Zevallos Leslie, Salas Valerio, Robles Luis
Autoridad Nacional de Servicio Civil, Lima, Perú
Universidad Nacional Mayor de San Marcos, Lima, Perú
Rev Peru Med Exp Salud Publica. 2014 Oct-Dec;31(4):769-74.
Private investor participation in the provision of public health care services (called public-private partnership or PPP) dates from the last century, both in Latin America and Europe. In Peru, legislation for PPPs was published in 2008 in terms of infrastructure, maintenance and service provisions in general; but it was at the end of 2013 when PPP began to be implemented for health services. In Colombia, it was realized that this model was very costly. In Chile, the private sector was not regulated from the beginning and today it is difficult to regulate. Costa Rica never gave full decisional power to private sector; the responsibility for providing health services to its population and maintaining health as a right has always been maintained. In Peru, at this stage of PPPs implementation for health services, other experiences are not taken into account such as: transparency, participation of all stakeholders, development of specific legislation, among others.
私人投资者参与公共卫生保健服务的提供(称为“公私伙伴关系”或PPP)可追溯到上世纪,在拉丁美洲和欧洲都是如此。在秘鲁,关于公私伙伴关系的立法于2008年发布,涉及基础设施、维护和一般服务提供;但直到2013年底,公私伙伴关系才开始在卫生服务领域实施。在哥伦比亚,人们意识到这种模式成本非常高。在智利,私营部门从一开始就没有受到监管,如今很难进行监管。哥斯达黎加从未赋予私营部门充分的决策权;一直保留着为其民众提供卫生服务并将健康作为一项权利加以维护的责任。在秘鲁,在卫生服务公私伙伴关系实施的现阶段,没有考虑其他经验,如透明度、所有利益相关者的参与、具体立法的制定等。