scholarly journals The Provision of Public Goods and Services by Socially Oriented Entrepreneurs: Experiences of Indian Health Care

2017 ◽  
pp. 127-146
Author(s):  
Andrew Gray ◽  
Rosalind Miller
2014 ◽  
Vol 9 (2) ◽  
pp. 198-220 ◽  
Author(s):  
Marialuisa Saviano ◽  
Ratri Parida ◽  
Francesco Caputo ◽  
Saroj Kumar Datta

Purpose – Health is a fundamental populations’ need and an integral part of the socio-economic development of a country. However, it is required to explain the growing role of the private sectors in addressing various health care needs. The purpose of this paper is to analyse potential contribution, criticalities and conditions of success of public-private partnership (PPP) as a strategy to face the complexity of nationally relevant Italian and Indian service systems. Design/methodology/approach – The methodology is built upon the basis of the viable systems approach (VSA) integrated with the fundamental interpretative elements of service science and service-dominant logic to contextualize interpretation to the management of service systems benefitting from recent advances in these research fields. Findings – A VSA-based general framework of reference is built that is useful for analysing any relational context in which different aims and expectations need to be harmonized to make the collaboration effective. On the basis of this framework, first insights on Italian and Indian health care PPPs are proposed, highlighting key elements of analysis and criticalities that may challenge a positive conclusion on health care PPPs. Practical implications – The implications of the study are both theoretical and practical. From a theoretical perspective, the study contributes to the scholarly understanding of complex health care system in Italy as well as in India with particular reference to the public-private collaboration phenomenon. It also suggests theoretical approaches in the form of a generic VSA-based framework as applicable. From a practical perspective, the study stimulates managers to a critical reflection about current health care management approaches which are reflected in the adoption of PPPs solutions. Originality/value – The paper discusses relevant worldwide decision-making challenges, such as the equality in the populations’ access to health service, suggesting managers the way to create conditions of consonance among the diverse stakeholders for a successful health care PPPs.


1987 ◽  
Vol 3 (2) ◽  
pp. 275-280
Author(s):  
Mark G. Field

AbstractThe classical equation for the production of goods and services, that is, the combination of labor, capital, and knowledge, constrained by the time dimension, may also be used to examine the production of medical and hospital services. However, this is qualified by the special nature of the “capital” used in health care, particularly medical technology. Because of the particular nature of health services, the adoption and the use of technology follows rules that are different from those in the industrial sphere. These differences are examined in some detail as are the implications for the health field in general, and for the hospitals where most of the new (and often costly) technology is located.


2011 ◽  
Vol 2 (1) ◽  
Author(s):  
John Casey

The growth of the nonprofit sector in the last decades and its greater salience in the delivery of public goods and services has been accompanied by the development of new institutions and processes for managing the relations between nonprofits and governments. This article documents a number of recent initiatives to strengthen government-nonprofit relations in the U.S. and analyzes the policy agendas that are driving them.


2000 ◽  
Vol 18 (2) ◽  
pp. 131-153
Author(s):  
Joan Rosselló Villalonga

Abstract Spain has advanced significantly regarding die assignment of responsibilities on public expenditure and tax powers across regional governments. However, regions do not participate significantly in the decentralization process. The lack of federal insitutions in which regions are represented motivates non-cooperative behaviours and fosters competition between all levels of government. The consequence is that the provision of public goods and services is rather inefficient.We illustrate our argument using a very simple static model with externalities in which the normative recommendation of decentralization does not guarantee the efficient provision of public goods. The adequate design of federal institutions would allow reducing such inefficiencies.Finally we try to identify die political characteristics of the Spanish regime that may explain the lack of institutional mechanisms of cooperation-coordination between governments. This type of analysis could be easily extended to the present situation in Italy.


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