Abstract
This study aims to analyze the funding and movement of patients in the Torrevieja Health Department in Spain. Located in the Valencian Community, this Department is part of a border area with a large influx of foreign tourists, in which the regional government established a public-private partnership (PPP). Information from the concession company’s annual accounts, regional budgets, and applications on public health in the territory was used. The results show, first, a constant increase in public spending, despite not observing a total increase in the evolution of the covered population. This observation contrasts with lower growth in public spending by hospitals with direct management. Second, the analysis of the population of the coastal territory shows a large presence of foreigners and, in summer periods, a greater care burden caused by the movements of the national and foreign populations. The results are intended to be useful for future PPPs in hospitals in border and tourist areas.
2. Soler MLM, Vasallo JM. Sistema Nacional de Salud Español. Características y Análisis. Enfermería Glob. 2007;6(1): 1-14. Available from: http://revistas.um.es/eglobal/article/view/256
3. Caballer-Tarazona M, Clemente-Collado A, Vivas-Consuelo D. A cost and performance comparison of Public Private Partnership and public hospitals in Spain. Health Econ Rev. 2016;6(1): 1-7. http://dx.doi.org/10.1186/s13561-016-0095-5
4. López-Casasnovas G, del Llano-Señarís JE. Colaboración público-privada en sanidad: el modelo Alzira. Fundación Gaspar Casal (ed.) Fundación Gaspar Casal; 2018. 249 p.
5. Sánchez Bayle M. La privatización de la asistencia sanitaria en España; 2014. http://www.fundacionalternativas.org/public/storage/laboratorio_documentos_archivos/24bb33c2b5a6aca0f1ea50a199da5de7.pdf
6. Rodríguez-Vigil Rubio JL. La descentralización del sistema sanitario español; 2012. 34 p. Madrid: Fundación Manuel Giméndez Abad.
7. Rey J. Aspectos generales y análisis del caso español y análisis del caso español; 1998. Granada: Escuela Andaluza de Salud Pública.
8. Ministerio de sanidad servicios sociales e igualdad. Sistema Nacional de Salud SNS. Minist Sanid Serv Soc e Igual; 2012. 54 p.
9. Perpiñán JMA. El sistema sanitario público en España y sus comunidades autónomas: sostenibilidad y reformas. Fundación BBVA; 2013. 406 p.
10. Comunidad Valenciana. Ley 10/2014, de 29 de diciembre, de Salud de la Comunitat Valenciana. 2014, p. 1-85.
11. Acerete B, Stafford A, Stapleton P. Spanish healthcare public private partnerships: The “Alzira model.” Crit perspect account. 2011;22(6): 533-549. http://dx.doi.org/10.1016/j.cpa.2011.06.004
12. Alonso JM, Clifton J, Díaz-Fuentes D. The impact of New Public Management on efficiency: An analysis of Madrid’s hospitals. Health Policy (New York). 2015;119(3): 333-340. https://doi.org/10.1016/j.healthpol.2014.12.001
13. Lopez-Casasnovas G, Costa-Font J, Planas I. Diversity and regional inequalities in the Spanish “system of health care services.” Health Econ. 2005;14(suppl. 1): 221-235. https://doi.org/10.1002/hec.1038.
14. Wang H. et al. Public–private partnership in public administration discipline: A literature review. Public Manag Rev. 2017;20(2): 293-316. https://doi.org/10.1080/14719037.2017.1313445.
15. Li B, et al. Critical success factors for PPP/PFI projects in the UK construction industry. Constr Manag Econom. 2005;23(5): 459-471. https://doi.org/10.1080/01446190500041537.
16. Abuzaineh, N., Brashers, E., Foong, S., Feachem, R., Da Rita, P. PPPs in healthcare: Models, lessons and trends for the future. Healthcare public-private partnership series, No. 4. San Francisco: The Global Health Group, Institute for Global Health Sciences, University of California, San Francisco and PwC. Produced in the United States of America. 2018;(4), p. 53. https://globalhealthsciences.ucsf.edu/public-private-partnerships-0.
17. Blasco Castany R. Las Nuevas Formas de Gestión santiaria - Modelo Alriza; 2007. http://laribera.riberasalud.com/wp-content/uploads/2016/11/Libro-Modelo-Alzira.pdf
18. Conselleria de Sanitat. Contrato de Gestión de Servicios Públicos por Concesión. Valencia; 2003.
19. Conselleria de Sanitat. IV Plan de Salud 2016-2020 Comunitat Valenciana; 2016. 238 p.
20. Comendeiro-Maaløe M, Ridao-López M, Gorgemans S, Bernal-Delgado E. Public-private partnerships in the Spanish National Health System: The reversion of the Alzira model. Health Policy (New York). 2019;13: 10-13. https://doi.org/10.1016/j.healthpol.2019.01.012
21. Diputación de Alicante. Datos del padrón municipal. Accesible en http://documentacion.diputacionalicante.es/4hogares.asp?codigo=03133
Copyright notice
The Journal Management and Health Policies is registered under the Creative Commons Recognition 4.0 International license. Therefore, this work can be reproduced, distributed and publicly communicated in digital format, provided that the name of the authors and the Pontificia Universidad Javeriana are recognized. It is allowed to quote, adapt, transform, autoarchive, republish and create from the material, for any purpose (including commercial), provided that authorship is properly acknowledged, a link to the original work is provided and if changes have been mad. The Pontificia Universidad Javeriana does not retain the rights over published works and the contents are the exclusive responsibility of the authors, who preserve their moral, intellectual, privacy and publicity rights.
The endorsement of the intervention of the work (revision, style correction, translation, layout) and its subsequent disclosure is granted through a license to use and not through a transfer of rights, which means that the journal and the Pontificia Universidad Javeriana disclaims any liability that may arise from ethical misconduct on the part of the authors. As a result of the protection provided by the license for use, the journal is not obliged to publish retractions or modify the information already published, unless the erratum arises from the process of editorial management. The publication of contents in this magazine does not represent royalties for taxpayers.