Selection of asset investment models by hospitals: examination of influencing factors, using Switzerland as an example

Public-Private Partnerships Model Applied to Hospitals-A Critical Review

In this paper, a conceptual framework for investigating the PPP model as it relates to hospitals is proposed. When the PPP model is applied to healthcare (hospitals), it is possible to discover the path to success by developing a critical assessment and deriving a clear model. It is concluded that most PPP model implementations in hospitals around the world have produced favorable outcomes, both in terms of the performance of healthcare units and in terms of cost-effectiveness. Additionally, a path-to-success model that applies to hospitals is offered, taking into account six PPP model dimensions: (i) Environment; (ii) Potentiate Benefits; (iii) Constant Measure; (iv) Evaluation; (v) Management; and (vi) Enhance Strengths. The PPP model only applies case by case and under specific requirements that should be met cumulatively to provide additional value to healthcare's quality of service. The right conditions are created, the right benefits are amplified, public concerns are frequently assessed, private contributions are carefully considered, and all pressing challenges are managed by enhancing both public and private strengths. Leading decision- and action-making processes in corporate, governmental, and social sectors is the goal of managing PPP models.

Perceived Quality and Users’ Satisfaction with Public–Private Partnerships in Health Sector

In Portugal, the government has accepted private management within public hospitals since 1996. The objectives of the state were to ensure more efficiency in resource management and maintain or increase the service quality provided to the users. Four public hospitals have been managed with a public–private partnership (PPP) approach. This study aimed to empirically analyse the degree of satisfaction of the Portuguese population regarding the service quality provided by PPP and Public Management Hospitals (PMH) within a structural equation model, and verify if people’s literacy level, age, education, and income moderate their opinions. The study used 2077 valid questionnaire responses applied in the four regions served by the eight hospitals. The results show that the users of the PPP hospitals are more satisfied than those from PMH with statistical significance. Literacy level moderates the relationship between perceived quality and users’ satisfaction, and education moderates the same relationship only in the context of PPP hospitals. More educated people with a high literacy level are more demanding, both regarding PPP and PMH hospitals. Nevertheless, the results are very beneficial to the PPP model; thus, improved decision-making regarding contract renewal might help policymakers consider the findings of this paper.

A Comparative Life Cycle Investment Analysis for Biopower Diffusion in Rural Nigeria

This paper adopts the Life Cycle Investment (LCI) approach proposed by Farinha et al. to assess project viability based on the maintenance and operational efficiency of a proposed biopower plant over its useful economic life. The adoption of ISO 55000:2014, its guidance on management and maintenance policies for physical assets, and its contribution to the achievement of sustainable development goals on clean and affordable energy (SDG7) remain relevant for investment decisions regarding waste-to-energy technology systems. Using the parameters defined in a previous biopower feasibility study for Nigeria, the LCI approach is applied to show the change in project profitability over the estimated useful life of the plant, where availability is altered, based on maintenance downtime and overall operational efficiency. The results show positive movement in operational efficiency between 85–91%, which correlates with increased profitability in the same period. The project’s profitability and return on investment is revised downward from 29% to 8% based on the initial availability adjustment, and the changes in derived profit based on plant availability support the argument in favor of operational efficiency and structured maintenance policies as key performance and investment viability indicators, which ultimately impact the total cost of ownership. The results are also interpreted using Pareto Principles for emphasis. The ultimate goal is to encourage due attention and diligence in relation to latent factors which often erode the perceived benefits of viable projects after completion and potentially hamper future investment, specifically in the broader sub-Saharan African waste management context.