Basabih M, Prasojo E, Rahayu AYS. Hospital services under public-private partnerships, outcomes and, challenges: A literature review.
J Public Health Res 2022;
11:22799036221115781. [PMID:
36052099 PMCID:
PMC9424887 DOI:
10.1177/22799036221115781]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Accepted: 07/09/2022] [Indexed: 11/30/2022] Open
Abstract
Public-private partnerships (PPP) is used to advance health service access and
quality. PPP implementation in hospitals is vital to shorten the service and
quality gap. Hospitals are the most significant health budget spender, and this
study aimed to identify the PPP effect on hospital performance indicators and
its implementation challenges. Thirty-three inclusive articles were filtered and
collected from Pubmed, ScienceDirect, Medline, and Sage Publication databases.
Results showed that various articles succeeded in implementing PPP and improving
the access and quality of health services. Several hospital performance
indicators such as diagnosis, therapy, service waiting time, length of stay,
referral rate, mortality rate, and patient satisfaction were reported to show
better results. However, there was insufficient evidence to say the same on
related financial indicators. Policy, resource, communication and trust, risk,
and evaluation monitoring were considered challenges in PPP implementation. Its
success was not only influenced by major factors such as governance model,
finance, politics, and social but also was influenced by the medical practice
model applied within the organization. This study contributed to whether PPP
affects the hospital performance indicators.
Collapse