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World Bank Study of Hospital Concessions in Chile

This study examines advantages and disadvantages of the current hospital concessions framework in in Chile in comparison with best practices identified in international experiences with hospital concessions from a selected group of countries (e.g. Spain, Australia, England, and Canada).
The comparative evaluation assessed factors such as: (i) the aptitude of the framework to
effectively assign and manage risks; (ii) the aptitude and flexibility of the framework to adapt to new
requirements; (iii) the ability of the private operator to provide quality health care services in a timely
manner; (iv) the use of good practices in contract management by the private operator; and (v) the
presence of stable and adequate policies and institutions for the development of the public-private
partnership.
The study consists of the following chapters:
(i) Comparative analysis of the current concession framework and relevant international experience,
focused on economic model, institutional structure, auxiliary service provision, monitoring and control
system
(ii) Comparative analysis of the current concession framework and relevant international experiences,
focused on the ability of the framework to adapt to the changing needs in the health sector
(iii) Assessment of the findings of the study produced by the Ministry of Civil Works in light of international experiences
(iv) Recommendations to optimize the current framework for hospital concessions.

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