Abstract
Recently, there has been considerable shift towards market mechanisms encompassing different forms of partnerships to make public services more efficient and effective. Public–private partnerships (PPPs), a form of partnership, combine government resources with the private institutions to achieve government and social goals. PPPs for health now have been considered as a process or strategy of collaborating between private sector organisations and a health programme at different levels—international, regional, national and local levels. The notion of PPPs in health is to promote collaboration in order to improve health system performance as opposed to divesting in public service provision. It is also believed that PPPs would equally bring some negative effects on public service delivery. Although approaches vary from contracting, outsourcing, privatisation and PPPs, the purpose of adopting PPPs in health systems is to prioritise competition, efficiency and effectiveness in response to globalisation, changes in technology and new approaches to managing public service delivery. Is that often the case? This chapter highlights the concepts of PPPs and their roles in health care decentralization and explores to what extent private providers working in partnership with public sector departments would bring positive effects on health service delivery, care provision and health infrastructure development.
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References
Aldred, R. (2006). In the interests of profit, at the expense of patients: An examination of the NHS Local Improvement Finance Trust (LIFT) model: Analysing six key disadvantages. PFI Reports for Unison: pp. 1–21
Asian Development Bank. (2012). Public-private partnerships in health. Manila, Philippines: ADB Headquarters.
Atun, R. (2007). Privatisation as decentralization strategy. In R. B. Saltman, V. Bankauskaite, & K. Vrangbaek (Eds.), Decentralization in healthcare. European Observatory on Health Systems and Policies Series (pp. 247–266). Maidenhead: McGraw Hill/Open University Press.
Barretta, A., & Ruggiero, P. (2008). Ex-ante evaluation of PFIs within the Italian health-care sector: What is the basis for this PPP? Health Policy Journal, 88, 15–24.
Beck, M., Toms, S., Mannion, R., Brown, S., Fitzsimmons, D., Lunt, N., & Green, I. (2009). The role and effectiveness of public-private partnerships (NHS LIFT) in the development of enhanced primary care premises and services. The University of York: Report for the National Institute for Health Research Services Delivery and Organisation Programme.
Bennett, R. (1990). Decentralisation, local governments and markets: Towards post-welfare agenda. Oxford: Clarendon.
Bennett, S., McPake, B., & Mill, A. (1997). Private health providers in developing countries: Serving the public interest? London: Zed Books Ltd.
Bossert, T. (1998). Analysing the decentralization of health systems in developing countries: Decision-space, innovation and performance. Social Science and Medicine, 47(10), 1513–1527.
Boyle, S., & Harrison, A. (2000). Investing in health buildings: Public-private partnerships. London: The King’s Fund.
Costa-Font, J., & Rico, A. (2006). Vertical competition in the Spanish National Health System. Public Choice, 128, 477–498.
Equity in Health in East and Southern Africa. (2007). Reclaiming the resources for health: A regional analysis of equity in health in East and Southern Africa. Zimbabwe, Harare: Weaver.
Fitzsimmons, D., Brown, S., & Beck, M. (2009). Does the UK Local Improvement Finance Trust (LIFT) Initiative improve risk management in public-private procurement? Journal of Risk and Governance, 1(2), 137–156.
Gaffney, D., Pollock, A. M., Price, D., & Shaoul, J. (1999). The private finance initiative: NHS Capital expenditure and the private finance initiative: Expansion or contraction? British Medical Journal, 319, 48–51.
King’s Fund. (2008). Under one roof: Will polyclinics deliver integrated care? London: King’s Fund.
McKee, M., Edwards, N., & Atun, R. (2006). Public private partnerships for hospitals. Bulletin of the World Health Organisation, 84(11), 890–896.
McPake, B., & Hongoro, C. (1995). Contracting out clinical services in Zimbabwe. Social Science & Medicine, 41(1), 13–24.
Merson, M., Black, R., & Mills, A. (2012). Global health: Diseases, programs, systems, and policies. London: Jones & Bartlett Learning.
Milburn, A. (2004a). Localism: The need for a new settlement. Speech at Demos Seminar
Milburn, A. (2004b). The future of public-private partnerships. Speech to the Public Private Partnership (PPP) Forum Conference. Birmingham.
Mills, A., Vaughan, J. P., et al. (1990). Health systems decentralisation: Concepts, issues and country experiences. Geneva, Switzerland: World Health Organisation.
Mudyarabikwa, O. (2012). Evaluation of the Planning and Implementation of Local Improvement Finance Trust (LIFT) schemes in East London. PhD Thesis. University of East London. London.
Mudyarabikwa, O. & Madhina, D. (2000). An assessment of incentive setting for the participation of private for-profit health care providers in Zimbabwe. PHR-Plus: Small Applied Research No. 15. Bethesda, USA
Mwale, G. (1999). Health reform in Zambia. International Nursing Review, 46, 156–157.
Normand, C. (2012). The healthcare system in Ireland: Controlling growth in expenditure and making best use of resources. In: Callan, T. (ed), Budget Perspectives 2012 (57–74). Dublin: Economic & Social Research Institute (ESRI) Research Series 22.
Osborne, S. P. (2000). Public-private partnerships: Theory and practice in international perspective. London: Routledge.
Perrot, J. (2006). Different approaches to contracting in health systems. Bulletin of the World Health Organisation, 84(11), 859–66.
Pollit, C., Birchall, J., & Putman, K. (1998). Decentralizing public service management. London: Macmillan.
Pollock, A. M., Dunnigan, M. G., Gaffney, D., Price, D., & Shaoul, J. (1999). The Private Finance Initiative: Planning the “New” NHS: Downsizing for the 21st Century. BMJ 319, 179–84.
Pollock, A. M. (2007). PPPs and the Private Finance Initiative. Letter: Bulletin of World Health Organisation 85(11). Available at: www.ncbi.nlm.nih.gov/pmc/articles/PMC2636251/pdf/07-042218.pdf. (Accessed 15/06/ 2010).
Pollock, A. M. & Price, D. (2006). Privatising primary care. British Medical Journal [Editorial]. Aug. 2006, 565–566
Pollock, A. M., Price, D., & Player, S. (2005). The private finance initiative: a policy built on sand. an examination of the treasury's evidence base for cost and time overrun data in value-for-money policy appraisal. Report for Unison.
Powell, M. (2000). New Labour and The Third Way in the British Welfare State: A New and Distinctive Approach? Critical Social Policy, 20(1): 39–60.
Rajasulochana, S. & Dash, U. (2010). The economics behind public-private partnerships in health sector. Available at: http://www.cehat.org/g/uploads/PPP/rajasulochanapaper.pdf. (Accessed 15 Dec. 2011).
Renda, A. & Schrefler, L. (2006). Public-private partnerships models and trends in the european union. director general internal policies of the union. Brussels: Directorate A - Economic and Scientific Policy
Rondinelli, D. A. (1980). Government decentralization in comparative perspective: Theory and Practice in Developing Countries. International Review of Administrative Sciences June 1980, 47, 133–145.
Rural Development Foundation (RDF). (2005). Sector devolution strategy. Nepal: Nepal Rural Development Foundation.
Saltman, R. B. (2003). Melting public-private boundaries in European health systems. European Journal of Public Health, 13, 24–29.
Saltman, R. B., & Bankauskaite, V. (2006). Conceptualizing decentralization in European Health Systems: A functional perspective. Health Economics, Policy and Law, 1(2), 127–147.
Saltman, R. B., Bankauskaite, V., & Vrangbaek, K. (2007). Decentralization in Healthcare. European Observatory on Health Systems and Policies Series. Maidenhead: McGraw Hill/Open University Press.
Savas, E. S. (2000). Privatisation and public-private partnerships. New York: CQ Press.
Skelcher, C. (2005). Public–private partnerships and hybridity. In E. Ferlie, L. E. Lynn, & C. Pollitt (Eds.), Oxford handbook of public Management (pp. 347–370). Oxford: Oxford University Press.
Stevens, S. (2004). Reform strategies for the English NHS: Incentives and local accountabilities are again likely to be emphasized in England’s National Health Service. Health Affairs, 23(3), 37–44.
Stingl, M., & Wilson, D. M. (1996). Efficiency versus equality: Health reform in Canada. Canada: Fernwood Publishing.
The World Bank. (1993). World development report 1993: Investing in health. New York: The World Bank, Oxford University Press.
The World Bank. (2004). World development report 2004: Making services work for poor people. New York
The World Bank. (2006). Public-private partnership units: What are they, and what do they do? The World Bank Group: Financial and Private Sector Development. Vice Presidency Note Number 311.
The World Health Organisation. (2000). The world health report 2000: Health systems improving performance. Geneva, Switzerland: WHO.
The World Health Organisation. (2012). Public-private partnerships for health. Available at: http://www.who.int/trade/glossary/story077/en/ (Accessed on 23/12/12).
Walley, J., & Wright, J. (2010). Public health: An action guide to improving health. Oxford: Oxford University Press.
Wollmann, H. (1990). Decentralisation: What it is and why we should care. In R. Bennett (Ed.), Decentralisation, local governments and markets: Towards post-welfare agenda. Oxford: Clarendon.
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Mudyarabikwa, O., Regmi, K. (2014). Public–Private Partnerships as Decentralization Strategy in Health Sector. In: Regmi, K. (eds) Decentralizing Health Services. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9071-5_10
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