Imperial College Business School, London, UK.
Health Aff (Millwood). 2013 Jan;32(1):146-54. doi: 10.1377/hlthaff.2011.1223.
Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.
受国家预算紧张的影响，欧洲政府越来越多地与私营部门合作，为建设和运营公立医院和其他医疗设施以及提供服务提供资金。通过这种公私合作伙伴关系，政府希望避免前期资本支出，并利用私营部门的效率，而私营部门合作伙伴则希望获得投资回报。我们的研究表明，到目前为止，这些合作伙伴关系的经验喜忧参半。这些合作伙伴关系的早期模式——例如，私营公司建造医院并进行建筑维护，我们称之为“仅住宿”模式——在实现更高效率和更低成本方面显然没有达到预期。本文中描述的更新模式提供了更多提高效率的机会，但在行政上更难建立和管理。考虑到新基础设施的公共资本短缺，这些合作伙伴关系对欧洲政府的吸引力似乎会增加。
