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对葡萄牙医疗保健公私合作伙伴关系的批判性观察。

A critical look at the Portuguese public-private partnerships in healthcare.

机构信息

CEG-IST, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.

CERIS, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.

出版信息

Int J Health Plann Manage. 2021 Mar;36(2):302-315. doi: 10.1002/hpm.3084. Epub 2020 Oct 4.

DOI:10.1002/hpm.3084
PMID:33015900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8048432/
Abstract

The pre-conceived idea that contracts in a public-private partnership (PPP) regime, in healthcare or in any other economic sector, are, as a rule, ruinous and appealing for only a share of the stakeholders, lacks a solid basis that confirms it. This idea, outset and nurtured by the media, has been instigating the distrust of the users who, in turn, demand a more rigorous and efficient utilisation of public resources. Being Portugal in the top of countries that resort to PPPs, it is urgent to inquire if its respective contracts originated an inefficient and ineffective management of resources. It is precisely this discussion that we address in this paper, focusing our efforts in the Portuguese healthcare sector.

摘要

在公共-私营合作伙伴关系（PPP）制度下，无论是在医疗保健领域还是在其他经济领域，合同通常都是破坏性的，只对利益相关者中的一部分有吸引力，这种先入为主的观念缺乏确凿的依据来证实它。这种观念最初是由媒体提出和培育的，它煽动了用户的不信任，而用户反过来又要求更严格、更有效地利用公共资源。葡萄牙是大量采用 PPP 的国家之一，因此迫切需要询问其各自的合同是否导致了资源管理的低效和无效。本文正是针对这一讨论展开的，重点关注葡萄牙医疗保健部门。