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A Public-Private Partnership Improves Clinical Performance In A Hospital Network In Lesotho. | LitMetric

A Public-Private Partnership Improves Clinical Performance In A Hospital Network In Lesotho.

Health Aff (Millwood)

Taryn Vian is an associate professor of global health at the Center for Global Health and Development, Boston University.

Published: June 2015

AI Article Synopsis

Article Abstract

Health care public-private partnerships (PPPs) between a government and the private sector are based on a business model that aims to leverage private-sector expertise to improve clinical performance in hospitals and other health facilities. Although the financial implications of such partnerships have been analyzed, few studies have examined the partnerships' impact on clinical performance outcomes. Using quantitative measures that reflected capacity, utilization, clinical quality, and patient outcomes, we compared a government-managed hospital network in Lesotho, Africa, and the new PPP-managed hospital network that replaced it. In addition, we used key informant interviews to help explain differences in performance. We found that the PPP-managed network delivered more and higher-quality services and achieved significant gains in clinical outcomes, compared to the government-managed network. We conclude that health care public-private partnerships may improve hospital performance in developing countries and that changes in management and leadership practices might account for differences in clinical outcomes.

Download full-text PDF

Source
http://dx.doi.org/10.1377/hlthaff.2014.0945DOI Listing

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