Public private partnerships as an alternative service delivery option : a multiple case study of the healthcare sector

[摘要] This study examines the key success factors in the Public Private Partnerships(PPP) field in the Healthcare Sector in South Africa. It gives health departmentsinsight into the factors which should be considered when using PPP procurementand when looking at possible PPP opportunities.The development of PPP's around the world has urged governments to look atalternative service delivery methods because of increased pressures on governmentbudgets. Public Private Partnerships presents governments with a means ofgenerating private funds for health service delivery whilst government manages therelationship via a negotiated PPP agreement to monitor the quality of servicesrendered.Different PPP models are applied all over the world depending on the specific needsof countries. Different factors impact on the success of these partnerships and it isessential that government share knowledge and best practices. The study showedthat in order for PPP's to be successful the public institution must do its homeworkthoroughly and that the legal framework should be conducive for private sectorinvolvement in service delivery.The study showed that the government of a country plays a pivotal role in the PPPprocess by giving the necessary political support to ensure the trust of foreigninvestors. The legislative framework is a critical factor in the advancement of PPPprocurement and the allocation of risk as an important consideration when pursuingthis type of procurement.The study examined three concluded PPP Health Sector agreements in South Africaand looked at lessons learnt, mistakes which were made and what should beavoided in the future. The three PPP's in South Africa in this study were the firstthough there are other health sector PPP agreements concluded. The other PPP'sare still in the commencement stage and it is too early to make an assessment at this stage. However, the three case studies conducted give departments a clearpicture of the process, the lessons learnt and the impediments in the PPP process.The uniqueness of the South African Health sector also prompted the Government tolook at a model which will be best suited to the local market. Best practices fromother countries provide useful information and lessons learnt from other countriesare also important in a developing PPP environment.

[发布机构] Stellenbosch University