Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Health Economics Review
Published in: Health Economics Review 1/2016

Open Access 01-12-2016 | Research

A cost and performance comparison of Public Private Partnership and public hospitals in Spain

Authors: Maria Caballer-Tarazona, David Vivas-Consuelo

Published in: Health Economics Review | Issue 1/2016

Login to get access

Abstract

Public-private partnership (PPP) initiatives are extending around the world, especially in Europe, as an innovation to traditional public health systems, with the intention of making them more efficient.
There is a varied range of PPP models with different degrees of responsibility from simple public sector contracts with the private, up to the complete privatisation of the service. As such, we may say the involvement of the private sector embraces the development, financing and provision of public infrastructures and delivery services.
In this paper, one of the oldest PPP initiatives developed in Spain and transferred to other European and Latin American countries is evaluated for first time: the integrated healthcare delivery Alzira model.
Through a comparison of public and PPP hospital performance, cost and quality indicators, the efficiency of the PPP experience in five hospitals is evaluated to identify the influence of private management in the results.
Regarding the performance and efficiency analysis, it is seen that the PPP group obtains good results, above the average, but not always better than those directly managed. It is necessary to conduct studies with a greater number of PPP hospitals to obtain conclusive results.
Appendix
Available only for authorised users
Footnotes
1
The table with all variables used in the study can be consulted in Additional file 1: Appendix A.
 
2
Standard weights shown in the Table 1 were already reported in a previous research by IASIST 2009.
 
3
DRG: Diagnostic-related groups.
 
4
The selection of the variables was supervised and decided with a hospital manager. Variables selected are those most significant for the hospital performance.
 
Literature
1.
La Forgia GM, Harding A. Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil. Health Aff. 2009;28(4):1114–26.CrossRef
2.
Vecchi V, Hellowell M, Longo F. Are Italian healthcare organizations paying too much for their public-private partnerships? Public Money Manage. 2010;30(2):125–32.CrossRef
3.
Hellowell M, Pollock AM. The private financing of NHS hospitals: politics, policy and practice. Econ Aff. 2009;29(1):13–9.CrossRef
4.
McIntosh N, Grabowski A, Jack B, Nkabane-Nkholongo EL, Vian T. A public-private partnership improves clinical performance in a hospital network in Lesotho. Health Aff. 2015;34(6):954–62.CrossRef
5.
Roehrich JK, Lewis MA, George G. Are public–private partnerships a healthy option? A systematic literature review. Soc Sci Med. 2014;113:110–9.CrossRefPubMed
6.
Barlow J, Roehrich J, Wright S. Europe sees mixed results from public-private partnerships for building and managing health care facilities and services. Health Aff. 2013;32(1):146–54.CrossRef
7.
Hoppe EI, Kusterer DJ, Schmitz PW. Public-private partnerships versus traditional procurement: an experimental investigation. J Econ Behav Organ. 2013;89:145–66.CrossRef
8.
Vivas-Consuelo D, Uso-Talamantes R, Trillo-Mata JL, Caballer-Tarazona M, Barrachina-Martinez I, Buigues-Pastor L. Predictability of pharmaceutical spending in primary health services using Clinical Risk Groups. Health Policy. 2014;116(2-3):188–95.CrossRefPubMed
9.
Lopez-Casasnovas G, Costa-Font J, Planas I. Diversity and regional inequalities in the Spanish ‘system of health care services’. Health Econ. 2005;14 Suppl 1:S221–S35.
10.
Spain NHSo. National Health System of Spain. National Health System of Spain; 2010.
11.
12.
Caballer-Tarazona M, Moya-Clemente I, Vivas-Consuelo D, Barrachina-Martínez I. A model to measure the efficiency of hospital performance. Math Comput Model. 2010;52(7-8):1095–102.CrossRef
13.
Barlow J, Roehrich JK, Wright S. De facto privatization or a renewed role for the EU? Paying for Europe’s healthcare infrastructure in a recession. J R Soc Med. 2010;103(2):51–5.CrossRefPubMedPubMedCentral
14.
Herr A, Schmitz H, Augurzky B. Profit efficiency and ownership of German hospitals. Health Econ. 2011;20(6):660–74.CrossRefPubMed
15.
Alonso JM, Clifton J, Díaz-Fuentes D. The impact of New Public Management on efficiency: an analysis of Madrid’s hospitals. Health Policy. 2015;119(3):333–40.CrossRefPubMed
16.
17.
Hollingsworth B. The measurement of efficiency and productivity of health care delivery. Health Econ. 2008;17(10):1107–28.CrossRefPubMed
18.
Ozgen H, Ozcan YA. A national study of efficiency for dialysis centers: an examination of market competition and facility characteristics for production of multiple dialysis outputs. Health Serv Res. 2002;37(3):711–32.CrossRefPubMedPubMedCentral
19.
20.
Acerete B, Stafford A, Stapleton P. Spanish healthcare public private partnerships: The ‘Alzira model’. Crit Perspect Account. 2011;22(6):533–49.CrossRef
21.
Allard G, Trabant A. Public-private partnerships in Spain: lessons and opportunities. Int Business Econ Res J. 2008;7(2):1–24.
22.
Shaoul J, Stafford A, Stapleton P. The cost of using private finance to build, finance and operate hospitals. Public Money Manage. 2008;28(2):101–8.CrossRef
Metadata
Title
A cost and performance comparison of Public Private Partnership and public hospitals in Spain
Authors
Maria Caballer-Tarazona
David Vivas-Consuelo
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Health Economics Review / Issue 1/2016
Electronic ISSN: 2191-1991
DOI
https://doi.org/10.1186/s13561-016-0095-5

Other articles of this Issue 1/2016

Health Economics Review 1/2016 Go to the issue

Research

Measuring patients’ priorities using the Analytic Hierarchy Process in comparison with Best-Worst-Scaling and rating cards: methodological aspects and ranking tasks

Research

The determinants of the propensity to receive publicly funded home care services for the elderly in Canada: a panel two-stage residual inclusion approach

Research

The abolition of user charges and the demand for ambulatory visits: evidence from the Czech Republic

Research

Utilization of healthcare services and renewal of health insurance membership: evidence of adverse selection in Ghana

Erratum

Erratum to: ‘Costs of treating cardiovascular events in Germany: a systematic literature review’

Research

Efficiency of Ontario primary care physicians across payment models: a stochastic frontier analysis