Abstract
Because of the diversity in the structure of national healthcare systems, the objectives set for PPP policies differ between jurisdictions. This chapter focuses on the different PPP models used across the world to fund investments in physical capital in the healthcare sector, such as hospital buildings and technology, and also those used to provide non-core and clinical services. It provides an analysis of the different contractual structures and dominant payment mechanisms used, and for each model presents some relevant cases.
The models analysed in the chapter are as follows: turnkey contracts (DBF and BLT) for building new healthcare infrastructure; managed equipment services (MES) for medical equipment; operation and maintenance (O&M) contracts for the management of non-core services (such as energy management); availability based contracts (DBFMO) contracts for building new hospitals (and their evolution towards the so-called “light model”) and BOT/oncession contracts, which may include healthcare infrastructure but are focused on the delivery of clinical services.
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Bibliography
Acerete, B., Stafford, A., & Stapleton, P. (2011). Spanish Healthcare Public Private Partnerships: The ‘Alzira Model’. Critical Perspectives on Accounting, 22(6), 533–549.
Acerete, B., Stafford, A., & Stapleton, P. (2012). New Development: New Global Health Care PPP Developments – A Critique of the Success Story. Public Money & Management, 32(4), 311–314. https://doi.org/10.1080/09540962.2012.691315.
Barlow, J., Roehrich, J., & Wright, S. (2013). Europe Sees Mixed Results from Public-Private Partnerships for Building and Managing Healthcare Facilities and Service. Health Affairs, 32(1), 146–154. https://doi.org/10.1377/hlthaff.2011.1223.
EBRD. (2014). Environmental and Social Impact Assessment (ESIA) Report.
Farquharson, E., Torres de Mästle, C., & Yescombe, E. R. (2011). How to Engage with the Private Sector in Public-Private Partnerships in Emerging Markets (pp. 126–127). Washington: The International Bank for Reconstruction and Development/The World Bank.
Forrer, J., Kee, J. E., Newcomer, K. E., & Boyer, E. (2010). Public-private Partnerships and the Public Accountability Question. Public Administration Review, 70(3), 475–484. https://doi.org/10.1111/j.1540-6210.2010.02161.x.
Hamilton, G., Kachkynbaeva, M., Wachsmuth, I., & Masaki, E. (2012). A Preliminary Reflection on the Best Practice in PPP in Health Care Sector: A Review of Different PPP Case Studies and Experiences. In Conference, PPPs in Health, Manila.
Hellowell, M., & Vecchi, V. (2015). The Non-Incremental Road to Disaster? A Comparative Policy Analysis of Agency Problems in the Commissioning of Infrastructure Projects in the UK and Italy. Journal of Comparative Policy Analysis: Research and Practice, (August), 1–14. https://doi.org/10.1080/13876988.2015.1016773.
HM Treasury. (2012). Private Finance 2 (PF2). Retrieved from https://www.gov.uk/government/publications/private-finance-2-pf2.
Infrastructure Ontario. (2007). Value for Money Assessment Bluewater Health Redevelopment Project.
Montagu, D., Harding, A., & Montagu, D. (2012). A Zebra or a Painted Horse? Are Hospital PPPs Infrastructure Partnerships with Stripes or a Separate Species? World Hospitals and Health Services: The Official Journal of the International Hospital Federation, 48(2), 15–19.
Nikolic, A., & Maikisich, H. (2006). Public-Private Partnerships and Collaboration in the Health Sector, An Overview with Case Studies from Recent European Experience (Health, Nutrition and Population (HNP) Discussion Paper). Washington, DC: World Bank.
Roehrich, J. K., Lewis, M. A., & George, G. (2014). Are Public–private Partnerships a Healthy Option? A Systematic Literature Review. Social Science & Medicine, 113, 110–119. https://doi.org/10.1016/j.socscimed.2014.03.037.
Siemens. (2017). MES Contract: The Case of Barnet Hospital. Presentation Made by Siemens at “primavera tecnologica”, Milan.
Torchia, M., Calabrò, A., & Morner, M. (2015). Public–Private Partnerships in the Health Care Sector: A Systematic Review of the Literature. Public Management Review, 17(2), 236–261. https://doi.org/10.1080/14719037.2013.792380.
Vecchi, V., & Cusumano, N. (2012). Il Partenariato Pubblico Privato «light» e «limited profit» al crocevia tra sostenibilità, bancabilità e vincoli finanziari. In E. Borgonovi, E. Cantù, & R. Tarricone (Eds.), Rapporto OASI (pp. 363–391). Milano: Egea.
Vecchi, V., & Cusumano, N. (2017). Report on MES Opportunities in Italy, SDA Bocconi.
Vecchi, V., & Leone, V. M. (2016). Partnership Pubblico Privato: una Guida Manageriale, Finanziaria e Giuridica. Milano: Egea.
Vian, T., McIntosh, N., Grabowski, A., Brooks, B., Jack, B., & Limakatso Nkabane, E. (2013). Endline Study for Queen ‘Mamohato Hospital Public Private Partnership (PPP). Washington, DC: Taylor & Francis.
Wang, H., Xiong, W., Wu, G., & Zhu, D. (2017). Public – Private Partnership in Public Administration Discipline: A Literature Review. Public Management Review, 0(0.) https://doi.org/10.1080/14719037.2017.1313445.
Waring, J., & Currie, G. (2013). A Contingent Approach to the Organization and Management of Public–Private Partnerships: An Empirical Study of English Health Care. Public Administration Review, 73(2), 313–326. https://doi.org/10.1111/puar.12020.A.
Yescombe, E. R. (2017). Public Private Partnerships in Sub-Saharan Africa, Case Studies for Policymakers (pp. 135–143). Dar Es Salam: UONGOZI Institute.
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Vecchi, V., Cusumano, N. (2018). Choosing the Right PPP Model. In: Vecchi, V., Hellowell, M. (eds) Public-Private Partnerships in Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-69563-1_2
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DOI: https://doi.org/10.1007/978-3-319-69563-1_2
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