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  4. PPP in Health Care - Trending Toward a Light Model: Evidence From Italy
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PPP in Health Care - Trending Toward a Light Model: Evidence From Italy

Journal
Public Works Management & Policy
Type
journal article
Date Issued
2020-04-22
Author(s)
Vecchi, Veronica
;
Casalini, Francesca  
;
Cusumano, Niccolò
;
Leone, Velia Maria
DOI
10.1177/1087724X20913297
Abstract
Italy, as many other countries, adopted the design–build–finance–maintain (DBFMO) Anglo-Saxon model to build new hospitals. This model proved to be rigid, nontransparent, nonvalue for money, and unaffordable. The aim of this article is to analyze the main drawbacks of the traditional DBFMO public–private partnerships (PPP) contract applied to the health care sector, by referring to the Italian experience, and to discuss the evolutions, conceived through an inductive/deductive approach, conducted in a context of deep collaboration between academia, health care authorities, and market players to make PPP contracts more value for money, flexible, and affordable. The article provides also an example of the role of academia in closing the rigor–practice gap by supporting and facilitating an institutional change.
Language
English
HSG Profile Area
SoM - Business Innovation
Refereed
Yes
Volume
25
Number
3
Start page
244
End page
258
Official URL
https://journals.sagepub.com/doi/full/10.1177/1087724X20913297
URL
https://www.alexandria.unisg.ch/handle/20.500.14171/112205
Subject(s)

business studies

Eprints ID
263275
File(s)
Thumbnail Image

open.access

Name

paper PPP in health Italy 2020.pdf

Size

121.95 KB

Format

Adobe PDF

Checksum (MD5)

0fd11fef04b0ec0797cbec4bc94d51b4

Support
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