age groups, regardless of immigration status. Per capita expenditures from private and public insurance sources were lower for immigrants, particularly expenditures for undocumented immigrants. Immigrant individuals made larger out-of-pocket health care payments compared to U.S.-born individuals. Overall, immigrants almost certainly paid more toward medical expenses than they withdrew, providing a low-risk pool that subsidized the public and private health insurance markets. We conclude that insurance and medical care should be made more available to immigrants rather than less so.

Privatization

2013 ◽  
Author(s):  
Andrew Dobelstein
Keyword(s):  
Social Services ◽  
21St Century ◽  
Social Service ◽  
Public Private Partnerships ◽  
Public And Private ◽  
Advantages And Disadvantages ◽  
Private And Public ◽  
Public Money

Privatizing social services has taken a new turn as America enters the 21st century. Although it was once possible to separate private and public social services, the growing trend toward public–private partnerships has made such earlier distinctions meaningless since more and more private social services are supported with public money. There are advantages and disadvantages inherent in the mixing of public and private social services, but perhaps the greatest problem may be the support of a growing trend for all levels of government to dissociate themselves from their longstanding public social service responsibilities.

Automatic Video Annotation of Human Health Care Action via Clustering

2020 ◽  
Vol 10 (10) ◽  
pp. 2512-2521
Keyword(s):  
Health Care ◽  
Human Health ◽  
Large Scale ◽  
Image Annotation ◽  
Spinal Injury ◽  
Health Sector ◽  
Video Annotation ◽  
Adjusted Rand Index ◽  
Crowd Sourcing ◽  
Data Set

Vision-based activity monitoring provides applications that revolutionized the e-health sector. Considering the potential of crowdsourcing data, to develop large scale applications, the researchers are working on consolidating smart hospital with crowd sourcing data. For creating a meaningful pattern from such huge data, a key challenge is that it needs to be annotated. Especially, the annotation of medical images plays an important role in providing pervasive health services. Although, multiple image annotation methods such as manual and semi-supervised exist. However, high cost and computation time remains a major issue. To overcome the abovementioned issues, a methodology is proposed for automatic annotation of images. The proposed approach is based on three tires namely frame extraction, interest point's generation, and clustering. Since the medical imaging lacks an appropriate dataset for our experimentation. Consequently, we have introduced a new dataset of Human Health care Actions (HHA). The data set comprises of videos related to multiple medical emergencies such as allergy reactions, burn, asthma, brain injury, bleeding, poisoning, heart attack, choking and spinal injury. We have also proposed an evaluation model to assess the effectiveness of the proposed methodology. The promising results of the proposed technique indicate the effectiveness of 78% in terms of Adjusted Rand Index. Furthermore, to investigate the effectiveness of the proposed technique, a comparison is made, by training the neural network classifier with annotated labels generated by proposed methodology and other existing techniques such as semi-supervised and manual methods. The overall precision of the proposed methodology is 0.75 (i.e., 75%) and semi-supervised learning is 0.69 (69%).

scholarly journals The Need for Multi-Sectoral Partnerships in the Healthcare of Islamic Developing Countries During the Coronavirus Pandemic

2021 ◽  
Author(s):  
Mahdieh Motamedi ◽  
Reza Vaezi ◽  
Seyed Mehdi Alvani ◽  
Davood Danesh Jafari
Keyword(s):  
Success Factors ◽  
Health Sector ◽  
Third Sector ◽  
Research Literature ◽  
Public Private Partnerships ◽  
Negative Effects ◽  
Public And Private ◽  
Health Related ◽  
The Government ◽  
Partnership Models

Nowadays, the field of healthcare is facing difficult issues in a way that both public and private sectors are fully aware of their inability to address emerging public health-related issues without the help of the other sector. Accordingly, public-private partnerships are put on the agenda in policy-related issues as a mechanism of cooperation between the public and private sectors to take into account the interests of both parties in the related contracts .From the late of 2019, the world is struggling with a new virus called the coronavirus, which has already cost a lot to the health sector. The partnership between the government and the private sector is very important to get through the corona period since the government alone cannot be responsible for the negative effects of the virus in the field of health. Considering the successes and failures of countries in the implementation of partnership models, a question arises as to how such partnerships for health development strategies can be attractive and effective in developing Islamic countries. In addition to the review of theoretical foundations of the subject and examining the development process of public-private partnerships, the study emphasizes the use of the third sector capacities. It further reviews the endowments and charitable affairs in the framework of multi-sectoral partnerships to develop health in the community with all available potentiality. The theoretical framework of the research includes the four steps of policy-making in the country, creating common perspectives among stakeholders, ensuring key success factors in the project, and reviewing the achievements of participation are considered. These policies are described after classifying and reconstructing the components in the research literature.

scholarly journals Public Interest in Private Law Relations of Transition Democracies: A Modern View from the Standpoint of a Systemic Approach

2020 ◽  
Vol 10 ◽  
pp. 430-439
Author(s):  
Iryna E. Berestova ◽  
◽  
Olha V. Verenkiotova ◽  
Natalii Serbina ◽  
Svitlana V. Seminoh
Keyword(s):  
Public Interest ◽  
Large Scale ◽  
The State ◽  
General Nature ◽  
Soviet Society ◽  
Private Law ◽  
Public Interests ◽  
Public And Private ◽  
Private And Public ◽  
The Law

The study investigates the legal nature of the category of "public interest" in private law relations from the standpoint of a systematic scientific approach to law in the countries of post-Soviet society in the modern period. The study states the affiliation of public and private law to the means of achieving the purpose of the law: the recognition of a person, their rights and freedoms as the highest social value of the state. The unsuitability of the theory of the branch belonging to public law has been proved using the universal criterion of separation: the use of the category of "public interest" in the development of the subject and method of the branch in private legal relations. It is concluded that the division of law into private and public is inconsistent in terms of their differentiation of the criterion "method of protecting the rights of their participants", which is activated only after the violation of the latter, while subjective law also exists before the violation, during the existence of regulatory legal relations, and it is the subjective law that forms the affiliation to the relevant industry. During the study, signs of public interest as a legal category were formed. In addition, modern features of public interest as a legal category were outlined from the standpoint of a systematic approach: the general nature of public interests; connectedness with large-scale involvement; recognition by the state and the provision of the law; the possibility of their implementation through measures of state power.

scholarly journals Workarounds in the Danish Health Sector – from Tacit to Explicit Innovation

2018 ◽  
Vol 8 (S3) ◽  
Author(s):  
Katia Dupret ◽  
Bjarke Friborg
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Science And Technology Studies ◽  
Health Sector ◽  
Actor Network Theory ◽  
Invisible Work ◽  
Health Care Work ◽  
Danish Health ◽  
Care Workers ◽  
Innovative Work

Drawing on actor-network theory (ANT) and science and technology studies (STS) and on ethnographic research in Denmark, we argue that how health care workers work around technologies can be conceptualized as tacit innovation – that is, practical expressions of active encounters with the complexity of work situations and therefore potential sources of sustainable and innovative work practices. The concept ‘invisible work’ is used to show that ‘what counts as work’ is bound up with technologies that are not neutral. Technologies, professionals, and patients implicitly co-constitute innovation processes, and we argue that in order to understand the potential of tacit innovation among health care workers, one must revisit the dichotomy between technology producers and technology end-users. The aim and contribution of this paper is thus to attempt to revitalize the discussion about technology workarounds as initiatives of tacit innovation, thus adding to the theoretical conceptualization of invisible work when technologies are used in health care work.

scholarly journals Notes on health care planning in Latin America and the Caribbean

1977 ◽  
Vol 11 (2) ◽  
pp. 279-283
Author(s):  
José Maria Pacheco de Souza ◽  
Dagmar Raczynski ◽  
George B. Patino ◽  
Anthony T. Ribeiro ◽  
Emilio Feliu
Keyword(s):  
Health Care ◽  
Latin America ◽  
Health Services ◽  
Health Systems ◽  
Health Sector ◽  
Care Planning ◽  
Health Care Planning ◽  
Public And Private ◽  
The Caribbean ◽  
Improve Health

Attention is called to the fact that the efforts to improve health of populations in Latin America have generally failed. The inequality in the distribution of ill-health is great. The authors accept the fact that the lack of resources available to the health sector may be a restriction towards the improvement of the situation, but they argue that a much more important issue is the misuse of such resources and their maldistribution within the health sector. The lack of integration and coordination between the health services, the conflict of public and private health systems, the under-utilization of existing services and the gap between planning and real implementation are discussed.

FROM EMPIRICAL DATA TO INTER-INDIVIDUAL INTERACTIONS: UNVEILING THE RULES OF COLLECTIVE ANIMAL BEHAVIOR

2010 ◽  
Vol 20 (supp01) ◽  
pp. 1491-1510 ◽  
Author(s):  
ANDREA CAVAGNA ◽  
ALESSIO CIMARELLI ◽  
IRENE GIARDINA ◽  
GIORGIO PARISI ◽  
RAFFAELE SANTAGATI ◽  
...  
Keyword(s):  
Animal Behavior ◽  
Empirical Data ◽  
Large Scale ◽  
Empirical Studies ◽  
Theoretical Models ◽  
Fixed Number ◽  
Data Set ◽  
Self Organized ◽  
Theoretical Approaches ◽  
Collective Animal Behavior

Animal groups represent magnificent archetypes of self-organized collective behavior. As such, they have attracted enormous interdisciplinary interest in the last years. From a mechanistic point of view, animal aggregations remind physical systems of particles or spins, where the individual constituents interact locally, giving rise to ordering at the global scale. This analogy has fostered important research, where numerical and theoretical approaches from physics have been applied to models of self-organized motion. In this paper, we discuss how the physics methodology may provide precious conceptual and technical instruments in empirical studies of collective animal behavior. We focus on three-dimensional groups, for which empirical data have been extremely scarce until recently, and describe novel experimental protocols that allow reconstructing aggregations of thousands of individuals. We show how an appropriate statistical analysis of these large-scale data allows inferring important information on the interactions between individuals in a group, a key issue in behavioral studies and a basic ingredient of theoretical models. To this aim, we revisit the approach we recently used on starling flocks, and apply it to a much larger data set, never analyzed before. The results confirm our previous findings and indicate that interactions between birds have a topological rather than metric nature, each individual interacting with a fixed number of neighbors irrespective of their distances.

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