Abstract:
BACKGROUND:Public-private partnerships (PPPs) are potential instruments to enable private collaboration in the health sector. Despite theoretical debate, empirical analyses have thus far tended to focus on the contractual or project dimension, overlooking institutional PPPs, i.e., formal legal entities run by proper corporate-governance mechanisms and jointly owned by public and private parties for the provision of public-health goods. This work aims to fill this gap by carrying out a comparative analysis of the reasons for the adoption of institutional PPPs and the governance and managerial features necessary to establish them as appropriate arrangements for public-health services provisions. METHODS:A qualitative analysis is carried out on experiences of institutional PPPs within the Italian National Health Service (Sistema Sanitario Nazionale, SSN). The research question is addressed through a contextual and comparative embedded case study design, assuming the entire population of PPPs (4) currently in force in one Italian region as the unit of analysis: (i) a rehabilitation hospital, (ii), an orthopaedic-centre, (iii) a primary care and ambulatory services facility, and (iv) a health- and social-care facility. Internal validity is guaranteed by the triangulation of sources in the data collection phase, which included archival and interview data. RESULTS:Four governance and managerial issues were found to be critical in determining the positive performance of the case examined: (i) a strategic market orientation to a specialised service area with sufficient potential demand, (ii) the allocation of public capital assets and the consistent financial involvement of the private partner, (iii) the adoption of private administrative procedures in a regulated setting while guaranteeing the respect of public administration principles, and (iv) clear regulation of the workforce to align the contracts with the organisational culture. CONCLUSIONS:Findings suggests that institutional PPPs enable national health services to reap great benefits when introduced as a complement to the traditional public-service provisions for a defined set of services and goals.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Cappellaro G,Longo Fdoi
10.1186/1472-6963-11-82subject
Has Abstractpub_date
2011-04-19 00:00:00pages
82issn
1472-6963pii
1472-6963-11-82journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Nepal has made a significant improvement in child survival in the last few decades and the involvement of female community health volunteers (FCHVs) has been crucial in such achievement. While there have been many studies on child health in Nepal however, rarely explored the status and factors associated wit...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05424-x
更新日期:2020-06-19 00:00:00
abstract:BACKGROUND:Reading problems are frequently reported by visually impaired persons. A closed-circuit television (CCTV) can be helpful to maintain reading ability, however, it is difficult to learn how to use this device. In the Netherlands, an evidence-based rehabilitation program in the use of CCTVs was lacking. Therefo...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-10-62
更新日期:2010-03-10 00:00:00
abstract:BACKGROUND:Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The objective of this study was to characterize the use of health-care services and costs associated with BC among patients who underwent radical cystectomy (RC) in the province of Quebec. METHODS:We conducted a descrip...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0972-3
更新日期:2015-08-05 00:00:00
abstract:BACKGROUND:The Australian federal government introduced private health insurance incentive policy reforms in 2000 that increased the uptake of private health insurance in Australia. There is currently a lack of evidence on the effect of the policy reforms on access to cardiovascular interventions in public and private ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-280
更新日期:2013-07-22 00:00:00
abstract:BACKGROUND:An increase in chronic conditions is currently the greatest threat to human health and to the sustainability of health systems. Risk adjustment systems may enable population stratification programmes to be developed and become instrumental in implementing new models of care.The objectives of this study are t...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-269
更新日期:2013-07-09 00:00:00
abstract:BACKGROUND:Measuring quality of care is essential to improve primary care. Quality of primary care for patients is usually assessed by patient satisfaction questionnaires. However, patients may not be able to judge quality of care without also reflecting their perception of the environment. We determined the effect tha...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-016-1647-4
更新日期:2016-08-11 00:00:00
abstract:BACKGROUND:The high incidence of workplace violence (WPV) in clinical mental health settings has caused a series of negative impacts on nurses, which has subsequently increased public concern. De-escalation (DE) is recommended as a training program which aims at providing nurses with skills and strategies to more effec...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-020-05506-w
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:There are a number of factors that may contribute to high mortality and morbidity of women and newborns in low-income countries. These include a shortage of competent health care providers (HCP) and a lack of sufficient continuous professional development (CPD) opportunities. Strengthening the skills and bui...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05789-z
更新日期:2020-10-07 00:00:00
abstract:BACKGROUND:Integrated care is the coordination of general and behavioral health and is a highly promising and practical approach to improving healthcare delivery and patient outcomes. While there is growing interest and investment in integrated care implementation internationally, there are no formal guidelines for int...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4661-5
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Analysis of patient mobility in a country not only gives an idea of how the health-care system works, but also can be a guideline to determine the quality of health care and health disparity among regions. Even though determination of patient movement is important, it is not often realized that patient mobil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2381-2
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics. METHODS:We analyzed longitudinal data (2014-2016) for 19,109 ambulatory clinics that participated in all 3 years of the...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05679-4
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:In the United States (US), Medicaid capitated managed care costs are controlled by optimizing patients' healthcare utilization. Adults in capitated plans utilize primary care providers (PCP) more than emergency departments (ED), compared to fee-for-service (FFS). Pediatric data are lacking. We aim to determi...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05409-w
更新日期:2020-06-12 00:00:00
abstract:BACKGROUND:Patients education is considered a valuable mean to prevent and control healthcare-associated infections (HAIs). This cross-sectional study aims to assess declared practices of healthcare workers (HCWs) regarding the delivery of information about HAIs to patients. METHODS:A 14-item multiple-choice questionn...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2021-x
更新日期:2017-01-23 00:00:00
abstract:BACKGROUND:There are relatively few qualitative studies concerning patient safety culture. METHODS:We aimed to explore patient safety culture as perceived by the nursing staff in two public hospitals in Catalonia, Spain. A mixed-methods design was employed using a questionnaire, in-depth interviews, and non-participan...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05441-w
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women a...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05857-4
更新日期:2020-12-07 00:00:00
abstract:BACKGROUND:Due to the multifaceted aspect of child malnutrition, a comprehensive approach, taking social factors into account, has been frequently recommended in health literature. The Alma-Ata declaration explicitly outlined comprehensive primary health care as an approach that addresses the social, economic and polit...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-36
更新日期:2009-02-23 00:00:00
abstract:BACKGROUND:There is considerable discussion surrounding whether advanced hospitals provide better childbirth care than local community hospitals. This study examines the effect of shifting childbirth services from advanced hospitals (i.e., medical centers and regional hospitals) to local community hospitals (i.e., clin...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-9-94
更新日期:2009-06-08 00:00:00
abstract:BACKGROUND:Medications to treat and prevent chronic disease have substantially reduced morbidity and mortality; however, their diffusion has been uneven. Little is known about prescribing of chronic disease medications by nurse practitioners (NPs) and physician assistants (PAs), despite their increasingly important rol...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1569-1
更新日期:2016-07-27 00:00:00
abstract:BACKGROUND:The strong association between family history and prostate cancer (PCa) suggests a significant genetic contribution, yet specific highly penetrant PCa susceptibility genes have not been identified. Certain single-nucleotide-polymorphisms have been found to correlate with PCa risk; however uncertainty remains...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-279
更新日期:2013-07-20 00:00:00
abstract:BACKGROUND:Japan has a high prevalence of adult T-cell leukaemia (ATL), especially in the Kyushu/Okinawa region. Regional differences in prevalence might cause regional differences in physicians' experiences and the efficiency of care-resource use. This study investigated regional differences in the performance of bone...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-337
更新日期:2014-08-08 00:00:00
abstract:BACKGROUND:Measurement of healthcare spatial access over a network involves accounting for demand, supply, and network structure. Popular approaches are based on floating catchment areas; however the methods can overestimate demand over the network and fail to capture cascading effects across the system. METHODS:Optim...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0919-8
更新日期:2015-07-17 00:00:00
abstract:BACKGROUND:The Transmural Trauma Care Model (TTCM) is a refined post-clinical rehabilitation approach, in which a multidisciplinary hospital-based team guides a network of primary care physical therapists in the treatment of trauma patients. The objective of this study was to assess the effectiveness of the TTCM compar...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4547-6
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:While the benefits or otherwise of early hip fracture repair is a long-running controversy with studies showing contradictory results, this practice is being adopted as a quality indicator in several health care organizations. The aim of this study is to analyze the association between early hip fracture rep...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-15
更新日期:2012-01-18 00:00:00
abstract:BACKGROUND:Client satisfaction is the best indicator of quality service provision and has been found to correlate with continuity of care perceived by the client. The measurement of client satisfaction helps in understanding willingness and decisions to return for future services. Thus, this study aimed at assessing th...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4475-5
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:Recently, several initiatives have focused on how to create true person-centred health services. This calls for a new understanding of health-related empowerment in relation to people living with one or more chronic conditions. We report on a Delphi investigation among participants in the European Innovation...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4082-5
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:Multimorbidity is not uncommon and the associated impact it places on healthcare utilisation and societal costs is of increased concern. The aim of the current study was to estimate the economic burden of multimorbidity among older adults in Singapore by investigating its association with the healthcare and ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1421-7
更新日期:2016-05-10 00:00:00
abstract:BACKGROUND:For the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. A screening method for depression is the patient health questionnaire (PHQ-9). The aim of this study is to validate the 9-item Patient Health Questionnaire (PHQ-9) as a screening instrument ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-235
更新日期:2010-08-12 00:00:00
abstract:BACKGROUND:A research project, which aims to improve the situation of children of parents with a mental illness (COPMI) is currently underway in the Austrian region of Tyrol. The project aims to strengthen formal and informal support structures around the child, through enhancing their village of collaborative support....
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05184-8
更新日期:2020-04-19 00:00:00
abstract:BACKGROUND:Decentralization through the establishment of hospital governing boards has been touted as an effective way to improve the quality and efficiency of hospitals in low-income countries. Although several studies have examined the process of decentralization, few have quantitatively assessed the implementation o...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-178
更新日期:2014-04-17 00:00:00
abstract:BACKGROUND:There are currently several concerns about the ways in which people are recruited to participate in randomised controlled trials, the low acceptance rates among people invited to participate, and the experiences of trial participants. An information resource about on-going clinical trials designed for potent...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-5-39
更新日期:2005-05-24 00:00:00