Οι συμπράξεις δημοσίου - ιδιωτικού τομέα στον κλάδο της υγείας στην Ευρώπη
Public - private partnerships in the healthcare sector across Europe
KeywordsΣυμπράξεις δημοσίου και ιδιωτικού τομέα ; Ευρωπαϊκά συστήματα υγείας ; Δαπάνες υγείας ; Απόδοση συστημάτων ; Public-private partnerships ; European healthcare systems ; Healthcare expenditures ; Performance
European recession and budgetary cuts make almost impossible for the States to cope with the ever increasing obligations and needs. Rationalization of public health expenditure through measures, such as horizontal cuts in budgets for health and social protection, has shifted the burden to citizens and especially patients. On the other hand, the continuous development of science and technology, the increase in life expectancy and thus aging of the population, and the discovery of new treatments for chronic and rare diseases are pushing national health systems to search for more resources. On the other hand, the continuous progress of science and technology, the increase in life expectancy and hence aging of the population, as well as the discovery of new treatments for chronic and rare diseases, are pushing the National Health Systems to seek more resources. In this paper we attempt to analyze the role and the key features of Public-Private Partnerships in Health, as well as the reason why State choses to cooperate with the private sector in Health. The main reason for developing a partnership is financial and related either to increasing resources or reducing costs (i.e food services in a hospital). In either case, each of the partners aspire a long or short term financial gain. Public-Private Partnerships in Health constitute a very important mechanism in order to provide better quality healthcare services and greater patients’ access at lower cost. However, prerequisite to enable the mechanism delivering the expected outcomes is the presence of a clear regulatory framework.