Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil
Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PP...
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okr-10986-51022021-04-23T14:02:21Z Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil La Forgia, G. M. Harding, A. Benchmarking Brazil Capital Financing Hospital Economics Health Care Reform Public Hospitals Public-Private Sector Partnerships Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sao Paulo, Brazil. The PPP model gave facility managers latitude to manage human resources--a factor critical to success. Given the prevalence of direct management of public hospitals in developing countries, the Sao Paulo experience has implications for policymakers seeking to improve hospital performance. 2012-03-30T07:31:17Z 2012-03-30T07:31:17Z 2009 Journal Article Health Aff (Millwood) 1544-5208 (Electronic) 0278-2715 (Linking) http://hdl.handle.net/10986/5102 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Brazil |
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Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
collection |
World Bank |
language |
EN |
topic |
Benchmarking Brazil Capital Financing Hospital Economics Health Care Reform Public Hospitals Public-Private Sector Partnerships |
spellingShingle |
Benchmarking Brazil Capital Financing Hospital Economics Health Care Reform Public Hospitals Public-Private Sector Partnerships La Forgia, G. M. Harding, A. Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
geographic_facet |
Brazil |
relation |
http://creativecommons.org/licenses/by-nc-nd/3.0/igo |
description |
Public hospitals that are directly managed by government perform poorly in many developing countries. Approaches to improving them through internal managerial reforms have failed, and effective alternatives are much needed. Policymakers are considering reforms through public-private partnerships (PPPs)--a promising but so far unevaluated approach. We present results of a successful reform in Sao Paulo, Brazil. The PPP model gave facility managers latitude to manage human resources--a factor critical to success. Given the prevalence of direct management of public hospitals in developing countries, the Sao Paulo experience has implications for policymakers seeking to improve hospital performance. |
format |
Journal Article |
author |
La Forgia, G. M. Harding, A. |
author_facet |
La Forgia, G. M. Harding, A. |
author_sort |
La Forgia, G. M. |
title |
Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
title_short |
Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
title_full |
Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
title_fullStr |
Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
title_full_unstemmed |
Public-Private Partnerships and Public Hospital Performance in Sao Paulo, Brazil |
title_sort |
public-private partnerships and public hospital performance in sao paulo, brazil |
publishDate |
2012 |
url |
http://hdl.handle.net/10986/5102 |
_version_ |
1764393954561753088 |