A Contingent Approach to the Organization and Management of Public-Private Partnerships: An Empirical Study of English Health Care

成果类型:
Article
署名作者:
Waring, Justin; Currie, Graeme; Bishop, Simon
署名单位:
University of Nottingham; University of Warwick
刊物名称:
PUBLIC ADMINISTRATION REVIEW
ISSN/ISSBN:
0033-3352
DOI:
10.1111/puar.12020
发表日期:
2013
页码:
313-326
关键词:
employment TRANSFORMATION innovations service LABOR ppps road
摘要:
Publicprivate partnerships (PPPs) have become a prominent feature of contemporary public policy. Although research shows variation in the contractual configuration of partnerships, there is little evidence of how these shape service and workforce organization. Through comparative ethnographic research on two PPP health care providers in the English National Health Service, this article develops the idea that PPPs exhibit tight and loose arrangements that relate to downstream service and workforce management. It induces four empirically grounded mediating factors to describe this relationship. The first relates to the dependence between partners in terms of financing, strategy, and resource sharing; the second to the strategic orientation of leaders; the third to the composition of the professional workforce; and the fourth to the management approach to service and workforce organization. The article contributes to the research literature by exploring the contingencies in how PPPs are operationalized on the ground.