scholarly journals Public Private Partnerships and Collaboration in the Health Sector in the Kingdom of Saudi Arabia: A Qualitative Study

2018 ◽  
Vol 10 (6) ◽  
pp. 10 ◽  
Author(s):  
Amal Almalki ◽  
Mohammed Al-Hanawi

A public-private partnership (PPP) is defined as a collaboration between the public and private sectors in the financing, delivery and development of public goods and services. This phenomenon has been adopted globally by many as a new economic paradigm. This study identifies challenges and other hindrances in promoting PPPs, identifies the concrete contribution of PPP initiatives in improving healthcare service delivery and determines the level of participation of the private sector in healthcare delivery systems under PPP initiatives in the Kingdom of Saudi Arabia. Semi-structured interviews were conducted with 13 participants, including 4 government hospital directors, 5 private hospital directors and 4 health personnel. Participants were interviewed face to face, and the interviews were audio-recorded. The participants were purposefully selected based on their knowledge and familiarity with the implementation of PPP schemes. The evidence showed that the most important benefits of adopting a PPP are the quality of service, the speed at which low-cost healthcare service delivery is made accessible and the diversification of risks between the two sectors so that neither the private sector nor the public sector bears the entire risk alone. The results also revealed that PPPs will lead to increased efficiency and accuracy with respect to the design and implementation of infrastructural projects as well as the financing, execution, maintenance and development of the healthcare sector—the implementation of which makes high-quality services available to end users. Risk sharing is of great importance for the healthcare sector in that it helps hospitals to avoid closure and failure, distributes financial flows in an ideal way, and reduces the pressure on hospitals to work in a safe investment environment. This aim can be achieved through increasing the partnerships between public and private sectors.

2018 ◽  
Vol 8 (4) ◽  
pp. 462-480 ◽  
Author(s):  
Saad Ahmed Javed ◽  
Sifeng Liu

PurposeThe purpose of this paper is to analyse the relationship between outpatient satisfaction and the five constructs of healthcare projects’ service quality in Pakistan using Deng’s grey incidence analysis (GIA) model, absolute degree GIA model (ADGIA), a novel second synthetic degree GIA (SSDGIA) model and two approaches of decision-making under uncertainty.Design/methodology/approachThe study proposes a new synthetic GIA model and demonstrates its feasibility on data (N=221) collected from both public and private sector healthcare projects of Punjab, the most populous province of Pakistan, using a self-administered questionnaire developed using the original SERVQUAL approach.FindingsThe results of decision analysis approach indicated that outpatients’ satisfaction from the private sector healthcare projects is higher as compared to the public healthcare projects’. The results from the proposed model revealed that tangibility and reliability play an important role in shaping the patient satisfaction in the public and private sectors, respectively.Originality/valueThe study is pioneer in evaluating a healthcare system’s service quality using grey system theory. The study proposes the SSDGIA model as a novel method to evaluate parameters comprehensively based on their mutual association (given by absolute degree of grey incidence) and inter-dependencies (given by Deng’s degree of grey incidence), and tests the new model in the given scenario. The study is novel in terms of its analysis of data and modelling. The study also proposes a comprehensive structure of the healthcare delivery system of Pakistan.


2017 ◽  
Vol 54 (4) ◽  
pp. 574-590 ◽  
Author(s):  
Sophie Lewis ◽  
Fran Collyer ◽  
Karen Willis ◽  
Kirsten Harley ◽  
Kanchan Marcus ◽  
...  

This article reports on a discourse analysis of the representation of healthcare in the print news media, and the way this representation shapes perspectives of healthcare. We analysed news items from six major Australian newspapers over a three-year time period. We show how various framing devices promote ideas about a crisis in the current public healthcare system, the existence of a precarious balance between the public and private health sectors, and the benefits of private healthcare. We employ Bourdieu’s concepts of field and capital to demonstrate the processes through which these devices are employed to conceal the power relations operating in the healthcare sector, to obscure the identity of those who gain the most from the expansion of private sector medicine, and to indirectly increase health inequalities.


2015 ◽  
Vol 28 (2) ◽  
pp. 173-192 ◽  
Author(s):  
Gyan Prakash

Purpose – The purpose of this paper is to explore regulation in India’s healthcare sector and makes recommendations needed for enhancing the healthcare service. Design/methodology/approach – The literature was reviewed to understand healthcare’s regulatory context. To understand the current healthcare system, qualitative data were collected from state-level officials, public and private hospital staff. A patient survey was performed to assess service quality (QoS). Findings – Regulation plays a central role in driving healthcare QoS. India needs to strengthen market and institutional co-production based approaches for steering its healthcare in which delivery processes are complex and pose different challenges. Research limitations/implications – This study assesses current healthcare regulation in an Indian state and presents a framework for studying and strengthening regulation. Agile regulation should be based on service delivery issues (pull approach) rather than monitoring and sanctions based regulatory environment (push approach). Practical implications – Healthcare pitfalls across the world seem to follow similar follies. India’s complexity and experience is useful for emerging and developed economies. Originality/value – The author reviewed around 70 publications and synthesised them in healthcare regulatory contexts. Patient’s perception of private providers could be a key input towards steering regulation. Identifying gaps across QoS dimensions would be useful in taking corrective measures.


2019 ◽  
Vol 8 (4) ◽  
pp. 3798-3801

Green finance plays a pivotal role in achieving inclusive, resilient and cleaner economic growth by creating environmental benefits. It helps in increasing the flow of finance from the public, private and nonprofit sectors to sustainable development priorities. Recognising the significance of green finance, UN Environment has been working in the alignment of the financial system of the countries to channelize the financial flows for attaining 2030 sustainable development goals. To build economic development in a sustainable manner, India also needs a national green finance strategy. It requires green infrastructure funding of about $4.5 trillion by 2040. The contribution made by both public and private sector organisations/banks will play a crucial role in green financing. The present study therefore mainly explores the various green financing initiatives taken by the public and private sector organisations/banks in India. The study showcases the various challenges in the area of green financing in India and also recommends measures to face those challenges. The study is descriptive in nature and is based on secondary data taken from various government reports published by the Government of India and other published reports of public and private sector organisations and banks in India.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Moumita Acharyya ◽  
Tanuja Agarwala

PurposeThe paper aims to understand the different motivations / reasons for engaging in CSR initiatives by the organizations. In addition, the study also examines the relationship between CSR motivations and corporate social performance (CSP).Design/methodology/approachThe data were collected from two power sector organizations: one was a private sector firm and the other was a public sector firm. A comparative analysis of the variables with respect to private and public sector organizations was conducted. A questionnaire survey was administered among 370 employees working in the power sector, with 199 executives from public sector and 171 from private sector.Findings“Philanthropic” motivation emerged as the most dominant CSR motivation among both the public and private sector firms. The private sector firm was found to be significantly higher with respect to “philanthropic”, “enlightened self-interest” and “normative” CSR motivations when compared with the public sector firms. Findings suggest that public and private sector firms differed significantly on four CSR motivations, namely, “philanthropic”, “enlightened self-interest”, “normative” and “coercive”. The CSP score was significantly different among the two power sector firms of public and private sectors. The private sector firm had a higher CSP level than the public sector undertaking.Research limitations/implicationsFurther studies in the domain need to address differences in CSR motivations and CSP across other sectors to understand the role of industry characteristics in influencing social development targets of organizations. Research also needs to focus on demonstrating the relationship between CSP and financial performance of the firms. Further, the HR outcomes of CSR initiatives and measurement of CSP indicators, such as attracting and retaining talent, employee commitment and organizational climate factors, need to be assessed.Originality/valueThe social issues are now directly linked with the business model to ensure consistency and community development. The results reveal a need for “enlightened self-interest” which is the second dominant CSR motivation among the organizations. The study makes a novel contribution by determining that competitive and coercive motivations are not functional as part of organizational CSR strategy. CSR can never be forced as the very idea is to do social good. Eventually, the CSR approach demands a commitment from within. The organizations need to emphasize more voluntary engagement of employees and go beyond statutory requirements for realizing the true CSR benefits.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  

Purpose The authors assumed PSM would be higher in the public sector, but they set up a trial to find out if this was the case. Design/methodology/approach To test their theories, the authors conducted two independent surveys. The first consisted of 220 usable responses from public sector employees in Changsha, China. The second survey involved 260 usable responses from private sector employees taking an MBA course at a university in the Changsha district. A questionnaire was used to assess attitudes. Findings The results found no significant difference between the impact of public sector motivation (PSM) on employee performance across the public and private sectors. The data showed that PSM had a significant impact on self-reported employee performance, but the relationship did not differ much between sectors. Meanwhile, it was in the private sector that PSM had the greatest impact on intention to leave. Originality/value The authors said the research project was one of the first to test if the concept of PSM operated in the same way across sectors. It also contributed, they said, to the ongoing debate about PSM in China.


2021 ◽  
Author(s):  
Jovita Varias De Guzman

This study seeks to survey and assess the preference, insights or views of the Chinese-Filipinos regarding business. It attempts to present the preferences or non-preferences of the respondents in the areas of study and its relevance to the community, to show a clearer picture of the Chinese-Filipinos in relation to business thus augmenting closer cooperation, expansion of understanding, and line of communication with Non-Chinese Filipinos. Analysis of the results may serve as an eye-opener for the public and private sector to initiate programs or actions for the creation of guidelines and policies for the awareness of those concerned.


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