scholarly journals Public-Private Partnerships: A Strategy for Effective Private Partnerships in Health Care Provision: A Policy Option

2021 ◽  
Author(s):  
Hojatolah Gharaee ◽  
Saber Azami-aghdash
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Health System ◽  
Policy Option ◽  
Private Companies ◽  
Factors Affecting ◽  
The Public ◽  
Financial Gain ◽  
Cultural Conditions

Background and Aim: One of the most effective ways to cope with the financial constraints of health system, especially in developing countries, can be to engage the private sector in the form of a public-private partnership (PPP). Hence, the purpose of the present study is to introduce PPP as a general policy to increase the effective participation of the private sector in health system. Methods: Initially, existing literature was reviewed to identify methods, areas, and experiences in PPP. Then, an expert panel was organized with researchers, professors and experts in health services management and policy making. At the beginning of the panel, the content obtained in the previous step was presented, and then the requirements of PPP implementation in healthcare was discussed. Results: Considering the discussions, we can summarize the factors affecting PPP implementation in three topics: A) Private Sector Conditions: Sufficient number of eligible companies, significant financial gain for private companies; B) Public Sector Conditions: Principles, policies and indicators related to outsourcing of services, availability of transferable services, units or substations to private sector, lower cost of providing services in the private sector than the public sector; C) Background: Political, legal, economic and cultural conditions, successful experiences in other cities and provinces, support of the health system scientific body, common language and contract conditions. Conclusion: Given the private sector’s capabilities and potentials to improve the quality and quantity of services provided, transparent PPP policies should be developed as an appropriate strategy for effective private sector participation in the provision of health care, and required infrastructure must be provided

scholarly journals Actions that Combat the Disruption of the Moral and Social Code with the Purpose of Favoritism

2015 ◽  
Vol 16 (29) ◽  
pp. 1-4
Author(s):  
Sergio Armando Prado De Toledo
Keyword(s):  
Criminal Justice ◽  
Public Sector ◽  
Private Sector ◽  
Public Administration ◽  
Private Companies ◽  
Public And Private ◽  
The Public ◽  
Social Code ◽  
Public And Private Sector ◽  
Reduction Of Costs

Abstract Currently, corruption has been so generalized and sophisticated that threatens to undermine the own society structure. Corruption is a problem identified in all the countries. What changes is how we deal with it. Nevertheless, why is there so much corruption? Within the group of factors, it is possible to highlight the high bureaucracy that reduces the efficiency of the public administration; the presence of a slow Judiciary Branch which is very low is terms of efficiency, when reprimanding illicit practices that incite everything ending up in pizza (this sentence was literally translated from Portuguese, it does not exist in English, but it means that impunity prevails in Brazil.); the existence of a corporatist sense among the Administration industries in the public sector in relation to the private sector and so facilitating corruption. The penalty for corruption should be constrained to mechanisms that allow the system of criminal justice to carry out actions of arrest, prosecution, penalty and repair to the country. Combating corruption complies with the republican ideal for the reduction of costs in Brazil. Moralizing the public-private relations offers juridical security to the market. The fact that some countries, especially Brazil, are seriously combating against corruption brings hope, with an eye on a more rigid legislation and less bureaucratic as well, with the end of the corporatist sense and the equivalence of salaries between the public and private sector. We shall provide effective criminal, administrative and civil penalties of inhibiting nature for future action; we shall provide cooperation between the law applicator and the private companies; we shall prevent the conflict of interests; we shall forbid the existence of “black fund” at the companies and we shall encouraged the relief or reduction of taxes to expenses considered as bribery or other conducts related

Delivery of rural and remote health care via a broadband Internet Protocol network – views of potential users

2005 ◽  
Vol 11 (8) ◽  
pp. 419-424 ◽  
Author(s):  
P Jennett ◽  
M Yeo ◽  
R Scott ◽  
M Hebert ◽  
W Teo
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Rural Communities ◽  
Private Sector ◽  
Internet Protocol ◽  
Health Sector ◽  
Health Service Delivery ◽  
Broadband Internet ◽  
The Public ◽  
User Groups

summary We asked the views of potential users of a proposed Canadian broadband Internet Protocol (IP) network for health, the Alberta SuperNet. The three user groups were drawn from the public, provider and private sectors. In all, 35 health-sector participants were selected (17 government, nine health-care organizations, five providers/ practitioners and four private sector). The questionnaire was Web-based, semistructured and self-administered. It consisted of four major areas: value, readiness, effect on usual care and limitations. A total of 28 (80%) individuals responded to the questionnaire: 21 (81%) were from the public sector (three provincial, nine regional and nine organizational), three (60%) were from the provider sector and four (100%) were from the private sector. Overall, the items related to health services and health human resources were considered to be the most valuable to rural communities. Respondents identified the expansion of telehealth services as the most important, except those from the private sector, who ranked this a close second. The health system's move to the use of electronic health records was ranked second in importance by all respondents. The private-sector respondents viewed all user groups to be generally less ready (mean score 2.5 on a seven-point scale from 1 = not ready to 7 = ready), while the public-sector respondents were the most optimistic (mean score 4.0). Specific socioeconomic impact data were limited. The top-ranked disadvantage of the 10 suggested was that ‘Changes in health-service delivery practices and/or processes will be required’.

scholarly journals Public-private relation in the Brazilian policy of tertiary care for cardiovascular conditions

2019 ◽  
Vol 53 (4) ◽  
pp. 753-768
Author(s):  
Petter Ricardo de Oliveira ◽  
Mariana Guerra ◽  
Adalmir de Oliveira Gomes ◽  
Aiane Luiz Martins
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health System ◽  
Tertiary Care ◽  
Care Policy ◽  
The Public ◽  
Unified Health System ◽  
Federal Constitution ◽  
Specialized Health Care ◽  
Cardiovascular Services

Abstract Specialized health care in Brazil has been provided by the private sector under public regulation and financing since the 1950s. It continued after the promulgation of the 1988 Federal Constitution, which also created the Unified Health System (SUS). In the last decades, the share of the private sector has increased in tertiary care, including cardiovascular services, generating changes in SUS. This study analyzes the public-private relationship in the National Tertiary Care Policy for Cardiovascular Conditions from 2008 to 2014. The results indicate that, compared to the public sector, the private sector has a greater share in both tertiary care for cardiovascular conditions and receivables for providing health services. This points to a contradiction in the management of the health system in Brazil, which, albeit public, all-population-oriented, and free in its conception, has privileged the private sector.

scholarly journals The contribution of CSR during the covid-19 period in Greece: A step forward

2020 ◽  
Vol 1 (1) ◽  
pp. 238
Author(s):  
Dimitrios Kritas ◽  
Stylianos - Ioannis Tzagkarakis ◽  
Zoi Atsipoulianaki ◽  
Symeon Sidiropoulos
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Health Care Services ◽  
Scientific Research ◽  
Critical Position ◽  
The Public ◽  
Global Institutions ◽  
Care Services ◽  
The Social

The spread of the Covid-19 brought global institutions, societies, states and economies in a critical position as they encounter a new worldwide multilevel crisis. At the same time, states have had to handle this crisis acquiring an interventionist role, protecting the social and economic cohesion, providing better health care services for their citizens and investing in scientific research, as a means to restrict this new pandemic. In order to handle that situation and its consequences, the use of all the available resources became necessary as well as the improvement of the cooperation between the private and the public sector. In Greece private sector has shown an unprecedented willingness for Greece’s CSR tradition, to contribute government’s efforts.

Patterns in the Delivery of Psychiatric Care in Saskatchewan 1971–1972: Part III: Patient Socio-Demographic and Medical Characteristics

1977 ◽  
Vol 22 (5) ◽  
pp. 215-223 ◽  
Author(s):  
Carl D'Arcy
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Delivery System ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Care Delivery ◽  
Psychiatric Inpatient ◽  
The Public ◽  
Private And Public

This paper is one of several examining he variety of patterns in the delivery of psychiatric health care in the Province of Saskatchewan during 1971 and 1972. Previous papers dealt with an overview of service sectors, patient volumes, types of contacts and some patients career characteristics. This paper deals with sociodemographic and medical characteristics of patients treated in the various sectors of the psychiatric care delivery system in Saskatchewan. The private and public psychiatric care delivery systems deal with essentially separate psychiatric populations. These differ in volume, in type of psychiatric disorder, in socio-demographic characteristics and in patient career characteristics. The “private” sector saw proportionately more females in the 20-39 year age group, whereas the public sector saw proportionately more males and females in the 0-19 year age category. The “private” sector also treated more people in rural, village and town areas whereas the public sector appeared to be more city-based. General practitioners were more active in rural and small towns, while psychiatrists tended to be more active in the larger urban areas. This reflects the general practitioner's role as a primary health care source. The vast majority of private sector patients were seen for neurotic and psychosomatic disorders. The public sector patients included those treated for the more intractable schizophrenic, organic, affective, and neurotic depression diagnoses. Comparative data on both the private and public sectors show considerable increases in the volume of services being delivered. Previous data demonstrate a relatively strong relationship between availability of psychiatric services and utilization rates within a region. It would appear that the presence of a psychiatric inpatient facility serves an educative function and increases the volume of general practitioner treatment for psychiatric problems. The present data indicate that the majority of persons seen for psychiatric reasons by medical practitioners in Saskatchewan suffer from relatively minor psychiatric ailments. Therefore, we must question the suitability of the present service delivery system. Is there a need to screen out “medical problems” from “problems of living” which may be better treated by non-medically-oriented counselling services, thus freeing some of the medically-skilled manpower to focus on better and more comprehensive care for the more intractable mental disorders?

scholarly journals Os Hospitais e a Combinação Público-Privado no Sistema de Saúde Português

2016 ◽  
Vol 29 (3) ◽  
pp. 217 ◽  
Author(s):  
Adalberto Campos Fernandes ◽  
Alexandre Morais Nunes
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Legal Framework ◽  
Public And Private ◽  
The Public ◽  
Dynamic Relationship ◽  
Financing Health Care ◽  
Public And Private Sector ◽  
The Relationship

The Portuguese health system has been characterized by the existence of a constant relationship between public and private sector, both in providing and financing health care. In recent decades, the private sector increased their responsiveness of care, extending the engagement in the relationship with the public sector. This relationship stems from the legal framework set out in the law, developing agreements, conventions and more recently through the model of public-private partnerships. In hospital network, this new dynamic relationship contributed, in the last two decades, to accentuate the mixed characteristics of the system, through a clear strengthening of the private component in the hospital network, particularly by investing in differentiated units.

scholarly journals Relação público-privada na política brasileira de atenção cardiovascular de alta complexidade

2019 ◽  
Vol 53 (4) ◽  
pp. 753-768
Author(s):  
Petter Ricardo de Oliveira ◽  
Mariana Guerra ◽  
Adalmir de Oliveira Gomes ◽  
Aiane Luiz Martins
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Health System ◽  
Tertiary Care ◽  
Care Policy ◽  
The Public ◽  
Unified Health System ◽  
Federal Constitution ◽  
Specialized Health Care ◽  
Cardiovascular Services

Abstract Specialized health care in Brazil has been provided by the private sector under public regulation and financing since the 1950s. It continued after the promulgation of the 1988 Federal Constitution, which also created the Unified Health System (SUS). In the last decades, the share of the private sector has increased in tertiary care, including cardiovascular services, generating changes in SUS. This study analyzes the public-private relationship in the National Tertiary Care Policy for Cardiovascular Conditions from 2008 to 2014. The results indicate that, compared to the public sector, the private sector has a greater share in both tertiary care for cardiovascular conditions and receivables for providing health services. This points to a contradiction in the management of the health system in Brazil, which, albeit public, all-population-oriented, and free in its conception, has privileged the private sector.

Can CEOs Save the Health of Americans?

Pained ◽  
2020 ◽  
pp. 91-94
Author(s):  
Michael D. Stein ◽  
Sandro Galea
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Focal Point ◽  
Well Being ◽  
Good Health ◽  
Public And Private ◽  
The Public ◽  
Collective Effort ◽  
The Right

This chapter examines the assumption that CEOs may transform health care more quickly and thoroughly than the public sector has, or perhaps can. Over the past 50 years, the cultural reputation of the corporate CEO has soared. The “right” CEO can dramatically improve a private company’s performance. However, the evidence that the CEO and the private sector can actually be a force for good health remains dubious. The problem with a CEO takeover of health care is that achieving better health depends on much more than the conditions that drive the fiscal well-being of a single organization, that is, the conditions over which the CEO has the most influence. The truly important conditions are social, economic, and environmental. Improving these conditions as a means of improving health takes time and effort across a range of sectors, both public and private. A good CEO can be a welcome and important part of these efforts, but best functions as a supporting player, rather than as the focal point of what is, at heart, a collective effort.

Health Policies and Systems in Latin America

2018 ◽  
Author(s):  
Asa Cristina Laurell ◽  
Ligia Giovanella
Keyword(s):  
Public Health ◽  
Latin America ◽  
Public Sector ◽  
Private Sector ◽  
Health System ◽  
Latin American ◽  
The State ◽  
Financial Protection ◽  
The Public ◽  
Universal Health

Since the early 1990s, health policy in Latin America has focused on reform in most countries with the explicit purpose to increase access, decrease inequity, and provide financial protection. Basically, two different and opposed models of reform have been implemented: the Universal Health Coverage (UHC) model and the Single Universal Health System model. The essential characteristics of Latin American UHC are that health care is commodified by the introduction of competition that depends, in turn, on the payer/provider split, free choice, and pre-priced health service plans. In this framework, insurance, be it public or private, is crucial to assuring market solvency, because health needs not backed by purchasing power do not constitute a market that is particularly important in the Latin American region, the most unequal in the world. The Single Universal Health System (in Spanish, Sistema Universal de Salud, SUS) model is a model inspired by the principles of social justice and egalitarian, universal social rights. Characteristically funded by tax revenues, it makes provision of health services to the whole population a responsibility of the State and a universal citizens’ entitlement, independent of individual ability to pay or prior contributions. It considers health to be a public good that, for reasons of efficiency and equity, the market cannot provide. Everyone is entitled, as a right, to free care financed by the State. Given that health system reform occurs in specific historical contexts, these models have had different results in each country. In order to highlight the concrete reform outcomes, the following issues need be addressed: the political scenario and the stakeholders involved; the previous health system and the relative strength of the public and private sectors; coverage achieved by public institutions or insurance, public or private; the different health packages existing within each country; the institutional (re)organization; and the relative importance of public health actions. An analysis is needed of the UHC reforms in Chile, Colombia, and Mexico, on the one hand; and the Single Universal Health System in Brazil, Venezuela, and Cuba on the other. The UHC model in practice tends to increase inequity in access, create new bureaucratic barriers to timely care, fail to provide financial protection, and leads to deteriorated public health measures. It has also created new powerful private sector stakeholders, particularly in Chile and Colombia, while in Mexico the predominance of a strong public sector has “crowed-out” the private one. The Single Universal Health System has significantly increased access for millions that before reform had almost no access and has also strengthened public health actions. However, the strong preexisting private sector providers have profited from the public-sector purchases of complex medical services. Private health insurance has also increased among the upper middle class and workers belonging to strong labor unions.

scholarly journals Behavioral Workplace Competencies: Analyzing a Competency Model for Private Companies

TEM Journal ◽  
2021 ◽  
pp. 777-788
Author(s):  
Fernando Fierro ◽  
Juan M. Andrade ◽  
Elías Ramírez
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Quantitative Study ◽  
Private Companies ◽  
The Public ◽  
Workplace Competencies ◽  
Public Sector Organizations ◽  
Private And Public ◽  
The Relationship ◽  
Descriptive Method

This article analyzes the model of behavioral workplace competencies in the private sector to discern the suitability of a model proposed in the private sector and its applicability in the public sector, as well as the competencies stipulated in Colombian regulations. It can be therefore characterized as a quantitative study carried out using the deductive and descriptive method. The sample used exceeded 120 Likert-type surveys in various national public sector organizations. One of the most relevant results was the distant relationship between the two models, private and public sector, meaning that the relationship between both is statistically insignificant.

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