A public-private partnership (PPP) in healthcare involves collaboration between public sector agencies and private sector entities to achieve a commonly shared health goal. PPPs can take various forms, such as contracting private providers to manage clinical or non-clinical services, or establishing joint ventures between public and private partners to set up hospitals. PPPs aim to enhance capacity and efficiency in the healthcare system by leveraging private sector resources while continuing to ensure public health needs are met. However, PPPs in healthcare are still in early stages in many countries and require further development of oversight and regulatory frameworks.
2. It is a joint ownership of a program/ proposal by
two or more parties to achieve a common goal.
It is a higher level of collaboration.
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3. A public-private partnership exists when public
sector agencies (federal, state, or local) join with
private sector entities (companies, foundations,
academic institutions or citizens) and enter into a
business relationship to attain a commonly shared
goal that also achieves objectives of the individual
partners.
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4. Super-ordinate Goal
High perceived pay-off to both parties
Equal power with both parties
Mutual Trust
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5. Joint action at all stages (from planning, follow up and
termination)
Complimentary roles (expectation of each other are
clarified and stabilized)
Creation of a temporary system (task force with
representatives from both sides)
Continuous Communication (lines of communication
between partners to be always kept open)
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6. P3 is a tool that can help governments meet demands
for the development of modern and efficient
facilities, infrastructure and services.
Growing Public demand for services.
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7. PPP in health is an approach to addressing public
health problems through the combined efforts of public,
private and development organisations complimenting
each other by contributing or sharing their core
competency .
This synergy leads to better outcome of goals
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8. It has a desired health outcome.
It means to achieve better community health
It is a specific strategy to achieve better community
health.
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9. Contracting out to manage clinical and non-clinical
services; health projects
Joint ventures; private capital to set up hospitals
Incentives system to influence desired geographic
distribution of health facilities – qualified providers
through contract mechanisms in rural areas
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10. Develop strategies to utilise untapped resources and strengths
of the private sector
Enhance the capacity to meet growing health needs
Reducing financial burden of government expenditure on
tertiary care
Reducing geographical disparity in provision of services and
its access
Reaching remote areas; target specific group of populations
Improving efficiency through evolving new management
structures
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11. Cost containment
Effective use of private resources
Logical diversion of public resources
Synergy to reduce duplication
Resource mobilization
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12. Involving private providers in managing various
components of health sector programmes
Developing joint ventures or inviting private capital
to set up hospitals
Contracting out services (Catering, Cleaning,
Security, Laboratory…..)
Consumer Protection Act (Safeguarding the interest
of consumers)
Regulation and Accreditation of private providers by
Government
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13. Capacity of Private Partner
Advocacy
Accreditation
Regulation by the Government
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14. Involvement of private sector will improve efficiency;
however no concrete steps have been taken to initiate
this
Clarity in policies to effect the partnerships is still
evolving
Lack of appropriate regulatory and monitoring
mechanisms have raised doubts about PPP in health –
still poor are not taken care of…
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15. Clarity of Purpose
Creation of value
Congruency of Mission, Strategy and Values
Connection with purpose and people
Communication between partners
Continual learning
Commitment to the partnership
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16. Health System Development Projects
National Rural Health Mission
Blindness Control
Diagnostic Support within Medical College
Hospitals
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17. Public-Private partnerships in health are at very early
stages
Will need significant institutional development work in
terms of financial analysis capabilities, monitoring and
evaluations systems
Appropriate regulations to check the unintended
outcomes of private sector growth in health
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Shiv Chandra Mathur is a public health specialist working for developing human resources for health. His current assignment involves organizing in-service trainings for health professionals in India.
Throughout the developing world a transition has begun where delivery of health services are being gradually handed over from public system to provate sector. In this backgound, it Managers of Health System must have a conceptual clarity on Public-Private Partnership. This presentation is an illustration of the same case.
Viewers/Readers are welcome to share their observations/comments with author at [email_address]
They may go through related lecture from the author in super-course series