Review Article

Public-private Partnership Experiences and Achievements in Providing Primary Health Care to the Elderly: A Scoping Review

Abstract

Introduction: Given the expansion of public-private partnership (PPP) policy in the provision of primary health care to the elderly in different countries, this study aimed to investigate the experiences and achievements of PPP in this field using a scoping review approach.

Methods: This scoping review study was conducted in 2019 following the Arkesy and O'Malley framework. We systematically searched Google Scholar, a manual search of some journals, references of identified articles, reports and government documents review, web Sites, and other sources of information from January 2000 to October 2019.

Results: In total, 10 articles and reports were included, mostly from high-income countries. Twenty-five positive outcomes (12 for the elderly, four for their families, seven for the public sector, and two for the private sector) and three negative outcomes (all for the private sector) were extracted. The most important achievements included improving quality and access to services as well as reducing service costs.

Conclusion: The results show that public-private partnership policy has had many positive results. Therefore, as a major and effective policy, the use of this policy can be considered by policymakers and officials. In this regard, greater support for the private sector and a rigorous and scientific evaluation of this policy's achievements are recommended.

1. Zeinalhajlu AA, Amini A, Tabrizi JS. Consequences of population aging in Iran with emphasis on its increasing challenges on the health system (literature review). Taṣvīr-i salāmat. 2015;6(1):54-64.
2. Sharifirad GR, Shamsi M, Pirzadeh A, Farzanegan PD. Quality gap in primary health care services in Isfahan: women's perspective. Journal of education and health promotion. 2012;1.
3. Afshar PF, Asgari P, Shiri M, Bahramnezhad F. A review of the Iran's elderly status according to the census records. Galen Medical Journal. 2016;5(1):1-6.
4. Organization WH, Control RfIT. WHO report on the global tobacco epidemic, 2008: the MPOWER package: World Health Organization; 2008.
5. Faezi M RN, Soukoti M. Assessment of oral health in older people referred to selected dentistry schools of universities of Tehran. JHPM. 2015;5(1):1-10.
6. Organization WH. World report on ageing and health: World Health Organization; 2015.
7. Alizadeh M, Sharifi F, Mohamadiazar M, Nazari N. Analytical performance of administrations in charge of ageing program in Iran. Iranian Journal of Diabetes and Metabolism. 2013;13(1):74-81.
8. Stewart MJ, Georgiou A, Westbrook JI. Successfully integrating aged care services: a review of the evidence and tools emerging from a long-term care program. International journal of integrated care. 2013;13.
9. Safdari R, Alizadeh M, Mohamadiazar M, Sharifi F, Fakhrzadeh H. Comparative study of home care program in Iran with other developed countries. Iranian Journal of Diabetes and Metabolism. 2014;13(6):439-46.
10. Bowdoin JJ, Rodriguez-Monguio R, Puleo E, Keller D, Roche J. Associations between the patient-centered medical home and preventive care and healthcare quality for non-elderly adults with mental illness: A surveillance study analysis. BMC health services research. 2016;16(1):434.
11. Sharma M, Bindal A. Public-Private Partnership. International Journal of Research (IJR). 2014;1(7):1270-4.
12. Tang L, Shen Q, Cheng EW. A review of studies on public–private partnership projects in the construction industry. International Journal of Project Management. 2010;28(7):683-94.
13. Azami-Aghdash S, Sadeghi-Bazargani H, Saadati M, Mohseni M, Gharaee H. Experts' Perspectives on the Applicability of Public-Private Partnership Policy in Prevention of Road Traffic Injuries. [Original Article]. In press 2019.
14. Gharaee H, Tabrizi JS, Azami-Aghdash S. Public-Private Partnership Policy in Primary Health Care: A Scoping Review. 2020.
15. Gharaee H, Tabrizi JS, Azami-Aghdash S, Farahbakhsh M, Karamouz M, Nosratnejad S. Analysis of Public-Private Partnership in Providing Primary Health Care Policy: An Experience From Iran. Journal of Primary Care & Community Health. 2019;10:2150132719881507.
16. Gharaee H, Tabrizi JS, Azami-Aghdash S, Farahbakhsh M, Karamouz M, Nosratnejad S. Public-Private Partnership in Primary Health Care: An Experience from Iran. 2019.
17. P D. The Role of the Private Sector in the Context of Aid Effectiveness. Consultative Findings Document. Organization for Cooperation and Development, 2011 2 February 2011. Report No.
18. Davies P. The role of the private sector in the context of aid effectiveness. consultative findings. 2011.
19. Zheng J, Roehrich JK, Lewis MA. The dynamics of contractual and relational governance: Evidence from long-term public-private procurement arrangements. Purchasing and Supply Management. 2008;14(1):43-54.
20. Vian T, McIntosh N, Grabowski A, Nkabane-Nkholongo EL, Jack BW. Hospital Public–Private Partnerships in Low Resource Settings: Perceptions of How the Lesotho PPP Transformed Management Systems and Performance. Health Systems & Reform. 2015;1(2):155-66.
21. Kraak VI, Harrigan PB, Lawrence M, Harrison PJ, Jackson MA, Swinburn B. Balancing the benefits and risks of public-private partnerships to address the global double burden of malnutrition. Public health nutrition. 2012;15(3):503-17.
22. Starfield B, Shi L, Macinko J. Contribution of Primary Care to Health Systems and Health: Milbank Q. 2005 Sep;83(3):457-502. doi:10.1111/j.1468-0009.2005.00409.x.
23. Sheikhattari P, Kamangar F. How can primary health care system and community-based participatory research be complementary? International journal of preventive medicine. 2010;1(1):1.
24. The world health report 2008: primary health care now more than ever: introduction and overview. 2008.
25. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Intl J Soc Res Methodol. 2005;8:19-32.
26. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ (Clinical research ed). 2009;339:b2535.
27. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.
28. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. International journal of surgery (London, England). 2010;8(5):336-41.
29. Campos CJ. [Content analysis: a qualitative data analysis tool in health care]. Rev Bras Enferm. 2004;57(5):611-4.
30. Liamputtong P. Qualitative data analysis: conceptual and practical considerations. Health Promot J Austr. 2009;20(2):133-9.
31. Seers K. Qualitative data analysis. Evid Based Nurs. 2012;15(1):100352.
32. Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse Res. 2011;18(2):52-62.
33. World Bank Country and Lending Groups 2019 [Available from: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519.
34. China, People's Republic of: Demonstration of Guangxi Elderly Care and Health Care Integration and Public-Private Partnership Project. China: 2019.
35. DuVernay C. A public-private trauma center network in Florida harnesses data to improve care quality for an aging population. Health affairs (Project Hope). 2013;32(12):2139-41.
36. Glass RI, El-Sadr W, Goosby E, Kupfer LE. The HIV response and global health. The Lancet. 2019;393(10182):1696.
37. Mahrukh M. Oboshor: Senior Citizen Health Care and Hospitality Complex at Sreemangal, Sylhet Division 2017 [Available from: http://www.pppo.gov.bd/projects-oboshor.php.
38. Westchester Public Private Partnership for Aging Services 2019 [Available from: http://westchesteralliance.org/.
39. Galvin JE, Tolea MI, George N, Wingbermuehle C. Public-private partnerships improve health outcomes in individuals with early stage Alzheimer's disease. Clin Interv Aging. 2014;9:621-30.
40. Tynkkynen L-K, Lehto J, Miettinen S. Framing the decision to contract out elderly care and primary health care services–perspectives of local level politicians and civil servants in Finland. BMC Health Services Research. 2012;12(1):201.
41. Liu S, Yam CHK, Huang OHY, Griffiths SM. Willingness to pay for private primary care services in Hong Kong: are elderly ready to move from the public sector? Health Policy and Planning. 2012;28(7):717-29.
42. Hellowell M. Are public–private partnerships the future of healthcare delivery in sub-Saharan Africa? Lessons from Lesotho. BMJ global health. 2019;4(2):e001217.
43. Raman AV, Björkman JW. Public-Private Partnerships in Healthcare. The Palgrave International Handbook of Healthcare Policy and Governance: Springer; 2015. p. 376-92.
44. McKee M, Edwards N, Atun R. Public-private partnerships for hospitals. Bulletin of the World Health Organization. 2006;84:890-6.
45. Barlow J, Roehrich J, Wright S. Europe sees mixed results from public-private partnerships for building and managing health care facilities and services. Health Affairs. 2013;32(1):146-54.
46. Torchia M, Calabrò A, Morner M. Public–private partnerships in the health care sector: a systematic review of the literature. Public Management Review. 2015;17(2):236-61.
47. Mather M. Fact sheet: aging in the United States. Population Reference Bureau Available here. 2016.
48. Uhlenberg P. International handbook of population aging: Springer Science & Business Media; 2009.
49. Gavrilova NS, Gavrilov LA. Rapidly aging populations: Russia/eastern Europe. International handbook of population aging: Springer; 2009. p. 113-31.
50. Alsnih R, Hensher DA. The mobility and accessibility expectations of seniors in an aging population. Transportation Research Part A: Policy and Practice. 2003;37(10):903-16.
51. Dall TM, Gallo PD, Chakrabarti R, West T, Semilla AP, Storm MV. An aging population and growing disease burden will require alarge and specialized health care workforce by 2025. Health affairs. 2013;32(11):2013-20.
52. Rowe JW, Fulmer T, Fried L. Preparing for better health and health care for an aging population. Jama. 2016;316(16):1643-4.
53. Roehrich JK, Lewis MA, George G. Are public–private partnerships a healthy option? A systematic literature review. Social Science & Medicine. 2014;113:110-9.
54. Dutta S, Lahiri K. Is provision of healthcare sufficient to ensure better access? An exploration of the scope for public-private partnership in India. International journal of health policy and management. 2015;4(7):467.
55. Bakhtiari A, Takian A, Sayari AA, Bairami F, Tabrizi JS, Mohammadi A, et al. Design and Deployment of Health Complexes in Lne with Uiversal Halth Cverage by Fcusing on the Mrginalized Ppulation in Tabriz, Iran. Quarterly Journal of Teb va Tazkyie. 2017;25(4):213-32.
56. Forsberg E. Privatization, Competition and Primary Health Care Utilization-A study of the Swedish Patient Choice Reform. 2018.
57. Sinanovic E, Kumaranayake L. Financing and cost-effectiveness analysis of public-private partnerships: provision of tuberculosis treatment in South Africa. Cost Effectiveness and Resource Allocation. 2006;4(1):11.
58. Pantoja A, Lönnroth K, Lal S, Chauhan L, Uplekar M, Padma M, et al. Economic evaluation of public-private mix for tuberculosis care and control, India. Part II. Cost and cost-effectiveness. The International Journal of Tuberculosis and Lung Disease. 2009;13(6):705-12.
59. Ferroussier O, Kumar M, Dewan P, Nair P, Sahu S, Wares D, et al. Cost and cost-effectiveness of a public-private mix project in Kannur District, Kerala, India, 2001–2002. The International Journal of Tuberculosis and Lung Disease. 2007;11(7):755-61.
60. Brzozowska K. Advantages and Threats of Public – Private Partnerships in Larger Infrastructure Projects. Warszawa: CeDeWu.PL: 2006.
61. Pârvu D, Voicu-Olteanu C. Advantages and limitations of the public private partnerships and the possibility of using them in romania. Transylvanian Review of Administrative Sciences. 2009;5(27):189-98.
Files
IssueVol 5, No 3 (2021) QRcode
SectionReview Article
DOI https://doi.org/10.18502/htaa.v5i3.9346
Keywords
elderly; primary health care; public-private partnership; scoping review.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Azami Aghdash S, Sharifzade H, Bande-Ehahi K, Mohamadi Bolbanabad A, Gharaee H. Public-private Partnership Experiences and Achievements in Providing Primary Health Care to the Elderly: A Scoping Review. Health Tech Ass Act. 2022;5(3).