Public-private partnerships in primary health care: a scoping review.

Health Promotion Humans Primary Health Care Private Sector Public-Private Sector Partnerships Universal Health Insurance
Decision-making Health policy and system research Primary health care Public-private partnership

Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
04 Jan 2021
Historique:
received: 11 12 2019
accepted: 26 11 2020
entrez: 5 1 2021
pubmed: 6 1 2021
medline: 15 5 2021
Statut: epublish

Résumé

The Astana Declaration on Primary Health Care reiterated that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. It called for governments to give high priority to PHC in partnership with their public and private sector organisations and other stakeholders. Each country has a unique path towards UHC, and different models for public-private partnerships (PPPs) are possible. The goal of this paper is to examine evidence on the use of PPPs in the provision of PHC services, reported challenges and recommendations. We systematically reviewed peer-reviewed studies in six databases (ScienceDirect, Ovid Medline, PubMed, Web of Science, Embase, and Scopus) and supplemented it by the search of grey literature. PRISMA reporting guidelines were followed. Sixty-one studies were included in the final review. Results showed that most PPPs projects were conducted to increase access and to facilitate the provision of prevention and treatment services (i.e., tuberculosis, education and health promotion, malaria, and HIV/AIDS services) for certain target groups. Most projects reported challenges of providing PHC via PPPs in the starting and implementation phases. The reported challenges and recommendations on how to overcome them related to education, management, human resources, financial resources, information, and technology systems aspects. Despite various challenges, PPPs in PHC can facilitate access to health care services, especially in remote areas. Governments should consider long-term plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context.

Sections du résumé

BACKGROUND BACKGROUND
The Astana Declaration on Primary Health Care reiterated that PHC is a cornerstone of a sustainable health system for universal health coverage (UHC) and health-related Sustainable Development Goals. It called for governments to give high priority to PHC in partnership with their public and private sector organisations and other stakeholders. Each country has a unique path towards UHC, and different models for public-private partnerships (PPPs) are possible. The goal of this paper is to examine evidence on the use of PPPs in the provision of PHC services, reported challenges and recommendations.
METHODS METHODS
We systematically reviewed peer-reviewed studies in six databases (ScienceDirect, Ovid Medline, PubMed, Web of Science, Embase, and Scopus) and supplemented it by the search of grey literature. PRISMA reporting guidelines were followed.
RESULTS RESULTS
Sixty-one studies were included in the final review. Results showed that most PPPs projects were conducted to increase access and to facilitate the provision of prevention and treatment services (i.e., tuberculosis, education and health promotion, malaria, and HIV/AIDS services) for certain target groups. Most projects reported challenges of providing PHC via PPPs in the starting and implementation phases. The reported challenges and recommendations on how to overcome them related to education, management, human resources, financial resources, information, and technology systems aspects.
CONCLUSION CONCLUSIONS
Despite various challenges, PPPs in PHC can facilitate access to health care services, especially in remote areas. Governments should consider long-term plans and sustainable policies to start PPPs in PHC and should not ignore local needs and context.

Identifiants

DOI: 10.1186/s12913-020-05979-9 PMID: 33397388 PMC: PMC7780612
pubmed: 33397388
doi: 10.1186/s12913-020-05979-9
pii: 10.1186/s12913-020-05979-9
pmc: PMC7780612
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4

Subventions

Organisme : Health Services Management Research Center, Tabriz University of Medical Sciences
ID : -

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Auteurs

Nasrin Joudyian (N)

Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.

Leila Doshmangir (L)

Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran. Doshmangirl@tbzmed.ac.ir.
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran. Doshmangirl@tbzmed.ac.ir.
Department of Health Policy& Management, School of Management & Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran. Doshmangirl@tbzmed.ac.ir.
ORCID: 0000-0001-5197-8437

Mahdi Mahdavi (M)

National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
Erasmus School of Health Policy and Management (ESHPM), Erasmus University Rotterdam, Rotterdam, The Netherlands.

Jafar Sadegh Tabrizi (JS)

Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.

Vladimir Sergeevich Gordeev (VS)

Institute of Population Health Sciences, Queen Mary University of London, London, UK.
Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.

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Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Éducation pour la santé › Promotion de la santé › Public-private partnerships in primary health...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Public-private partnerships in primary health...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Public-private partnerships in primary health...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Propriété › Secteur privé › Public-private partnerships in primary health...
questionsmedicales.fr › Organisations et économie des soins de santé › Organismes › Partenariats entre secteurs publique et privé › Public-private partnerships in primary health...
questionsmedicales.fr › Organisations et économie des soins de santé › Économie › Financement organisé › Assurance › Couverture d'assurance › Couverture maladie universelle › Public-private partnerships in primary health...