Parteneriate public-privat în sistemul spaniol de îngrijiri medicale - lecții pentru România
Public-Private Partnerships in Spanish Health Care System- Lessons for Romania

Summary/Abstract: In the modern Providence - States, the health became one of major public mechanism , which has leaded to an important rise of public expenditure health -care system. Universal access, high product quality and financial sustainability are key objectives of government health policy in all OECD countries. The funding of health care is one of the greatest challenges facing governments today. This paper addresses issues of public-private partnership in healthcare services, trying to present the example of Spanish regions which have introduced a participation of private capital in healthcare system. This example could be a lesson for Romania , taking into consideration the stipulated decentralization and possible privatization of the healthcare sector. Although public-private partnerships have been effective when used in some sectors, the challenges of implementing these forms of collaboration have been greatest when affecting services linked to social or territorial solidarity. Liberalization of the activities that used to be provided as public services does not seem to justify the giving up of the value that public service represents. The introduction of market mechanisms must have as final objective the improvement of the efficiency of the system to the benefit of consumers and users of the public services.

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