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      Can public-private partnership (PPP) improve hospitals’ performance indicators?

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          Abstract

          Background: This study was conducted to compare the main performance indicators of Hasheminejad hospital before and after implementing PPP model.

          Methods: This cross sectional study was conducted in Iran in 2015. Performance indicators of Hasheminejad hospital, the only Iranian unit that implemented PPP model, were applied. Data were collected based on a researcher-designed checklist after ensuring its validity and reliability. Data were analyzed applying SPSS21, and the Shapiro-Wilk test was used to examine the relevant data normalization. After confirming the normality of the data, descriptive statistics and paired t test were used to analyze the data at a significant level of 0.05.

          Results: Dramatic variations were observed in the status of the studied indicators after the implementation of PPP in Hasheminejad hospital, and the changes were statistically significant in all these indicators (p<0.05).

          Conclusion: It seems that implementing PPP in Hasheminejad hospital can be considered as a successful experience in Iran’s health sector. The significant improvement in this hospital’s performance indicators can emphasize the effective role of PPP in administration of this hospital. However, service quality and patient satisfaction should be considered as qualitative indicators, along with the present quantitative indicators because better judgment about the changes was achieved in this hospital after implementing PPP.

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          Public-private integrated partnerships demonstrate the potential to improve health care access, quality, and efficiency.

          Richard Feachem, A. Ní Shiothcháin, Neelam Sekhri Feachem (2011)
          Around the world, publicly owned and run health services face challenges. In poor countries in particular, health services are characterized by such problems as inadequate infrastructure and equipment, frequent shortages of medicines and supplies, and low quality of care. Increasingly, both developed- and developing-country governments are embracing public-private partnerships to harness private financing and expertise to achieve public policy goals. An innovative form of these partnerships is the public-private integrated partnership, which goes a step further than more common hospital building and maintenance arrangements, by combining infrastructure renewal with delivery of clinical services. We describe the benefits and risks inherent in such integrated partnerships and present three case studies that demonstrate innovative design. We conclude that these partnerships have the potential to improve access, quality, and efficiency in health care. More such partnerships should be launched and rigorously evaluated, and their lessons should be widely shared to guide policy makers in the effective use of this model.
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            A Public-Private Partnership Improves Clinical Performance In A Hospital Network In Lesotho

            Daniel N McIntosh, Gregory Grabowski, B Jack … (2015)
            Article 0 comments Cited 16 times – based on 0 reviews     Review now
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              Various Indicators for the Assessment of Hospitals' Performance Status: Differences and Similarities

              Farhad Lotfi, Rohollah Kalhor, Peivand Bastani … (2014)
              Background: Hospitals are the most costly operational and really important units of health system because they consume about 50%-89% of total health resources. Therefore efficient use of resources could help in saving and reallocating the financial and physical resources. Objectives: The aim of this study was to obtain an overview of hospitals' performance status by applying different techniques, to compare similarities and differences between these methods and suggest the most comprehensive and practical method of appraisal for managers and policy makers. Patients and Methods: This is a cross sectional study conducted in all hospitals of Ahvaz (eight hospitals affiliated with Jundishapur University of Medical Sciences and eight non-affiliated hospitals) during 2007 to 2011. Two kinds of data were collected through separate special checklists. Excel 2007 and Windeap 2.1 software were applied for data analysis. Results: The present findings show that the average of bed occupancy rate (BOR) in the studied hospitals was about 65.91 ± 1.16. The maximum number of inefficient hospitals in the present study happened in the years 2007, 2008 and 2010 (four hospitals) but there were two hospitals in the third part of the present graph which had maximum level of efficiency and optimal level of productivity in the years 2007 and 2009. Data Envelopment Analysis (DEA) showed that the mean score of technical efficiency for the studied hospitals is 0.924 ± 0.105 with the minimum of 0.585 ± 0.905 for hospital number 1. Furthermore It shows that only five hospitals (31.25%) reach complete technical efficiency (TE) scores across all five years of 2007-11 (TE = 1). Conclusions: Results of the present and similar studies should be considered for the future planning and resource allocation of Iranian public hospitals. At the same time it is very important to consider need assessment results for each region according to its potentials, population under the coverage and other geographical and cultural indices. Furthermore because of potential limitations of each of the above models it is highly recommended to apply different methods of performance evaluation to reach a complete and real status view of the hospitals for future planning.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Med J Islam Repub Iran
                Journal ID (iso-abbrev): Med J Islam Repub Iran
                Journal ID (publisher-id): MJIRI
                Journal ID (publisher-id): Med J Islam Repub Iran
                Title: Medical Journal of the Islamic Republic of Iran
                Publisher: Iran University of Medical Sciences
                ISSN (Print): 1016-1430
                ISSN (Electronic): 2251-6840
                Publication date Collection: 2019
                Publication date (Electronic): 11 February 2019
                Volume: 33
                Page: 4
                Affiliations
                1 Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
                2 School of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                3 Imam Khomeini Educational, Research and Treatment Center, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
                4 Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
                5 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ] Corresponding author: Dr Ahmad Sadeghi, sadeghi.a@ 123456esfrums.ac.ir
                Article
                DOI: 10.34171/mjiri.33.4
                PMC ID: 6504942
                SO-VID: 773e5404-aa8a-4d20-a72b-25e354359720
                Copyright © © 2019 Iran University of Medical Sciences
                License:

                *This work has been published under CC BY-NC-SA 1.0 license.

                History
                Date received : 31 July 2017
                Page count
                Figures: 2, Tables: 2, References: 20, Pages: 6
                Categories
                Subject: Original Article

                Keywords: public-private partnership,performance analysis,performance indicators,hospital,iran
                Data availability:
                Keywords: public-private partnership, performance analysis, performance indicators, hospital, iran

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