葡萄牙卫生部门的公私伙伴关系
Nuno José Pinho Rodrigues1,2, João M S Carvalho3,4
1Instituto Politécnico de Gestão e Tecnologia, V. N. de Gaia, Portugal.
Heliyon
|August 28, 2023
概括
葡萄牙的公私伙伴关系 (PPP)
科学领域:
- 医疗服务管理 医疗服务管理
- 公共管理改革 公共管理改革
- 卫生经济学 卫生经济学
背景情况:
- 自2001年以来,葡萄牙一直在实施持续的医院管理改革.
- 这些改革旨在提高公共行政部门的服务质量和经济效率.
- 该研究的重点是将公私伙伴关系 (PPP) 模式与公共管理医院 (PMH) 的模型进行比较.
研究的目的:
- 分析2012年至2021年葡萄牙的PPP与PMH的经济和财务绩效 (价值与成本).
- 为了比较两个医院管理模式之间的服务提供质量.
- 了解政府关于采用和逆转PPP模式的决策过程.
主要方法:
- 采用了混合研究方法.
- 进行了多个案例研究.
- 档案研究被用于数据收集.
主要成果:
- 与PMH相比,PPP模式在经济,金融和服务质量方面表现出优势.
- 公共公共合作模式提供了更高的价值,更低的运营成本和更好的绩效.
- 尽管有这些好处,但政府始终从PPP转向PMH模式.
结论:
- 葡萄牙的医院管理模式往往被用作政治工具,而不仅仅是为了管理效率.
- 从PPP转向PMH模型可能不是由管理或经济考虑驱动的.
- 管理模式的政治工具化影响了纳税人的潜在储蓄.
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