1 School of Geography, University College Dublin, Belfield, Dublin 4, Ireland.
Int J Health Serv. 2019 Jul;49(3):412-430. doi: 10.1177/0020731419836079. Epub 2019 Mar 20.
In 2001, Ireland announced a Primary Care Strategy that has led to the implementation of primary care centers (PCCs) throughout the country. This article examines the nature and extent of private and public sector involvement in establishing the PCC network since 2001. The study is based on a PCC dataset constructed using unpublished data obtained from Ireland's Health Service Executive (HSE). The dataset includes the date when PCCs became operational and their mode of delivery: public procurement, private lease, or public-private partnership. The results show that 140 PCCs have or will become operational by the end of 2019: 35% (49 PCCs) are public, 55% (77) are leases with private landlords, and 10% (14) are public-private partnerships. Before 2009, PCCs were delivered by traditional public procurement, but since 2009, private delivery methods have been prioritized. In conclusion, the PCC network has been increasingly implemented by relying on the private sector. This results in a more commercialized network subject to financial risks associated with public-private partnerships.
2001 年，爱尔兰宣布了一项初级保健战略，该战略促使全国各地建立了初级保健中心（PCC）。本文考察了自 2001 年以来私营和公共部门参与建立 PCC 网络的性质和程度。该研究基于使用从爱尔兰卫生服务执行局（HSE）获得的未公开数据构建的 PCC 数据集。该数据集包括 PCC 开始运营的日期及其交付模式：公共采购、私人租赁或公私合作伙伴关系。结果表明，到 2019 年底，将有 140 个 PCC 投入运营或即将投入运营：35%（49 个 PCC）是公有制，55%（77 个）是与私人房东的租赁，10%（14 个）是公私合作伙伴关系。2009 年之前，PCC 是通过传统的公共采购交付的，但自 2009 年以来，已优先采用私人交付方式。总之，PCC 网络的建立越来越依赖于私营部门。这导致了一个更加商业化的网络，面临着与公私伙伴关系相关的财务风险。
