PPPs are being used worldwide in the hospital sector, despite the absence of a consensual definition and structural model. For the purpose of this thesis, a review of the existing PPP definitions, models and main drivers was conducted. A particular focus was given to the existing PPP hospitals models within Europe. The main discrepancies/differences seem to be between the PPP hospitals models that include the provision of clinical services and the ones that don’t (i.e. only involve infrastructure). Portugal announced an intensive PPP hospital program in 2001. PPPs were introduced while a complete reorganization of the hospital sector was occurring, leading to a shift in the Portuguese government /Ministry of health's role regarding the healthcare sector. So far the literature was not able to prove and to demonstrate the advantages of the use of PPPs in the hospital sector for all cases and models. In order to analyze and understand the performance of the PPP hospitals compared to the remaining public hospital, an analysis was conducted. This was based on the data provided by the ACSS. In general, PPP hospitals presented better values than the national average and an improvement tendency. The PPP hospitals particularly stood out in both quality and financial-based analysis. Given this study’s conclusion and limitations, suggestions for further research were given, namely a Value for money analysis should be conducted.
Date of Award | 18 Jul 2016 |
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Original language | English |
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Awarding Institution | - Universidade Católica Portuguesa
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Supervisor | Susana Frazão Pinheiro (Supervisor) |
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Public-Private Partnerships in the hospital sector: analysis of the performance of the four PPP hospitals in Portugal
Carnall, M. F. (Student). 18 Jul 2016
Student thesis: Master's Thesis