a Taro Takemi Research Professor of International Health Policy , Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Health Syst Reform. 2018;4(3):239-248. doi: 10.1080/23288604.2018.1465880. Epub 2018 Jul 19.
This article introduces a simplified model for assessing and designing the governance of global health public-private partnerships (PPPs) based on the two concepts of transparency and accountability. The article reviews the literature on partnership governance, which shows many frameworks and recommendations but limited implementation of the proposals. The article proposes a matrix to provide a high-level analytical and planning tool applicable to different types of PPPs in global health. The matrix arranges transparency and accountability as two orthogonal and separate governance dimensions. In the literature, transparency and accountability are two of the most commonly discussed dimensions of governance but they have not been used in this manner to create a model of governance. Transparency is important on its own because it allows learning, contributes to accountability, and shapes organizational performance. Accountability provides a tool to assure that a PPP is achieving its public interest goals and also contributes to improved organizational performance. Both contribute to democracy and public perception. The matrix analyzes transparency and accountability according to three dimensions (relationships, contents, and mechanisms) and assesses the level of each dimension. Using a hypothetical PPP example, the article illustrates how the matrix could be used in practice. The matrix provides a method to assess the levels of transparency and accountability but does not indicate how much of either is good or desirable. The matrix is proposed to improve conceptual clarity and help identify concrete options for action in planning, assessing, and adjusting PPP governance.
本文基于透明度和问责制这两个概念，介绍了一个用于评估和设计全球卫生公私合作伙伴关系（PPP）治理的简化模型。本文回顾了关于伙伴关系治理的文献，这些文献提出了许多框架和建议，但对这些建议的实施有限。本文提出了一个矩阵，为不同类型的全球卫生 PPP 提供了一个高级分析和规划工具。该矩阵将透明度和问责制排列为两个正交且独立的治理维度。在文献中，透明度和问责制是治理中讨论最多的两个维度，但它们尚未以这种方式用于创建治理模型。透明度本身很重要，因为它允许学习，有助于问责制，并塑造组织绩效。问责制提供了一种确保 PPP 实现其公共利益目标的工具，还有助于提高组织绩效。两者都有助于民主和公众认知。该矩阵根据三个维度（关系、内容和机制）分析透明度和问责制，并评估每个维度的水平。本文使用一个假设的 PPP 示例说明了矩阵如何在实践中使用。该矩阵提供了一种评估透明度和问责制水平的方法，但并未表明两者中的哪一个水平是好的或理想的。该矩阵旨在提高概念清晰度，并帮助在规划、评估和调整 PPP 治理方面确定具体的行动方案。
