- Title
- A model for successful healthcare facilities delivery by means of public private partnerships
- Creator
- Smith, Christoffel
- Subject
- Healthcare
- Subject
- Public Private Partnership
- Subject
- Universal Health Coverage
- Date Issued
- 2019-12
- Date
- 2019-12
- Type
- Doctoral theses
- Type
- text
- Identifier
- http://hdl.handle.net/${Handle}
- Identifier
- vital:76958
- Description
- The global healthcare fraternity is facing growing challenges for providing and funding adequate healthcare services. Rising demand and associated costs are being fuelled by an aging population; the growing prevalence of chronic diseases and comorbidities; the development of costly clinical innovations; increasing patient awareness, knowledge, and expectations and the continued economic uncertainty despite regional pockets of recovery (Deloitte, 2017). The 2030 Agenda for Sustainable Development, proposes targets and goals for global monitoring of the Sustainable Development Goals (SDG) (WHO, 2016). One such SDG is to realise universal health coverage, meaning equal access to essential quality healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all. This requires governmental initiatives to not only extend the reach of healthcare services by covering more of the population, but to also extend the number of healthcare services being made available while at the same time reducing the level of cost sharing (with patients) which is regarded as a major factor that is preventing access to health services. Each country is dealing with this matter in its own way, trading off the proportion of services, costs to be met and population to be covered from limited pooled funds (WHO, 2008). The literature study included two case studies of health service related Public Private Partnerships (PPPs). These studies reflected the contributions that a private health service provider has made to health service delivery and demonstrated some of the benefits that were leveraged through healthcare PPPs. The literature study concluded with an overview of the various elements required to operate a PPP.Public Private Partnerships can supplement government efforts to meet the growing demand for healthcare service delivery. The opponents of private involvement in government responsibilities, base their arguments on numerous examples of poor management of the process as well as fundamentally opposing the concept on ideological grounds (Savas, 2005). The purpose of this research was to contribute to the development of a model whereby PPPs can be leveraged as a modality to supplement government efforts to ensure quality and efficiency of health service delivery and to improve access to healthcare by the wider community in pursuit of the Universal Health Coverage goal. The objective of this research was to develop a conceptual model and test the causal relationship network of how independent variables or factors are expected to interrelate with the intervening variable and how the intervening variable is expected to interrelate with the dependent variable, to optimise the Perceived Success of Public Private Partnerships in the Healthcare Fraternity.
- Description
- Thesis (DPhil) --Faculty of Engineering, the Built Environment, and Technology, School of Built Environment and Civil Engineering, 2019
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (XXX pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Engineering, the Built Environment, and Technology
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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NMU School of the Built Environment
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | C Smith 2200204085 PhD 2019.pdf | 5 MB | Adobe Acrobat PDF | View Details Download |