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Contractual design and PPPs for hospitals: lessons for the Portuguese model


  • Pedro Barros


  • Xavier Martinez-Giralt



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Suggested Citation

  • Pedro Barros & Xavier Martinez-Giralt, 2009. "Contractual design and PPPs for hospitals: lessons for the Portuguese model," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(4), pages 437-453, October.
  • Handle: RePEc:spr:eujhec:v:10:y:2009:i:4:p:437-453
    DOI: 10.1007/s10198-009-0152-7

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    References listed on IDEAS

    1. Eduardo Engel & Ronald Fischer & Alexander Galetovic, 2013. "The Basic Public Finance Of Public–Private Partnerships," Journal of the European Economic Association, European Economic Association, vol. 11(1), pages 83-111, February.
    2. Boadway, Robin & Marchand, Maurice & Sato, Motohiro, 2004. "An optimal contract approach to hospital financing," Journal of Health Economics, Elsevier, vol. 23(1), pages 85-110, January.
    3. Jelovac, Izabela & Macho-Stadler, Ines, 2002. "Comparing organizational structures in health services," Journal of Economic Behavior & Organization, Elsevier, vol. 49(4), pages 501-522, December.
    4. Macho-Stadler, Ines & Perez-Castrillo, J David, 1998. "Centralized and Decentralized Contracts in a Moral Hazard Environment," Journal of Industrial Economics, Wiley Blackwell, vol. 46(4), pages 489-510, December.
    5. Mariano Tommasi & Federico Weinschelbaum, 2007. "Centralization vs. Decentralization: A Principal-Agent Analysis," Journal of Public Economic Theory, Association for Public Economic Theory, vol. 9(2), pages 369-389, April.
    6. Antonio Estache & Ellis Juan & Lourdes Trujillo, 2011. "Public–Private Partnerships in Transport," Chapters,in: A Handbook of Transport Economics, chapter 30 Edward Elgar Publishing.
    7. J. Luis Guasch, 2004. "Granting and Renegotiating Infrastructure Concessions : Doing it Right," World Bank Publications, The World Bank, number 15024.
    8. Jean-Etienne de Bettignies & Thomas W. Ross, 2004. "The Economics of Public-Private Partnerships," Canadian Public Policy, University of Toronto Press, vol. 30(2), pages 135-154, June.
    9. Marcus Ahadzi & Graeme Bowles, 2004. "Public-private partnerships and contract negotiations: an empirical study," Construction Management and Economics, Taylor & Francis Journals, vol. 22(9), pages 967-978.
    10. Ellis, Randall P. & McGuire, Thomas G., 1986. "Provider behavior under prospective reimbursement : Cost sharing and supply," Journal of Health Economics, Elsevier, vol. 5(2), pages 129-151, June.
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    Cited by:

    1. Rodrigo Nobre Fernandez & André Carraro & Gabrielito Menezes & Giácomo Balbinotto Neto & Eduardo Tillmann, 2014. "Design Contract For Public-Privatepartnerships: A Theoretical Model For Brazilian Hospitals," Anais do XL Encontro Nacional de Economia [Proceedings of the 40th Brazilian Economics Meeting] 062, ANPEC - Associação Nacional dos Centros de Pósgraduação em Economia [Brazilian Association of Graduate Programs in Economics].
    2. ., 2012. "Models of Negotiation and Bargaining in Health Care," Chapters,in: The Elgar Companion to Health Economics, Second Edition, chapter 21 Edward Elgar Publishing.
    3. Rodrigo Nobre Fernandez & André Carraro & Ronald Otto Hillbrecht, 2016. "Efficiency, cost and benefits in contracts of public-private partnerships [Efficiency, cost and benefits in contracts of public-private partnerships]," Nova Economia, Economics Department, Universidade Federal de Minas Gerais (Brazil), vol. 26(2), pages 369-392, May-Augus.

    More about this item


    Public–private partnerships; Contract design; I11; I18;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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