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The Private Finance Initiative, Project Form And Design Innovation The Uk's Hospitals Programme

机译：英国私人医院计划，项目形式和设计创新

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摘要

This paper discusses the role of public demand, in the form of a government procurement policy, in generating innovative solutions for healthcare infrastructure. It considers the effects of the project delivery system (planning, finance, construction and operation) for new hospitals on design innovation. It focuses on hospitals built under the UK's private finance initiative (PF1), which was partly introduced to inject increased innovation into hospital delivery. We use case studies of six early PF1 hospitals to argue that the introduction of PFI has increased the complexity at the interface between project delivery and hospital operational functions. The result is a project delivery model which yields less innovative outcomes and produces facilities that might not be able to cope with future changes in demand. The paper suggests that new public procurement models do not automatically provide efficiency and innovation benefits.
机译：本文以政府采购政策的形式讨论了公共需求在为医疗保健基础设施提供创新解决方案方面的作用。它考虑了新医院项目交付系统（计划，财务，建设和运营）对设计创新的影响。它侧重于根据英国的私人融资计划（PF1）建造的医院，该计划的一部分是为了向医院交付中注入更多创新而引入的。我们使用六家早期PF1医院的案例研究来论证，PFI的引入增加了项目交付与医院运营功能之间接口的复杂性。结果是一个项目交付模型，该模型产生的创新成果较少，并且所生产的设施可能无法应对未来的需求变化。本文建议，新的公共采购模型不会自动提供效率和创新收益。

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