Europe sees mixed results from public-private partnerships for building and managing health care facilities and services

J. Barlow, J. Roehrich, S. Wright

Research output: Contribution to journalArticle

  • 38 Citations

Abstract

Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such publicprivate partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.
LanguageGerman
Pages146-154
Number of pages9
JournalHealth Affairs
Volume32
Issue number1
DOIs
StatusPublished - 2013

Cite this

Europe sees mixed results from public-private partnerships for building and managing health care facilities and services. / Barlow, J.; Roehrich, J.; Wright, S.

In: Health Affairs, Vol. 32, No. 1, 2013, p. 146-154.

Research output: Contribution to journalArticle

@article{99122a7079554ebea16cbd366bbaf888,
title = "Europe sees mixed results from public-private partnerships for building and managing health care facilities and services",
abstract = "Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such publicprivate partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an {"}accommodation-only{"} model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.",
author = "J. Barlow and J. Roehrich and S. Wright",
year = "2013",
doi = "10.1377/hlthaff.2011.1223",
language = "German",
volume = "32",
pages = "146--154",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "1",

}

TY - JOUR

T1 - Europe sees mixed results from public-private partnerships for building and managing health care facilities and services

AU - Barlow,J.

AU - Roehrich,J.

AU - Wright,S.

PY - 2013

Y1 - 2013

N2 - Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such publicprivate partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

AB - Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such publicprivate partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships-for example, in which a private firm builds a hospital and carries out building maintenance, which we term an "accommodation-only" model-arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

UR - http://www.scopus.com/inward/record.url?scp=84872076843&partnerID=8YFLogxK

UR - http://dx.doi.org/10.1377/hlthaff.2011.1223

U2 - 10.1377/hlthaff.2011.1223

DO - 10.1377/hlthaff.2011.1223

M3 - Article

VL - 32

SP - 146

EP - 154

JO - Health Affairs

T2 - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 1

ER -