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Papers by Steve Wright

JRSM, Jan 1, 2010

"Introduction: Each year billions of Euros are spent on upgrading or replacing ageing healthca... more "Introduction:

Each year billions of Euros are spent on upgrading or replacing ageing healthcare built infrastructure across Europe. Major expenditure is needed, not only in the new member states – predominantly those with health systems inherited from the former Soviet era – but also in countries with a more modern estate such as Germany. And stimulus packages, assembled by European governments in response to the economic crisis, have to a degree targeted the upgrading of national infrastructure,
including hospitals and other healthcare facilities. But how will all this be paid for in an environment where finance and capital markets are blocked and public expenditure resources may be
in increasingly short supply? As Nigel Edwards pointed out in a recent editorial in the JRSM, organizations with plans for capital expenditure are likely to find it hard to acquire funding in the
current economic climate."

Bulletin of the World Health Organization, 2010

Prompted in part by constrained national budgets, European governments are increasingly partnerin... more Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships – for example, in which a private firm builds a hospital and carries out building maintenance, which we term an “accommodation-only” model – arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains, but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

Cite this article as:

Full reference: James Barlow, Jens Roehrich and Steve Wright (2013). Europe Sees Mixed Results From Public-Private Partnerships For Building And Managing Health Care Facilities And Services. Health Affairs, 32(1): 146-154.

JRSM, Jan 1, 2010

"Introduction: Each year billions of Euros are spent on upgrading or replacing ageing healthca... more "Introduction:

Each year billions of Euros are spent on upgrading or replacing ageing healthcare built infrastructure across Europe. Major expenditure is needed, not only in the new member states – predominantly those with health systems inherited from the former Soviet era – but also in countries with a more modern estate such as Germany. And stimulus packages, assembled by European governments in response to the economic crisis, have to a degree targeted the upgrading of national infrastructure,
including hospitals and other healthcare facilities. But how will all this be paid for in an environment where finance and capital markets are blocked and public expenditure resources may be
in increasingly short supply? As Nigel Edwards pointed out in a recent editorial in the JRSM, organizations with plans for capital expenditure are likely to find it hard to acquire funding in the
current economic climate."

Bulletin of the World Health Organization, 2010

Prompted in part by constrained national budgets, European governments are increasingly partnerin... more Prompted in part by constrained national budgets, European governments are increasingly partnering with the private sector to underwrite the costs of constructing and operating public hospitals and other health care facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Our research indicates that to date, experience with these partnerships has been mixed. Early models of these partnerships – for example, in which a private firm builds a hospital and carries out building maintenance, which we term an “accommodation-only” model – arguably have not met expectations for achieving greater efficiencies at lower costs. Newer models described in this article offer greater opportunities for efficiency gains, but are administratively harder to set up and manage. Given the shortages in public capital for new infrastructure, it seems likely that the attractiveness of these partnerships to European governments will grow.

Cite this article as:

Full reference: James Barlow, Jens Roehrich and Steve Wright (2013). Europe Sees Mixed Results From Public-Private Partnerships For Building And Managing Health Care Facilities And Services. Health Affairs, 32(1): 146-154.

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