PhD Candidate of Healthcare Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ethiop J Health Sci. 2020 May;30(3):409-416. doi: 10.4314/ejhs.v30i3.12.
Diagnostic services are highly critical in the success of treatment processes, overly costly nonetheless. Accordingly, hospitals generally seek the private partnership in the provision of such services. This study intends to explore the incentives owned by both public and private sector in their joint provision of diagnostic services under the public-private partnership agreement.
A qualitative, exploratory study was employed in Tehran hospitals from October 2017 to March 2018. Around 25 face-to-face, semi-structured interviews were conducted with the purposively recruited hospital managers, heads of diagnostic services and managers of private companies. Interviews were transcribed and analyzed using conventional content analysis, assisted by "MAXQDA-12".
Three main categories and nine sub-categories represented the incentives of public sector, and four main categories and seven sub-categories signified those of private sector. The incentives of public sector included the status-quo remediation, upstream requirements, and personal reasons. As such, the individual, social and economic incentives and legal constraints were driving the behavior of the private sector.
Financial problem and gain were the most noted incentives by the partners. Attention to the either side's incentives and aims is likely to ensure the durability and effectiveness of such partnerships in the health sector.
诊断服务在治疗过程的成功中至关重要，但费用过高。因此，医院通常寻求私营部门在提供此类服务方面的合作。本研究旨在探讨公共和私营部门在根据公私伙伴关系协议联合提供诊断服务时所拥有的激励措施。
2017 年 10 月至 2018 年 3 月，在德黑兰医院进行了一项定性、探索性研究。通过有目的的招募，对医院管理人员、诊断服务负责人和私营公司管理人员进行了约 25 次面对面的半结构化访谈。访谈内容采用传统的内容分析法进行转录和分析，并借助“MAXQDA-12”软件进行分析。
公共部门的激励措施包括三个主要类别和九个子类别，而私营部门的激励措施包括四个主要类别和七个子类别。公共部门的激励措施包括现状修复、上游要求和个人原因。因此，个人、社会和经济激励以及法律限制是推动私营部门行为的因素。
财务问题和收益是合作伙伴最关注的激励因素。关注双方的激励措施和目标，可能会确保此类伙伴关系在卫生部门的持久性和有效性。
