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There is no analysis of the efficiency and effectiveness of the privatised services

The official auditing body, the Cámara de Cuentas, has challenged the privatisation of hospitals in the Madrid region, arguing that there has been no evidence provided for any increase in efficiency or improvements in healthcare arising from the privatisation. The preliminary report, obtained by El Diario newspaper says that there has been no analysis of the efficiency and effectiveness of the privatised services in comparison to direct provision by the public sector.

Source: eldiario.es

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A cost and performance comparison of Public Private Partnership and public hospitals in Spain

Health Economics Review has published a research paper comparing hospitals administered by public vs. “public private partnerships” (PPPs) models. “In summary, regarding the performance and efficiency analysis, it is seen that the PPP group obtains good results, above the average for those directly managed, but not better in every case. Therefore, the results are not conclusive enough to clearly opt for one model of management; in both cases strengths and weaknesses were identified.”