Potential Opportunities for PPP in the Greek Healthcare System

Postgraduate Thesis uoadl:2926969 26 Read counter

Κατεύθυνση Οικονομία και Διοίκηση Υπηρεσιών Υγείας
Βιβλιοθήκη Τμήματος Οικονομικών Επιστημών
Deposit date:
Stridborg-Katsiougianni Marie-Μeropi
Supervisors info:
Υφαντόπουλος Ιωάννης, Ομότιμος Καθηγητής Κοινωνικής Πολιτικής και Οικονομικών της Υγείας, Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών
Original Title:
Potential Opportunities for PPP in the Greek Healthcare System
Translated title:
Potential Opportunities for PPP in the Greek Healthcare System
The dissertation examines the potential opportunities for PPPs in the Greek Healthcare system. The dissertation is based on three key hypotheses:
Hypothesis 1: The Public Private Partnerships (PPPs) in Health Care are beneficial for the Public Sector, the patients, the medical staff and the private sector especially for countries with social / economic characteristics similar to Greece.
Hypothesis 2: The successful implementation of PPPs in Healthcare is heavily dependent on specific social factors coupled with the strong political willingness and consent by the involved stakeholders.
Hypothesis 3: Although future trends imply a steadily shift towards an integrated PPP model, Greece (based on the prevailing political and social conditions) will probably move towards a discrete PPP model in Healthcare.
In order to justify my hypotheses, I reviewed the existing Public Healthcare System in Greece, the prevailing legal framework and the social / economic conditions. Ι also searched for the most common types of PPP in the Healthcare, with previous international experience in similar projects and proceeded with the preparation of two alternative discrete PPP scenarios for an Imaging Department in a public hospital.
Based on my analysis I reached to the following conclusion:
• The Public will benefit from a PPP project as it will upgrade /renovate or build new infrastructure /facilities overcoming existing budget constraints and sharing any risk with the private sector.
• The Private Sector is expected to enjoy a return north of 20%. At the same time will enter a PPP market which is unexploited with further opportunities for development.
• The medical/nursing staff, will be “transferred” to a private sector management but remain public and at the same time increases annual income with the introduction of a bonus scheme and adopt best practices.
• There are no (or minimized) out of pocket expenses for the patients who have access to high quality medical services and best practices.
• The main success factors for PPPs include political willingness, community and medical staff consent and involvement

• The discrete PPP model improves the delivery of specific medical services which is the key priority for the Greek Healthcare system,

• and it is indeed a good solution to enter PPPs in healthcare. Also, the model offers a lower risk option for the public sector to engage in PPPs, and for private providers to engage in public service delivery, thus potentially paving the way for more complex Integrated PPP models in the future.
Main subject category:
Public Private Partnerships PPPs Infrastructure PPP Model Discrete PPP Model Integrated PPP Model
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