Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals?

Sustainability 2019, 11(6), 1704; doi: 10.3390/su11061704

19 Pages Posted: 21 Apr 2019

See all articles by Roberto Moro Visconti

Roberto Moro Visconti

Università Cattolica del Sacro Cuore - Department of Business Administration

Laura Martiniello

Universitas Mercatorum

Donato Morea

Universitas Mercatorum

Elisa Gebennini

Universitas MERCATORUM

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Date Written: March 21, 2019

Abstract

This article addresses the relationship between Public-Private Partnerships (PPP) and the sustainability of public spending in smart hospitals. Smart (technological) hospitals represent long-termed investments where public and private players interact with banking institutions and eventually patients, to satisfy a core welfare need. Characteristics of smart hospitals are critically examined, together with private actors’ involvement and flexible forms of remuneration. Technology-driven smart hospitals are so complicated that they may require sophisticated PPP. Public players lack innovative skills, whereas private actors seek additional compensation for their non-routine efforts and higher risk. PPP represents a feasible framework, especially if linked to Project Financing (PF) investment patterns. Whereas the social impact of healthcare investments seems evident, their financial coverage raises growing concern in a capital rationing context where shrinking public resources must cope with the growing needs of chronic elder patients. Results-Based Financing (RBF) is a pay-by-result methodology that softens traditional PPP criticalities as availability payment sustainability or risk transfer compensation. Waste of public money can consequently be reduced, and private bankability improved. In this study, we examine why and how advanced Information Technology (IT) solutions implemented in “Smart Hospitals” should produce a positive social impact by increasing at the same time health sustainability and quality of care. Patient-centered smart hospitals realized through PPP schemes, reshape traditional healthcare supply chains with savings and efficiency gains that improve timeliness and execution of care.

Keywords: Project Financing; infrastructures; social impact investments; Results-Based Financing (RBF); value co-creation; supply chain; patient-centered care; value-based healthcare; availability payment; bankability

Suggested Citation

Moro Visconti, Roberto and Martiniello, Laura and Morea, Donato and Gebennini, Elisa, Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals? (March 21, 2019). Sustainability 2019, 11(6), 1704; doi: 10.3390/su11061704, Available at SSRN: https://ssrn.com/abstract=3358138

Roberto Moro Visconti

Università Cattolica del Sacro Cuore - Department of Business Administration ( email )

Largo Agostino Gemelli 1
Milano, 20123
Italy

Laura Martiniello

Universitas Mercatorum ( email )

Via Appia Pignatelli, 62
Rome, 00178
Italy

Donato Morea (Contact Author)

Universitas Mercatorum ( email )

Via Appia Pignatelli, 62
Rome, 00178
Italy

Elisa Gebennini

Universitas MERCATORUM ( email )

Via Appia Pignatelli, 62
Rome, 00178
Italy

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