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Perceived Quality and Users’ Satisfaction with Public–Private Partnerships in Health Sector

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  • João M. S. Carvalho

    (Department of Economics and Management, REMIT—Universidade Portucalense, R. António Bernardino de Almeida 541, 4200-072 Porto, Portugal
    Social Sciences Institute, CICS.NOVA—Universidade do Minho, 4710-057 Braga, Portugal
    Department of Social Sciences and Management, CEG—Universidade Aberta, 1250-100 Lisboa, Portugal)

  • Nuno Rodrigues

    (Department of Economics and Management, REMIT—Universidade Portucalense, R. António Bernardino de Almeida 541, 4200-072 Porto, Portugal
    Instituto Politécnico de Gestão e Tecnologia, 4400-107 Vila Nova de Gaia, Portugal)

Abstract

In Portugal, the government has accepted private management within public hospitals since 1996. The objectives of the state were to ensure more efficiency in resource management and maintain or increase the service quality provided to the users. Four public hospitals have been managed with a public–private partnership (PPP) approach. This study aimed to empirically analyse the degree of satisfaction of the Portuguese population regarding the service quality provided by PPP and Public Management Hospitals (PMH) within a structural equation model, and verify if people’s literacy level, age, education, and income moderate their opinions. The study used 2077 valid questionnaire responses applied in the four regions served by the eight hospitals. The results show that the users of the PPP hospitals are more satisfied than those from PMH with statistical significance. Literacy level moderates the relationship between perceived quality and users’ satisfaction, and education moderates the same relationship only in the context of PPP hospitals. More educated people with a high literacy level are more demanding, both regarding PPP and PMH hospitals. Nevertheless, the results are very beneficial to the PPP model; thus, improved decision-making regarding contract renewal might help policymakers consider the findings of this paper.

Suggested Citation

  • João M. S. Carvalho & Nuno Rodrigues, 2022. "Perceived Quality and Users’ Satisfaction with Public–Private Partnerships in Health Sector," IJERPH, MDPI, vol. 19(13), pages 1-18, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8188-:d:855506
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    References listed on IDEAS

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    1. David Barrows & H. Ian MacDonald & A. Bhanich Supapol & Olivia Dalton-Jez & Simone Harvey-Rioux, 2012. "Public-private partnerships in Canadian health care: A case study of the Brampton Civic Hospital," OECD Journal on Budgeting, OECD Publishing, vol. 12(1), pages 1-14.
    2. William C. Hsiao, 1994. "‘Marketization’—the illusory magic pill," Health Economics, John Wiley & Sons, Ltd., vol. 3(6), pages 351-357, November.
    3. DonHee Lee & Kai K. Kim, 2017. "Assessing healthcare service quality: a comparative study of patient treatment types," International Journal of Quality Innovation, Springer, vol. 3(1), pages 1-15, December.
    4. DonHee Lee, 2017. "HEALTHQUAL: a multi-item scale for assessing healthcare service quality," Service Business, Springer;Pan-Pacific Business Association, vol. 11(3), pages 491-516, September.
    5. Ghina Yamout & Dima Jamali, 2007. "A critical assessment of a proposed public private partnership (PPP) for the management of water services in Lebanon," Water Resources Management: An International Journal, Published for the European Water Resources Association (EWRA), Springer;European Water Resources Association (EWRA), vol. 21(3), pages 611-634, March.
    6. Anthony E. BOARDMAN & Aidan R. VINING, 2012. "The Political Economy Of Public‐Private Partnerships And Analysis Of Their Social Value," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 83(2), pages 117-141, June.
    7. Akintola Akintoye & Cliff Hardcastle & Matthias Beck & Ezekiel Chinyio & Darinka Asenova, 2003. "Achieving best value in private finance initiative project procurement," Construction Management and Economics, Taylor & Francis Journals, vol. 21(5), pages 461-470.
    8. Roehrich, Jens K. & Lewis, Michael A. & George, Gerard, 2014. "Are public–private partnerships a healthy option? A systematic literature review," Social Science & Medicine, Elsevier, vol. 113(C), pages 110-119.
    9. Maynard, Alan, 1994. "Can competition enhance efficiency in health care? Lessons from the reform of the U.K. National Health Service," Social Science & Medicine, Elsevier, vol. 39(10), pages 1433-1445, November.
    10. Andaleeb, Syed Saad, 2001. "Service quality perceptions and patient satisfaction: a study of hospitals in a developing country," Social Science & Medicine, Elsevier, vol. 52(9), pages 1359-1370, May.
    11. Mariateresa Torchia & Andrea Calabrò & Michèle Morner, 2015. "Public-Private Partnerships in the Health Care Sector: A systematic review of the literature," Public Management Review, Taylor & Francis Journals, vol. 17(2), pages 236-261, February.
    12. Yang, Jinqiu & Zeng, Wu, 2014. "The trade-offs between efficiency and quality in the hospital production: Some evidence from Shenzhen, China," China Economic Review, Elsevier, vol. 31(C), pages 166-184.
    13. Bernhard Eicher, 2016. "Selection of asset investment models by hospitals: examination of influencing factors, using Switzerland as an example," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(4), pages 554-579, October.
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