Tabrizi Jafar Sadegh, Azami-Aghdash Saber, Gharaee Hojatolah
Tabriz University of Medical Sciences, Tabriz, Iran.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720943769. doi: 10.1177/2150132720943769.
Given the challenges of governments to deliver primary health care (PHC), engaging private sector in the form of public-private partnership (PPP) can be effective policy. The aim of present study is to review the experiences of implementing PPP policy in PHC.
This scoping review study was conducted in 2019 using the framework proposed by Arkesy and O'Malley. Required data were collected through search the related keywords in databases, manual search of some journals, websites, and other sources of information and through references check, from January 2000 to May 2019. All studies, which focused on the results of PPP in PHC, and published in English or Persian were included in the study.
A total of 108 articles were included in the study. The studies were mostly conducted in low- and middle-income countries. The quantitative studies have demonstrated the success of this policy in improving PHC indicators. Based on the qualitative studies PPP in PHC has many benefits, including access improvement, economic benefits, and service quality enhancement.
The present study provides useful information on the experiences of different countries in the field of PPP in PHC that can be used by experts and decision makers to decide whether to engage the private sector in the form of PPP model.
鉴于各国政府在提供初级卫生保健(PHC)方面面临的挑战,以公私伙伴关系(PPP)形式吸引私营部门参与可能是一项有效的政策。本研究的目的是回顾在初级卫生保健中实施公私伙伴关系政策的经验。
本范围综述研究于2019年采用Arkesy和O'Malley提出的框架进行。通过在数据库中搜索相关关键词、手动搜索一些期刊、网站和其他信息来源以及通过参考文献检索,收集了2000年1月至2019年5月所需的数据。所有关注初级卫生保健中公私伙伴关系结果且以英文或波斯文发表的研究均纳入本研究。
本研究共纳入108篇文章。这些研究大多在低收入和中等收入国家进行。定量研究表明该政策在改善初级卫生保健指标方面取得了成功。基于定性研究,初级卫生保健中的公私伙伴关系有许多好处,包括改善可及性、经济效益和提高服务质量。
本研究提供了关于不同国家在初级卫生保健公私伙伴关系领域经验的有用信息,可供专家和决策者用于决定是否以公私伙伴关系模式吸引私营部门参与。