Study On Public-Private Partnership(PPP) In Comnmunity Health Services

PPP(public-private Partnership)refers to the cooperative relationship between the government and social capital in the supply mode of Public goods and services,which has been booming worldwide in recent years.Since the New Health Care Reformming,China has also begun to cooperate with social capital to provide medical and health services.The PPP model can alleviate the government’s financial pressure,and at the same time,it is also of great significance to improve the operational efficiency and service quality of community health service institutions and alleviate the shortage of medical and health resources in China.However,the development of PPP mode in China is still in its infancy,especially in the field of health care.The relevant theoretical and practical experience is far less abundant than that of developed countries.In the process of application in China,there are low signing rates for new projects and many projects in the process of operation.Going to failure and other issues.Therefore,there is an urgent need to further study the PPP model in community health services.Based on the current situation of supply and demand of community health services,this paper analyzes the necessity of introducing PPP model into the field of community health services and the dilemma of cooperation,and probes into the key problem of PPP model--supervision.Through the game analysis of relevant stakeholders in the PPP model of community health services,the best time for supervision is analyzed to avoid the stagnation or even bankruptcy of PPP projects caused by excessive supervision costs.Based on the practical experience of PPP in the field of medical and health care abroad,this paper proposes the corresponding governance logic for the problems existing in the PPP model of community health service,and tries to construct the cooperation mechanism and innovation mechanism suitable for the PPP model of community health service in China,so as to promote the implementation of the PPP model of community health service.The research content of this paper are as follows:The first part discusses the research background,research status at home and abroad,the purpose and significance of the research,and clear the research ideas of this paper.In the second part,the connotation of community health service and PPP model is defined,and the relevant theories used in this paper are elaborated to lay a theoretical foundation for the specific research content of this paper.The third part elaborates the development status of China’s community health service institutions,the operation mode of the PPP model of community health service,and analyzes the necessity of introducing the PPP model into the field of community health service.In the fourth part,SWOT situation analysis method is used to analyze the main internal advantages,disadvantages and external opportunities and threats of the PPP model of community health services.The supply efficiency of PPP mechanism in the field of community health service is analyzed with the theory of economics.Finally,in order to ensure the smooth operation of PPP mode,the existing difficulties in the project cooperation are discussed.The fifth part,using the method of game analysis on community health service to introduce PPP project social capital may produce the opportunism behavior is analyzed,to discuss the opportunism behavior of social capital may and regulatory issues,considering the regulation cost under the restriction of the government regulation of the right time,in order to achieve the maximization of benefit.The sixth part summarizes the practical experience of the PPP model in the field of medical and health services in the UK,India and Australia,and draws useful experience from the PPP practices of other countries,so as to promote the better implementation of the PPP model in the field of community health services in China.The seventh part,based on the analysis of the dilemma and regulatory issues discussed above,proposes the governance logic for the PPP model of community health services in China,and tries to construct the cooperation mechanism and optimization path.The results of this study can provide reference for the policy reform of promoting the participation mode of community health services and have certain theoretical significance for promoting the multi-body participation of community health services.