{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"Authorea, Inc."}],"indexed":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T16:40:49Z","timestamp":1748968849187,"version":"3.41.0"},"posted":{"date-parts":[[2023,7,7]]},"group-title":"Preprints","reference-count":0,"publisher":"Wiley","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2023,7,7]]},"abstract":"<jats:p id=\"p1\">Portugal has a vast and intricate public health system that is being\nimpacted by rising costs. The concepts of New Public Management,\ntogether with foreign experience, drove the creation of public-private\npartnership (PPP) models around the turn of the century to enhance the\nfocus on performance and cost-effectiveness in healthcare. The first\nwave of PPPs, which began in 2001, featured an innovative and integrated\nconcept that linked hospital infrastructure building and administration\nwith clinical service delivery. The growth of PPP projects to avoid\nfinancial limitations reveals a lack of strategic thinking and the\ngovernment\u2019s short-term perspective on contracts lasting up to 30 years.\nVarious procedural delays, miscalculated costs, and external advice on\ncontract monitoring have exposed the public sector\u2019s incapacity to\nhandle complex projects and contracts properly. Following a widely\ncriticized first wave that resulted in some clinical service delivery\ngoing back to the public sector, Portugal is now seeking to establish a\nsecond wave of hospital PPPs that do not include this problematic\ncomponent. In response, this work suggests Portugal\u2019s first strategic\nmanagement method for managing healthcare PPPs. This paper initially\nexamines the Portuguese legal framework before doing an organic SWOT\nanalysis that combines the expertise of national PPP specialists.\nFilling existing knowledge gaps in public institutions, increasing tight\ncollaboration and accountability with the private sector, and examining\nmethods to contract management, renegotiation, and value-for-money\nevaluations are all recommended in the strategic formulation.<\/jats:p>","DOI":"10.22541\/au.168874384.42066717\/v1","type":"posted-content","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T15:30:49Z","timestamp":1688743849000},"source":"Crossref","is-referenced-by-count":1,"title":["Project and contract management in hospital Public-Private Partnerships: A strategic analysis of the Portuguese experience"],"prefix":"10.22541","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5418-9337","authenticated-orcid":true,"given":"Diogo","family":"Ferreira","sequence":"first","affiliation":[{"name":"Universidade de Lisboa Instituto Superior Tecnico"}]},{"given":"N.","family":"Heitor","sequence":"additional","affiliation":[{"name":"Universidade de Lisboa Instituto Superior Tecnico"}]},{"given":"Paulo","family":"Caldas","sequence":"additional","affiliation":[{"name":"Business and Economics School"}]},{"given":"Miguel","family":"Varela","sequence":"additional","affiliation":[{"name":"Business and Economics School"}]}],"member":"311","container-title":[],"original-title":[],"deposited":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T15:30:49Z","timestamp":1688743849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.authorea.com\/users\/636812\/articles\/653499-project-and-contract-management-in-hospital-public-private-partnerships-a-strategic-analysis-of-the-portuguese-experience?commit=887a82cbd8028304159f01472ad7f41d6e1a8728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,7]]},"references-count":0,"URL":"https:\/\/doi.org\/10.22541\/au.168874384.42066717\/v1","relation":{},"subject":[],"published":{"date-parts":[[2023,7,7]]},"subtype":"preprint"}}