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1.
Geneva; World Health Organization; 2020-01-29.
em Inglês | WHO IRIS | ID: who-330774
3.
Artigo em Russo | MEDLINE | ID: mdl-31884748

RESUMO

The article considers the types of public-private partnership in the medical services market. Nowadays, health care is recognized all over the world as one of the most investment attractive platform for development of public-private partnership. The investments of private capital into medical services sector represent global trend conditioned by implementation of innovative treatment methods, technique support of medical clinics, improvement of quality of medical services, formation of new institutional structure in health care. The alterations like that make it necessary to attract financial resources, including at the expense of private investments entry. Thus, in modern economic conditions, issues of considering possibilities of public-private partnership projects in medical services market are actual in Russia.


Assuntos
Assistência à Saúde , Parcerias Público-Privadas , Federação Russa
4.
Wiad Lek ; 72(11 cz 1): 2155-2160, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31860864

RESUMO

This paper summarizes the scientific discussion on the issue of public-private partnership in healthcare sector. The main purpose of research is to analyze the public-private partnership as the progressive form of innovative and investment mechanism in Ukrainian healthcare sector, taking into the consideration international experience in this sphere. The key methods used in the conducted research are data analysis, summarization and comparison. The data synthesis and analysis are the basic value-added elements of this research, which could help to find out the main prospective of PPP-model use in Ukrainian healthcare sector. The object of research is the group of countries such as USA, UK, Canada, and BRIC countries, because namely they are the most progressive in public-private partnership in health care. Practical importance of the scientific research results lies in defining the general principles of public-private partnerships and a set of criterion for its efficiency estimation. Also, the worldwide experience was analyzed in this research and main challenges for its implementation in Ukrainian healthcare practice were considered. It is important for the further development of the healthcare sphere, and improvement of the healthcare facilities' activity in Ukraine. Further research directions are aimed at study of the specific issue of public-private partnership, such as circumstances for creating alliances between private and public actors from a strategy perspective, explore the impact of incentive mechanisms and risk management procedures on health service performance throughout the extended project life-cycle, and to create conducive environments to foster inter-project learning.


Assuntos
Assistência à Saúde , Parcerias Público-Privadas , Estudos Prospectivos , Gestão de Riscos , Ucrânia
5.
Global Health ; 15(Suppl 1): 75, 2019 11 28.
Artigo em Inglês | MEDLINE | ID: mdl-31775851

RESUMO

Sri Lanka reports impressive health indicators compared to its peers in the South Asian region. Maternal and infant mortality are relatively low, and several intractable communicable diseases have been eliminated. The publicly financed and delivered "free" healthcare system has been critical to these health achievements. Placing the country's healthcare system in historical context, this commentary analyses the contradictions and political tensions surrounding Sri Lanka's 2018 Universal Health Coverage (UHC) policy, with attention to the Ministry of Health's plans for public-private partnerships (PPP). As economic exigencies and private interests increasingly erode the 1951 "Free Health" policy, this commentary calls for a re-envisioning of UHC that can meet people's aspirations for health and social justice.


Assuntos
Política de Saúde , Parcerias Público-Privadas , Cobertura Universal do Seguro de Saúde/organização & administração , Assistência à Saúde/economia , Previsões , Humanos , Sri Lanka
6.
Curr Top Microbiol Immunol ; 424: 121-128, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31667598

RESUMO

By definition, Global Catastrophic Biological Risks (GCBRs) are "beyond the collective capability of national and international governments and the private sector to control". Implicit in this definition is that no single country, sector, or entity can effectively mitigate risk and impact of GCBRs and that doing so requires public-private cooperation. This short commentary offers five trends suggesting that conditions for cooperation are favorable, along with three gaps to be addressed, and five high-level recommendations to strengthen public-private cooperation to mitigate risk and impact of GCBRs.


Assuntos
Desastres/prevenção & controle , Surtos de Doenças/prevenção & controle , Surtos de Doenças/estatística & dados numéricos , Parcerias Público-Privadas , Gestão de Riscos , Desastres/estatística & dados numéricos , Humanos , Setor Privado
7.
BMC Public Health ; 19(1): 1438, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31675935

RESUMO

BACKGROUND: Although public-private partnerships have become common in the health sector, the evidence supporting their effectiveness is limited, and when the products or services provided by the private partner are harmful to health inherent conflicts of interest may be difficult to overcome. The objective of this study is to appraise the evidence describing process or effectiveness of public-private partnerships (PPPs) that aim to promote population health, and analyse how characteristics such as independence or competing interests influence the results of their evaluation. METHODS: We carried out a systematic search of Medline and Web of Science to identify scientific reports evaluating the process or effectiveness of PPPs that aim to promote population health. Two reviewers applied inclusion criteria, extracted and evaluated study quality. We classified PPPs according to the health problem tackled, the independence of the evaluation, and the potential for competition between business interests of the private partner and health promotion activity undertaken. We classified the conclusions of the evaluation as positive (supportive/tentatively supportive) or negative (semi-critical/critical). RESULTS: We identified 36 studies evaluating 25 PPPs. Evaluations that were favourable to the use of PPPs in health promotion were more frequently classed as "not independent" and of poor quality. On the other hand, negative evaluations were more common when the PPP involved a private partner with a high potential for competition between the health promotion activity undertaken and their financial interests. PPPs that sought to prevent non-communicable diseases were more frequently negatively evaluated compared to PPPs tackling infectious disease or other types of health problem. Almost all of the evaluations evaluated process, with only 2 papers reporting quantitative health related outcomes. CONCLUSIONS: There is still a lack of sound evidence supporting the effectiveness of public-private partnerships in health promotion, and the evidence base is skewed by non-independent evaluations. Public health actors should abstain from engaging in agreements with industries whose business interests have a high potential for competition with the health promotion activity undertaken.


Assuntos
Promoção da Saúde/métodos , Saúde da População , Parcerias Público-Privadas , Humanos , Avaliação de Programas e Projetos de Saúde
8.
BMC Health Serv Res ; 19(1): 693, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31615529

RESUMO

BACKGROUND: Hypertension, itself a cardiovascular condition, is a significant risk factor for other cardiovascular diseases. Hypertension is recognized as a major public health challenge in Ghana. Beginning in 2014, a collaborative team launched the community-based hypertension improvement program (ComHIP) in one health district in Ghana. The ComHIP project, a public-private partnership, tests a community-based model that engages the private sector and utilizes information and communication technology (ICT) to control hypertension. This paper, focuses on the various challenges associated with managing hypertension in Ghana, as reported by ComHIP stakeholders. METHODS: A total of 55 informants - comprising patients, health care professionals, licensed chemical sellers (LCS), national and sub-national policymakers - were purposively selected for interview and focus group discussions (FGDs). Interviews were audio-recorded and transcribed verbatim. Where applicable, transcriptions were translated directly from local language to English. The data were then analysed using two-step thematic analysis. The protocol was approved by the two ethics review committees based in Ghana and the third, based in the United Kingdom. All participants were interviewed after giving informed consent. RESULTS: Our data have implications for the on-going implementation of ComHIP, especially the importance of policy maker buy-in, and the benefits, as well as drawbacks, of the program to different stakeholders. While our data show that the ComHIP initiative is acceptable to patients and healthcare providers - increasing providers' knowledge on hypertension and patients' awareness of same- there were implementation challenges identified by both patients and providers. Policy level challenges relate to task-sharing bottlenecks, which precluded nurses from prescribing or dispensing antihypertensives, and LCS from stocking same. Medication adherence and the phenomenon of medical pluralism in Ghana were identified challenges. The perspectives from the national level stakeholders enable elucidation of whole of health system challenges to ComHIP and similarly designed programmes. CONCLUSIONS: This paper sheds important light on the patient/individual, and system level challenges to hypertension and related non-communicable disease prevention and treatment in Ghana. The data show that although the ComHIP initiative is acceptable to patients and healthcare providers, policy level task-sharing bottlenecks preclude optimal implementation of ComHIP.


Assuntos
Hipertensão/prevenção & controle , Doenças não Transmissíveis/prevenção & controle , Pessoal Administrativo , Adulto , Conscientização , Serviços de Saúde Comunitária/organização & administração , Feminino , Grupos Focais , Gana , Programas Governamentais , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Política de Saúde , Hospitais , Humanos , Masculino , Assistência Médica , Setor Privado , Saúde Pública , Setor Público , Parcerias Público-Privadas , Pesquisa Qualitativa , Fatores de Risco
9.
Semin Vasc Surg ; 32(1-2): 30-32, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540654

RESUMO

Vascular surgery is a specialty discipline highlighted by a lifelong learning process from which new endovascular devices and techniques will continue to emerge. Industry partnerships can provide a safe learning environment for trainees, with a focus on maximizing learning opportunities during fellowship or residency. Unlike other surgical specialties, vascular surgery empowers its trainees to become competent in both open and image-guided endovascular interventions, requiring two unique skill sets to become a contemporary vascular surgeon. Due to the rapid growth of technology and innovations, industry partnerships enhance and maximize the learning experience of the trainee by often providing the products, education, research support, and financial assistance. This can come in the form of innovative and educational activities, including simulation, exposure to thought leaders, attendance at conferences and workshops, and one-on-one assistance with cases. In this article, we review the role that industry can serve in vascular education to support budding vascular surgeons through exposure and repetition as they lay down the fundamentals of their careers.


Assuntos
Educação de Pós-Graduação em Medicina/métodos , Setor de Assistência à Saúde , Relações Interinstitucionais , Parcerias Público-Privadas , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Comportamento Cooperativo , Currículo , Educação de Pós-Graduação em Medicina/economia , Setor de Assistência à Saúde/economia , Humanos , Parcerias Público-Privadas/economia , Apoio à Pesquisa como Assunto , Cirurgiões/economia , Procedimentos Cirúrgicos Vasculares/economia
10.
N C Med J ; 80(5): 288-291, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31471511

RESUMO

This commentary shares perspective on critical factors that should be addressed to optimize provider experience during Medicaid transformation to sustain healthy provider participation and viability of public-private collaborations. The authors are from Carolina Complete Health (CCH) and Carolina Complete Health Network (CCHN). CCH is a joint venture of Centene and the doctors (PAs and NPs) of North Carolina.


Assuntos
Pessoal de Saúde/psicologia , Medicaid/organização & administração , Humanos , North Carolina , Parcerias Público-Privadas , Estados Unidos
11.
S Afr Med J ; 109(8): 577-581, 2019 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-31456551

RESUMO

BACKGROUND: Chronic kidney disease (CKD) is increasingly recognised as an important cause of morbidity and mortality in South Africa (SA). Although the cost of dialysis is well documented in developed countries, little is known about this cost in sub-Saharan Africa. OBJECTIVES: To review the costs of providing peritoneal dialysis (PD) and haemodialysis (HD) at the Pietersburg renal dialysis public-private partnership (PPP) unit in Limpopo Province, SA. METHODS: A retrospective review of the cost of inputs required for HD and PD was conducted from a provider's perspective, covering the period 2007 - 2012. A top-down approach was used to estimate the average annual cost per patient on HD and PD. RESULTS: During the 6-year period under review, the number of patients on dialysis increased from 77 in 2007 to 182 in 2012. More than 60% of the patients were on HD. The average annual cost per patient was estimated to be ZAR212 286 (USD25 888) and ZAR255 076 (USD31 106) for HD and PD, respectively, in 2012. Personnel cost, PD supplies, HD supplies, the outsourcing fee and pharmaceutical supplies were the main cost drivers. PD proved to be more expensive than HD, despite the use of locally manufactured fluids. CONCLUSIONS: The study highlights the exceptionally high cost of dialysis treatment. Dialysis should be made more accessible by implementing measures to address the main cost drivers. Moreover, a comprehensive approach that includes prevention of CKD at primary healthcare level, an organ donation programme and an effective kidney transplant programme is urgently required in Limpopo. Further research is required to evaluate the cost-effectiveness of the PPP approach.


Assuntos
Diálise Peritoneal/economia , Diálise Peritoneal/estatística & dados numéricos , Diálise Renal/economia , Diálise Renal/estatística & dados numéricos , Humanos , Falência Renal Crônica/epidemiologia , Falência Renal Crônica/terapia , Parcerias Público-Privadas , Estudos Retrospectivos , África do Sul/epidemiologia , Centros de Atenção Terciária
12.
Waste Manag ; 99: 12-21, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31454595

RESUMO

Amidst the global trend of advocating a circular economy, various nations and regions in recent years have started to explore innovative procurement models (e.g., Public Private Partnership [PPP]) in dealing with beset issues related to construction and demolition (C&D) waste. However, PPP is suffering from problems such as 'long negotiation time', 'lack of transparency', and 'uneven risk and return allocation', which in turn lead to 'ineffective delivery' and 'poor value for money'. Using a case study, this paper reports some lessons learnt from innovative practices of procuring C&D management services in Suzhou, China. It is discovered that the public and private sectors, without prior knowledge, are operating based on a general concession framework instead of negotiating a clear-cut agreement from the outset. Several key arrangements, such as price, concession period, and strategic operations, are based on relational contract-type of agreements, which are found particularly innovative for shortening the negotiation time, fostering the trust between the relevant parties, dealing with emerging ad hoc problems, and allowing sustainable development of the circular economy. To make such PPP work, it is critical to devise institutions to prevent corruption and opportunistic behaviors. This research provides useful references to developing a circular economy. Although they focus on C&D waste management, the research findings can be applied to other public procurement settings, such as municipal solid waste management service.


Assuntos
Resíduos Sólidos , Gerenciamento de Resíduos , China , Setor Privado , Parcerias Público-Privadas
13.
BMC Health Serv Res ; 19(1): 599, 2019 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-31445513

RESUMO

BACKGROUND: In Madhya Pradesh, India, the government invited private obstetric hospitals for partnership to provide intrapartum care to poor women, paid for by the state. This statewide program, the Janani Sahayogi Yojana (JShY or maternal support scheme), ran from 2006 to 2012. The partnership was an uneasy one with many private obstetricians choosing to leave the partnership. This paper explores the motives of private obstetricians in the state for participating in the JShY, their experiences within the partnership, their interactions with the state and motives for withdrawal among those who withdrew from the scheme. This study sheds light on the dynamics of a public-private partnership for obstetric care from the perspective of private sector obstetricians. METHOD: Fifteen in-depth interviews were conducted with private obstetricians and hospital administrators from eight districts of Madhya Pradesh who had participated in the JShY. A Framework approach was used to analyze the data. RESULTS: Private obstetricians reported entering the JShY partnership for altruistic reasons but also as way of expanding their practices and reputations. They perceived that although their facilities provided better quality of care than state facilities, participation was risky because beneficiaries were often unbooked and seen as 'high risk' cases. The need to arrange for blood transfusions for these high risk women was perceived as particularly difficult. Cumbersome paper work and delays in receiving payments from the state also dissuaded participation. Some participants felt that there was inadequate engagement by the state, and better monitoring and supervision would have helped. The state changed the financial reimbursement arrangements due to a high proportion of Cesarean births in the early years of the partnership, as these were perversely incentivized. This change resulted in a large exodus of private obstetricians from the partnership. CONCLUSION: This study highlights the contribution of cumbersome processes, trust deficits and a lack of dialogue between public and private partners. Input from both public and private sectors into the design of a carefully thought through financial reimbursement package for private partners was highlighted as a necessary component for future success of such schemes.


Assuntos
Atitude do Pessoal de Saúde , Parto Obstétrico , Acesso aos Serviços de Saúde , Motivação , Médicos/psicologia , Parcerias Público-Privadas , Adulto , Parto Obstétrico/economia , Feminino , Acesso aos Serviços de Saúde/economia , Humanos , Índia , Entrevistas como Assunto , Gravidez , Pesquisa Qualitativa
14.
J Dairy Sci ; 102(10): 9518-9524, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31351733

RESUMO

Dairy foods provide a significant portion of the recommended daily nutrition for much of the US population. Improving the availability of safe and nutritious dairy products and decreasing the environmental impact of the dairy community continue to be high priorities for both industry and the public sector. In recognition of these shared priorities, scientists and other specialists from the USDA, National Dairy Council, industry, academia, and nongovernmental organizations participated in the "Elevating Dairy Research and Extension Through Partnership" meeting on June 19, 2018. The purpose of the meeting was to strengthen partnerships and identify dairy-related research and extension needs in human nutrition, environmental sustainability, food safety, and product innovation that would benefit from enhanced coordination and collaboration across the dairy community, academia, and government. To catalyze further progress on these topics, the meeting organizers agreed to leverage the content and expertise that emerged from the meeting to develop a dairy research and extension coordination roadmap. The roadmap will establish and articulate a vision for coordinated collaboration between USDA researchers, the National Dairy Council, university researchers, extension specialists, and other dairy community stakeholders in the private and public sectors. This article represents the proceedings of the meeting and is intended to broadly communicate the dairy research and extension discussion and next steps to the dairy research and extension communities and other stakeholders in industry, academic, and government sectors.


Assuntos
Laticínios/normas , Indústria de Laticínios/organização & administração , Parcerias Público-Privadas , Humanos , Pesquisa , Estados Unidos , United States Department of Agriculture
15.
J Prof Nurs ; 35(4): 305-313, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31345511

RESUMO

BACKGROUND: The academic-practice partnership began in 2005 with a collaborative Pre-licensure Bachelor of Science in Nursing (BSN) program. Since that time the partnership has broadened to include faculty development, evidence-based practice, interprofessional education, and research initiatives. PURPOSE: The purpose is to share the outcomes of this academic-practice partnership and to provide a model for other institutions. METHODS: This successful partnership is grounded in the American Association of Colleges of Nursing and the American Organization of Nurse Executives' eight guiding principles for academic-practice partnerships. The cornerstones to the partnership are communication, collaboration, and mutual respect. RESULTS: The initial outcomes of this collaboration increased enrollment, thereby increasing the number of BSN prepared registered nurses; created opportunities for clinical nurses to teach; increased the number of nursing faculty; and capitalized on the strengths of each partner. CONCLUSION: The most exciting aspect of this partnership is the shared commitment to decrease the gap between nursing education and practice; thus, improving the quality of nursing education, advancing the practice of nursing and healthcare delivery, and enhancing the health of our community. Consistent with the AACN-AONE recommendations, this academic-practice partnership prepares nurses of the future to be evidence-based practitioners and creates opportunities for nurses to achieve educational and career advancements.


Assuntos
Instituições de Assistência Ambulatorial , Comportamento Cooperativo , Parcerias Público-Privadas/organização & administração , Universidades , Arizona , Bacharelado em Enfermagem , Prática Clínica Baseada em Evidências , Humanos , Modelos Educacionais , Pesquisa em Enfermagem , Desenvolvimento de Pessoal , Estudantes de Enfermagem
16.
Value Health ; 22(7): 754-761, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31277820

RESUMO

The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) is a key venue for members from private industry, government, and academia to collaborate and share advances in regulatory, clinical, and reimbursement science for drugs, devices, and diagnostics. In parallel, the US Food and Drug Administration (FDA) "is responsible for advancing the public health by helping to speed innovations that make medical products more effective, safer, and more affordable." In 2012, the Medical Device Innovation Consortium (MDIC) was formed as a public-private partnership bringing together government, industry, and nonprofit organizations to advance approaches that promote patient access to safe, innovative medical technologies. With a focus on regulatory science, the MDIC has been assessing how to apply real-world evidence (RWE) regulatory science to medical devices. A key goal of this project is to review the history of RWE regulatory science, define terms, and explain why and how RWE is being considered across the total product life cycle, including regulatory assessment. Unique considerations of real-world data for in vitro diagnostics are also taken into account. We envision that these activities will help ensure a high level of rigor and integrity of RWE necessary for regulatory use cases and demonstrate where RWE can be successfully used for regulatory decision making. The ISPOR, FDA, and MDIC are providing the needed leadership in ensuring that diverse stakeholders share a meaningful voice in determining RWE use and, by so doing, are improving the quality and efficiency of care, enhancing health outcomes, and addressing broader societal concerns of reducing health disparities and costs.


Assuntos
Aprovação de Equipamentos/legislação & jurisprudência , Equipamentos e Provisões , Medicina Baseada em Evidências/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Formulação de Políticas , United States Food and Drug Administration/legislação & jurisprudência , Segurança de Equipamentos , Equipamentos e Provisões/efeitos adversos , Regulamentação Governamental , Humanos , Comunicação Interdisciplinar , Cooperação Internacional/legislação & jurisprudência , Vigilância de Produtos Comercializados , Parcerias Público-Privadas/legislação & jurisprudência , Medição de Risco , Terminologia como Assunto , Estados Unidos
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