Efficiency in public hospital management: direct vs private by concession.
Efficiency on public hospital management: direct private by granting vs. – by Salvador Peiró, center top of research in public health and Ricard Meneu, Foundation Health Services Research Institute Spain, January 2012.- this post is the second in the series on management public or private health services (link to the first post). It describes one of the scant evidence on the relative efficiency of both options, applied to the case of the Valencian Community. Decisions, risks and capes The decision of the Government of the Comunidad de Madrid to outsource the management of the health activity in six hospitals using the model of concession has led to statements without story. Macbethianamente, statements full of noise and fury, signifying nothing. And this because the majority of statements about the greater or lesser efficiency advocated granting model are launched without data that support them. So hard achieved (and repeatedly denounced) opacity of the NHS set facilitates the riot, but restricts the ability to make informed decisions. Isn’t that just exist data on the other ” hospitals, is that neither diffuse referrals to hospitals in direct management (with exceptions meritorious, as the central of balances and results in Catalonia). In this commentary we will try to escape from this dynamic exploring some empirical evidence from the limited available data sources. To approximate the behavior of the concessions against hospitals in direct management...
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