An analysis of ophthalmology services in Finland - has the time come for a Public-Private Partnership?

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dc.contributor.author Tynkkynen, Liina-Kaisa -
dc.contributor.author Lehto, Juhani -
dc.date.accessioned 2012-06-17T20:16:37Z
dc.date.available 2012-06-15 15:21:31 -
dc.date.available 2012-06-17T20:16:37Z
dc.date.issued 2009 -
dc.identifier.issn 1478-4505 -
dc.identifier.uri http://tampub.uta.fi/handle/10024/66278
dc.description BioMed Central Open access -
dc.description.abstract Background We studied the prerequisites for Public-Private Partnership (PPP) in the context of the Finnish health care system and more specifically in the field of ophthalmology. PPP can be defined as a more or less permanent cooperation between public and private actors, through which the joint products or services are developed and in which the risks, costs and profits are shared. The Finnish eye care services system is heterogeneous with several different providers and can be regarded as sub-optimal in terms of overall resource use. What is more, the public sector is suffering from a shortage of ophthalmologists, which further decreases its possibilities to meet the present needs. As ophthalmology has traditionally been a medical specialty with a substantial private sector involvement in service provision, PPP could be a feasible policy to be used in the field. We thus ask the following research question: Is there, and to what extent, an open window of opportunity for PPP? Methods In addition to the previously published literature, the research data consisted of 17 thematic interviews with public and private experts in the field of ophthalmology. The analysis was conducted in two stages. First, a literature-based content analysis was used to explore the prerequisites for PPP. Second, Kingdon's (1995) multiple streams theory was used to study the opening of the window of opportunity for PPP. Results Public and private parties reported similar problems in the current situation but defined them differently. Also, there is no consensus on policy alternatives. Public opinion seems to be somewhat uncertain as to the attitudes towards private service providers. The analysis thus showed that although there are prerequisites for PPP, the time has not yet come for a Public-Private Partnership. Conclusion Should the window open fully, the emergence of policy entrepreneurs and an opportunity for a win-win situation between public and private organizations are required. -
dc.language.iso en -
dc.title An analysis of ophthalmology services in Finland - has the time come for a Public-Private Partnership? -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal article| -
dc.identifier.urn urn:nbn:uta-3-540 -
dc.identifier.doi 10.1186/1478-4505-7-24 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Terveystiede | en=Health care science| -
dc.journal.title Health Research Policy and Systems -
dc.journal.volume 7 -
dc.journal.number 24 -
dc.journal.volumepagerange 1-12 -
dc.oldstats 69 -

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