scholarly journals Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals?

2019 ◽  
Vol 11 (6) ◽  
pp. 1704 ◽  
Author(s):  
Roberto Moro Visconti ◽  
Laura Martiniello ◽  
Donato Morea ◽  
Elisa Gebennini
Keyword(s):  
Social Impact ◽  
Care Patient ◽  
Public Private Partnerships ◽  
Patient Centered ◽  
Public And Private ◽  
Elder Patients ◽  
Capital Rationing ◽  
Public Money ◽  
Smart Hospitals ◽  
Private Actors

This article addresses the relationship between Public-Private Partnerships (PPP) and the sustainability of public spending in smart hospitals. Smart (technological) hospitals represent long-termed investments where public and private players interact with banking institutions and eventually patients, to satisfy a core welfare need. Characteristics of smart hospitals are critically examined, together with private actors’ involvement and flexible forms of remuneration. Technology-driven smart hospitals are so complicated that they may require sophisticated PPP. Public players lack innovative skills, whereas private actors seek additional compensation for their non-routine efforts and higher risk. PPP represents a feasible framework, especially if linked to Project Financing (PF) investment patterns. Whereas the social impact of healthcare investments seems evident, their financial coverage raises growing concern in a capital rationing context where shrinking public resources must cope with the growing needs of chronic elder patients. Results-Based Financing (RBF) is a pay-by-result methodology that softens traditional PPP criticalities as availability payment sustainability or risk transfer compensation. Waste of public money can consequently be reduced, and private bankability improved. In this study, we examine why and how advanced Information Technology (IT) solutions implemented in “Smart Hospitals” should produce a positive social impact by increasing at the same time health sustainability and quality of care. Patient-centered smart hospitals realized through PPP schemes, reshape traditional healthcare supply chains with savings and efficiency gains that improve timeliness and execution of care.

scholarly journals Smart hospitals and patient-centered governance

2019 ◽  
Vol 16 (2) ◽  
pp. 83-96 ◽  
Author(s):  
Roberto Moro Visconti ◽  
Laura Martiniello
Keyword(s):  
Best Practice ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Patient Centered ◽  
Risk Transfer ◽  
Public Money ◽  
Smart Hospitals ◽  
Smart Technologies ◽  
Private Actors ◽  
Investment Patterns

This paper explores innovative governance models in the healthcare sector. Patients are a key albeit under-investigated stakeholder and smart technologies applied to public healthcare represent a trendy innovation that reshapes the value-driving proposition. This study contributes to the best practice improvement in this sector, showing how health governance can balance the interests of conflicting stakeholders (patients, staff, politicians, private providers, banks, suppliers, etc.) when technology-driven (smart) investments are realized. Characteristics of smart hospitals are critically examined, and governance solutions are considered, together with private actors’ involvement and flexible forms of remuneration. Smart hospitals are so complicated that they may require sophisticated Public-Private Partnerships (PPP). Public players lack innovative skills, whereas private actors seek additional remuneration for their non-routine efforts and higher risk. PPP represents a feasible governance framework, especially if linked to Project Financing (PF) investment patterns. Results-Based Financing (RBF) softens traditional PPP criticalities as availability payment sustainability or risk transfer compensation. Waste of public money can consequently be reduced, and private bankability improved. Patient-centered smart hospitals reshape traditional healthcare governance, with savings and efficiency gains that meliorate timeliness and execution of cares. Transformation of in-patients to out-patients and then home-patients represents, whenever possible, a mighty goal.

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.

scholarly journals Public-Private Partnerships for Information Sharing in the Security Sector: What's in It for Me?

2021 ◽  
Author(s):  
Emma Van Goethem ◽  
Marleen Easton
Keyword(s):  
Information Sharing ◽  
Private Information ◽  
Information Exchange ◽  
Pilot Project ◽  
Analytical Framework ◽  
Public Private Partnerships ◽  
Second Phase ◽  
Security Sector ◽  
Public And Private ◽  
Private Actors

There is little research on public-private information sharing partnerships within the security sector and the benefits it may bring to both sectors. This contribution uses insights from previous research on the benefits of public-private partnerships from organisational science, information management, innovation economics, and technology studies to examine whether they are also valid within the security sector. In a first phase, this analytical framework is used to screen insights from partners involved in triple-helix collaboration in the field of innovation, technology and security. In a second phase, in-depth interviews are conducted with public and private actors involved in setting up a pilot project where information exchange is central. The research results show that traditional benefits such as increased effectiveness, efficiency, improved relationships, creation of learning opportunities and obtaining a strategic, operational, and/or economic advantage that were found in other contexts are also confirmed in the security sector. In addition, Belgian security actors saw improved decision-making and service delivery, increased personnel safety and a more integrated security chain as potential benefits. Understanding these benefits may facilitate the design of future public-private partnerships in the security sector.

scholarly journals Partnering for good? An analysis of how to achieve sustainability-related outcomes in public–private partnerships

2019 ◽  
Vol 13 (2) ◽  
pp. 485-511
Author(s):  
Katharina Spraul ◽  
Julia Thaler
Keyword(s):  
Self Regulation ◽  
Theory Development ◽  
Public Private Partnerships ◽  
Public And Private ◽  
The Public ◽  
Starting Point ◽  
External Conditions ◽  
Private Actors ◽  
Process Elements

Abstract Since 1987, members of the United Nations have strived for improving sustainability to fulfill the vision of sustainable development. Current discussions focus on the role of collaborations between public and private actors to realize social, ecological, and economic sustainability. This study explores how public–private partnerships may contribute to the achievement of sustainability-related outcomes by analyzing a longitudinal case in the German public bathing and swimming pool sector. The empirical findings illustrate how both external conditions, such as regulation or industry-self regulation, and internal elements, such as specific structure and process elements of the public–private partnership, contribute to sustainability-related outcomes. Results reveal an interaction of specific external conditions and some internal elements. Our findings serve as a starting point for further empirical investigations of the sustainable provision of public services via public–private partnerships, and form a basis for theory development. The revealed insights result in practical implications for partners involved in public–private partnerships.

scholarly journals Healthcare public-private partnerships in Italy: Assessing risk sharing and governance issues with PESTLE and SWOT analysis

2016 ◽  
Vol 13 (4) ◽  
pp. 122-131 ◽  
Author(s):  
Roberto Moro Visconti
Keyword(s):  
Risk Sharing ◽  
Swot Analysis ◽  
Public Private Partnerships ◽  
Project Finance ◽  
Operational Environment ◽  
Public And Private ◽  
Strategic Issue ◽  
Private Actors ◽  
Procurement Risk ◽  
Public Strategies

Healthcare infrastructural investments are a key strategic issue in countries such as Italy, whose aging population faces severe public budget constraints, exacerbated by the unprecedented recession. The choice between traditional procurement (TP) and Public Private Partnerships/Project Finance (PPP/PF) is by now a cornerstone of public strategies concerning complex infrastructural investments. PESTLE and SWOT strategic analysis provides a systematic and comprehensive reflection of the external and internal operational environment but has infrequently been applied to infrastructural procurement. Risk sharing between public and private actors and consequent corporate governance and ownership issues are still under-investigated in the literature, especially if associated with innovative PESTLE and SWOT instruments. Evidence shows that PESTLE and SWOT analysis improves procurement choices and public-private partnering, softening governance concerns. Since empirical considerations about Italy may be globally extended, even beyond the healthcare industry, the audience of this study may conveniently widen well beyond its apparently narrow focus.

scholarly journals ABOUT THE ADVANTAGES OF PUBLIC-PRIVATE PARTNERSHIPS AND ITS ORGANIZATIONAL FORMS

2018 ◽  
Author(s):  
Florina Popa
Keyword(s):  
Public Private Partnership ◽  
Public Private Partnerships ◽  
Financial Resources ◽  
Organizational Forms ◽  
Public And Private ◽  
Private Partnership ◽  
Advantages And Disadvantages ◽  
Number Of Factors ◽  
Private Actors ◽  
The Impact

The advantages and disadvantages provided by joining in public-private partnership reveal the challenges the economies are constrained to, pursuant to the impact of PPP on certain economic processes. There are identified forms of public-private partnership, which, in their development, are based on a number of factors: the actors involved, the origin of the financial resources, the duration of the contract, the existing traditions, types of agreement in relation to the way of sharing responsibilities and risks between public and private actors. The paper reveals studies achieved on the elements of public-private partnership, advantages, disadvantages they highlight, the forms of partnership grouped in relation to different factors, the stages pursued in the initiation of public-private partnership projects.

Global Administrative Law: A Transnational Perspective

2021 ◽  
pp. 156-178
Author(s):  
Karl-Heinz Ladeur
Keyword(s):  
Decision Making ◽  
Administrative Law ◽  
International Treaties ◽  
Public And Private ◽  
Private Actors

The most important phenomena attributable to the project of “global administrative law” (GAL) consists of rules, principles, practices, or procedures that have a more informal character and are generated from networks of public and private actors. The main characteristics of those rules is that they tend to be generated below the level of formal international treaties and that norm production occurs—at least in part—outside traditional formal modes of decision-making. However, some GAL norms including standards on products and services in particular, can have far reaching consequences as their factual weight is much more influential than domestic norms. GAL also develops new forms of procedure (e.g., voting) that are different from traditional international forms.

scholarly journals PHASED MULTI‐TARGET AREAL DEVELOPMENT COMPETITIONS: ALGORITHMS FOR COMPETITOR ALLOCATION

2009 ◽  
Vol 13 (1) ◽  
pp. 1-22 ◽  
Author(s):  
Pertti Lahdenperä
Keyword(s):  
Real Estate ◽  
Planning Process ◽  
Selection Process ◽  
Development Project ◽  
Real Estate Development ◽  
Urban Structure ◽  
Public And Private ◽  
Competition Process ◽  
The Right ◽  
Private Actors

The prevailing practice in new areal real estate development is for public and private actors to perform their duties by turns. Yet, the planning process could benefit from simultaneous contributions from society and developers and their designers. That, again, requires that the municipality selects the private partner consortia prior to completion of the local detailed plan through a competition in order to find the most potential actors and the best ideas for implementation of an urban structure of high quality. Candidates will be attracted by offering them the right to implement a residential/business block as a developer. The several blocks involved in an areal development project, and the laboriousness of producing competitive solutions, require a well planned selection process. A novel multi‐target competition process was developed which is presented in this paper with special emphasis on the allocation algorithms that allow selecting the most qualified competitors for parallel follow-up competitions from among a large group of registered candidates. The approach was tested in an actual real estate development project in the municipal district of Vuores which was the original reason for launching the study. Santruka Pletojant nekilnojamaji turta naujose teritorijose, vieši ir privatūs asmenys dažniausiai savo pareigas vykdo paeiliui. Tačiau planavimo procesui būtu tik geriau, jei tuo pačiu metu prisidetu ir visuomene, ir vystytojai, ir projektuotojai. Tam velgi reikia, kad savivaldybe paskelbtu konkursa ir pasirinktu privačiu partneriu grupes prieš užbaigdama vietini detaluji plana didžiausia potenciala turintiems dalyviams aptikti ir geriausioms idejoms surinkti, kokybiškai miesto struktūrai išvystyti. Kai teritoriju pletros projektas apima kelis kvartalus, o kuriant konkurencingus sprendimus idedama daug darbo, reikia gerai suplanuoto atrankos proceso. Yra sukurtas novatoriškas daugiatikslis konkurso procesas, pristatomas šiame darbe, daugiau demesio skiriama paskirstymo algoritmams, kuriuos naudojant iš daugybes registruotu kandidatu galima atrinkti tinkamiausius tolesniems tuo pat metu vykdomiems konkursams. Toks būdas patikrintas realiame nekilnojamojo turto pletros projekte, kuris vyko Vuores savivaldybes teritorijoje, ir būtent del šios priežasties pradetas šis tyrimas.

Consultative Opinion on Liability of Public and Private Actors for Genetic Contamination of Non-GM Crops

2005 ◽  
Vol 7 (4) ◽  
pp. 253-272
Author(s):  
San Sebastian
Keyword(s):  
Full Text ◽  
Gm Crops ◽  
Public And Private ◽  
Genetic Contamination ◽  
Private Actors

An abridged version of the Consultative Opinion is presented here. For details of the full text readers are advised to contact the ICEAC.

scholarly journals RESOURCE SUPPLY AN ACCESSIBILITY OF PUBLIC TRANSPORTATION FACILITIES

YMER Digital ◽  
2021 ◽  
Vol 20 (12) ◽  
pp. 446-455
Author(s):  
Eshetu Mathewos Juta ◽  
Keyword(s):  
Public Transportation ◽  
Lessons Learned ◽  
Assessment System ◽  
Behavioral Changes ◽  
Public And Private ◽  
The Public ◽  
Urban Mass Transit ◽  
Transportation Accessibility ◽  
Private Actors ◽  
Transportation Facilities

The term “urban mass transit” generally refers to scheduled intra-city service on a fixed route in shared vehicles. Public transportation is an important contributing factor to urban sustainability. Effective transportation networks that incorporate public transit livable by easing commute and transportation needs and increasing accessibility. To assess public transportation accessibility in metropolitan networks, two indices are used: the supply level of urban public transportation facilities resource and the public transportation-private automobile traveling time ratio. As the research in the Wolaita sodo town region and the assessment system, an evaluation technique for urban public transportation facility resource supply is developed based on accessibility. Accessibility is a representative indicator for evaluating the supply of bus system. Traditional studies have evaluated the accessibility from different aspects. Considering the interaction among land use, bus timetable arrangement and individual factors, a more holistic accessibility measurement is proposed to combine static and dynamic characteristics from multisource traffic data. The objective is to highlight the main lessons learned and identify knowledge gaps to guide the design and evaluation of future transport investments. Moreover, studies looking at ways to improve the operational efficiency of systems and those seeking to promote behavioral changes in transport users offer great potential to generate learning that is useful for the public and private actors involved.

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