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dc.contributor.authorMudyarabikwa, Oliveren
dc.contributor.authorTobi, Patricken
dc.contributor.authorRegmi, Krishnaen
dc.date.accessioned2017-05-09T10:10:27Z
dc.date.available2017-05-09T10:10:27Z
dc.date.issued2017-05-02
dc.identifier.citationMudyarabikwa O, Tobi P, Regmi K (2017) 'Public–private partnerships to improve primary healthcare surgeries: clarifying assumptions about the role of private provider activities', Primary Health Care Research and Development 18(4):366-375en
dc.identifier.issn1463-4236
dc.identifier.pmid28462767
dc.identifier.doi10.1017/S1463423617000147
dc.identifier.urihttp://hdl.handle.net/10547/622092
dc.description.abstractTo examine assumptions about public–private partnership (PPP) activities and their role in improving public procurement of primary healthcare surgeries. PPPs were developed to improve the quality of care and patient satisfaction. However, evidence of their effectiveness in delivering health benefits is limited. A qualitative study design was employed. A total of 25 interviews with public sector staff (n=23) and private sector managers (n=2) were conducted to understand their interpretations of assumptions in the activities of private investors and service contractors participating in Local Improvement Finance Trust (LIFT) partnerships. Realist evaluation principles were applied in the data analysis to interpret the findings. Six thematic areas of assumed health benefits were identified: (i) quality improvement; (ii) improved risk management; (iii) reduced procurement costs; (iv) increased efficiency; (v) community involvement; and (vi) sustainable investment. Primary Care Trusts that chose to procure their surgeries through LIFT were expected to support its implementation by providing an environment conducive for the private participants to achieve these benefits. Private participant activities were found to be based on a range of explicit and tacit assumptions perceived helpful in achieving government objectives for LIFT. The success of PPPs depended upon private participants’ (i) capacity to assess how PPP assumptions added value to their activities, (ii) effectiveness in interpreting assumptions in their expected activities, and (iii) preparedness to align their business principles to government objectives for PPPs. They risked missing some of the expected benefits because of some factors constraining realization of the assumptions. The ways in which private participants preferred to carry out their activities also influenced the extent to which expected benefits were achieved. Giving more discretion to public than private participants over critical decisions may help in ensuring that assumptions in PPP activities result in outcomes that match the anticipated health benefits.
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.urlhttps://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/publicprivate-partnerships-to-improve-primary-healthcare-surgeries-clarifying-assumptions-about-the-role-of-private-provider-activities/07D52264A05589C94866C667F3FA3058en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.subjectprimary care surgeriesen
dc.subjectpublic–private partnershipsen
dc.subjectL431 Health Policyen
dc.titlePublic–private partnerships to improve primary healthcare surgeries: clarifying assumptions about the role of private provider activitiesen
dc.typeArticleen
dc.identifier.journalPrimary Health Care Research and Developmenten
dc.date.updated2017-05-09T10:08:26Z
dc.description.noteresearcher unable to supply postprint
html.description.abstractTo examine assumptions about public–private partnership (PPP) activities and their role in improving public procurement of primary healthcare surgeries. PPPs were developed to improve the quality of care and patient satisfaction. However, evidence of their effectiveness in delivering health benefits is limited. A qualitative study design was employed. A total of 25 interviews with public sector staff (n=23) and private sector managers (n=2) were conducted to understand their interpretations of assumptions in the activities of private investors and service contractors participating in Local Improvement Finance Trust (LIFT) partnerships. Realist evaluation principles were applied in the data analysis to interpret the findings. Six thematic areas of assumed health benefits were identified: (i) quality improvement; (ii) improved risk management; (iii) reduced procurement costs; (iv) increased efficiency; (v) community involvement; and (vi) sustainable investment. Primary Care Trusts that chose to procure their surgeries through LIFT were expected to support its implementation by providing an environment conducive for the private participants to achieve these benefits. Private participant activities were found to be based on a range of explicit and tacit assumptions perceived helpful in achieving government objectives for LIFT. The success of PPPs depended upon private participants’ (i) capacity to assess how PPP assumptions added value to their activities, (ii) effectiveness in interpreting assumptions in their expected activities, and (iii) preparedness to align their business principles to government objectives for PPPs. They risked missing some of the expected benefits because of some factors constraining realization of the assumptions. The ways in which private participants preferred to carry out their activities also influenced the extent to which expected benefits were achieved. Giving more discretion to public than private participants over critical decisions may help in ensuring that assumptions in PPP activities result in outcomes that match the anticipated health benefits.


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