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Feasibility of implementing public–private partnership (PPP) in the development of hospital services and optimizing resource allocation in Iran

机译:在医院服务发展中实施公私伙伴关系(PPP)的可行性,并在伊朗优化资源分配

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In recent decades, many countries have utilized public–private partnership (PPP) as a development initiative to reform their healthcare sectors. The present study examines the feasibility of implementing public–private partnerships for development of hospital services in Shiraz, Iran. This was a descriptive study of questionnaires carried out on one of Iran’s major southern cities (Shiraz) in 2016. Research population comprised of the hospitals affiliated to the Shiraz University of Medical Sciences (SUMS), private hospitals, charities, and healthcare investors. A total of 56 participants were chosen by convenience sampling. Data were collected using a researcher-made questionnaire. The questions` range were defined from 1 to 5. Data analysis was performed in SPSS21 using the Mann–Whitney test, T test, and Chi square test at 0.05 significance level. The participants from the public sector had a significantly higher level of acquaintance with the concept of PPP and significantly more inclination to participate in such projects (P??0.05). The mean values of the determinants of successful implementation of PPPs for hospital services were presented from the public and private participants` viewpoints as follows: public sector rated the capacity-creating (2.60?±?0.39) and the social-cultural (2.58?±?0.40) component as having a better condition than other determinants however, the private sector rated the financial-capital (2.64?±?0.46) as the best. Analysis of the mean scores of determinants of implementation of PPP from the viewpoint of public and private sectors showed a significant difference in their views in terms of financial-capital and social-cultural dimensions (P??0.05). According to the participants, the requirements for implementation of public–private partnerships for hospital services are not properly met. For any progress to be made in this regard, Iranian authorities and policymakers should devise a new platform for attracting private participation and improving hospitals’ readiness to engage in PPP projects.
机译:近几十年来,许多国家利用公私伙伴关系(PPP)作为改革医疗行业的发展倡议。本研究探讨了实施公私伙伴关系的公私伙伴关系,为伊朗的西拉出版社提供医院服务。这是对2016年伊朗主要南方城市(Shiraz)开展的问卷调查的描述性研究。研究人口由附属的医科医学院(Sums),私立医院,慈善机构和医疗保健投资者提供的医院。通过方便抽样,共选择56名参与者。使用研究员制作的问卷收集数据。这些问题范围是从1到5中定义的。数据分析在SPSS21中使用Mann-Whitney试验,T测试和0.05的显着性水平进行。来自公共部门的参与者与PPP的概念具有明显更高的熟人,并更加倾向于参与此类项目(P?<?0.05)。从公共和私人参与者的观点出示了医院服务PPP成功实施的规定值的平均值,如下:公共部门评估了能力创造(2.60?±0.39)和社会文化(2.58?± ?0.40)组分具有比其他决定因素更好的条件,然而,私营部门评定了金融资本(2.64?±0.46)的最佳。从公共和私营部门的角度分析PPP的实施决定因素的分数表现出在金融资本和社会文化方面的看法有显着差异(P?<?0.05)。根据参与者,没有妥善满足对医院服务公私合作伙伴关系的要求。对于在这方面进行的任何进展,伊朗当局和政策制定者应制定一个新的平台,以吸引私人参与,并改善医院的准备就绪以参与PPP项目。

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