Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil

• Tác giả: G. M La Forgia
• Ngôn ngữ: eng
• Ký hiệu phân loại: 016.98 Bibliographies and catalogs of works on specific subjects or in specific disciplines
• Thông tin xuất bản: 2012
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 326580
• Chủ đề: 1. Benchmarking; 2. Brazil; 3. Capital Financing; 4. Health Care Reform; 5. Hospital Economics

Tóm tắt

Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sao Paulo, Brazil. The PPP model gave facility managers latitude to manage human resources--a factor critical to success. Given the prevalence of direct management of public hospitals in developing countries, the Sao Paulo experience has implications for policymakers seeking to improve hospital performance.