Jabbari Beyrami H^{1, 2} (Ph . D), Gholamzadeh Nikjoo R^3,4 * (MSc), Jannati A^2,3 (PhD), Dadgar E^3,4 (MSc)

  ¹ Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

  ² Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

  ³ Department of Health Care Services Administration, Faculty of Management and Medical Informatics,

  Tabriz University of Medical Sciences, Tabriz, Iran

  ⁴ Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

  Received: 30 May 2012, Accepted: 1 Aug 2013

  Abstract

  Introduction: Partnership with private sector is an option for public hospitals to improve efficiency, quality and effectiveness of services and to share the risks and responsibilities of administration. This study aimed to introduce public-private partnership options in public hospitals around the world.

  Methods: In this systematic review, several databases including the Wiley Inter Science, PubMed, Cochran, Springer Link, Elsevier, Proquest, Scopus, Emerald, and the Google Scholar search engine were searched. The applied keywords included the Public-Private Partnership, PPP, PFI, Public Hospital, Partnership Models and their Persian equivalents. We found 723 articles and refined them step by step according to the aim of the study by reviewing the titles, abstracts and full papers. Finally, 20 articles were selected for further study.

  Results: In this study, public-private partnership options were divided into seven models including service contract, outsourcing contract, management contract, leases contract, private finance initiative contract, concession contract, and divestiture contract.

  Conclusion: Each model of public-private partnership varied in the degrees of risk and responsibility when transferred to the private sector. The risks and responsibilities transferred to the private sector were at the lowest level in service contracts. The risks increased with moving toward divestiture contracts.

  Key words: public- private partnership, public hospital, risk, responsibility

  Please cite this article as follows:

 Jabbari Beyrami H, Gholamzadeh Nikjoo R, Jannati A, Dadgar E. Introducing Public-Private Partnership Options in Public Hospitals. Hakim Research Journal 2013 16(3): 201- 210.

  * Corresponding Author: Golgasht Street, Tabriz University Of Medical Sciences, Tabriz, Iran. Tel: +98- 411- 3364668, Fax: 0411- 3340634, E-mail: r.gholamzade@gmail.com