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Are Italian healthcare organizations paying too much for their public--private partnerships?

Author

Listed:
  • Veronica Vecchi
  • Mark Hellowell
  • Francesco Longo

Abstract

Italy's health service—the Servizio Sanitario Nazionale (SSN)—has developed Europe's second largest market for healthcare public--private partnerships. This article describes the origins of private finance for SSN infrastructure, examines the programme's scale and key characteristics, and provides a capital budgeting analysis of rates of return on 14 privately financed schemes. Excess returns are being made by the investors in these projects, and there is potential for SSN procurers to achieve significantly better value for money for the Italian people than has been the case to date.

Suggested Citation

  • Veronica Vecchi & Mark Hellowell & Francesco Longo, 2010. "Are Italian healthcare organizations paying too much for their public--private partnerships?," Public Money & Management, Taylor & Francis Journals, vol. 30(2), pages 125-132, March.
    • Handle: RePEc:taf:pubmmg:v:30:y:2010:i:2:p:125-132
    DOI: 10.1080/09540961003665586
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    Citations

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    Cited by:

    1. Cepparulo, Alessandra & Eusepi, Giuseppe & Giuriato, Luisa, 2020. "Public finances and Public Private Partnerships in the European Union," MPRA Paper 103918, University Library of Munich, Germany.
    2. Alessandra Cepparulo & Giuseppe Eusepi & Luisa Giuriato, 2024. "Public Finance, Fiscal Rules and Public–Private Partnerships: Lessons for Post-COVID-19 Investment Plans," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 66(1), pages 191-213, March.
    3. Jiangang Shi & Kaifeng Duan & Shiping Wen & Rui Zhang, 2019. "Investment Valuation Model of Public Rental Housing PPP Project for Private Sector: A Real Option Perspective," Sustainability, MDPI, vol. 11(7), pages 1-18, March.
    4. Colla, Paolo & Hellowell, Mark & Vecchi, Veronica & Gatti, Stefano, 2015. "Determinants of the cost of capital for privately financed hospital projects in the UK," Health Policy, Elsevier, vol. 119(11), pages 1442-1449.
    5. Zhe Cheng & Zhenshan Yang & Huina Gao & Hui Tao & Ming Xu, 2018. "Does PPP Matter to Sustainable Tourism Development? An Analysis of the Spatial Effect of the Tourism PPP Policy in China," Sustainability, MDPI, vol. 10(11), pages 1-15, November.
    6. Graeme Hodge & Carsten Greve, 2013. "Public–private partnership in developing and governing mega-projects," Chapters, in: Hugo Priemus & Bert van Wee (ed.), International Handbook on Mega-Projects, chapter 9, pages 182-208, Edward Elgar Publishing.
    7. Mariateresa Torchia & Andrea Calabrò, 2018. "Increasing the Governance Standards of Public-Private Partnerships in Healthcare. Evidence from Italy," Public Organization Review, Springer, vol. 18(1), pages 93-110, March.
    8. Vecchi, Veronica & Hellowell, Mark & Gatti, Stefano, 2013. "Does the private sector receive an excessive return from investments in health care infrastructure projects? Evidence from the UK," Health Policy, Elsevier, vol. 110(2), pages 243-270.
    9. Caterina Cavicchi & Chiara Oppi & Emidia Vagnoni, 2019. "On the feasibility of integrated reporting in healthcare: a context analysis starting from a management commentary," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 23(2), pages 345-371, June.

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