Spanish health district tests a new public–private mix

This article was published in the Bulletin of the WHO, Volume 87, Number 12, December 2009. Mireia Bes reports from Valencia on a new model for managing public hospitals.

“Faced with ballooning deficits in its health-care budget in the late 1990s, the Spanish regional authority of Valencia decided it was time to look for new ways to fund and run its hospitals. Starting with the health district of Alzira, the authority invited a private consortium led by Adeslas, a leading Spanish private health insurance company not only to build a brand new hospital, but to run it as well. Hospital de La Ribera, built at a cost of €61 million in 1999 (US$ 91 million on 17 November 2009), was managed by a new kind of corporate entity known as a public–private investment partnership (PPIP). PPIPs are just one way of involving the private sector in publically-funded health services, as most districts in Spain rely on a public–private mix of one kind or another.”

To read the full article:
http://www.who.int/bulletin/volumes/87/12/09-031209.pdf

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