The Court of Audit said that the public-private partnership of Braga, Villafranca de Gila, Laures and Cascais saved 203 million euros
The Court of Audit recognized that public-private partnerships in the health sector “have saved the country” and are “generally higher” than the average efficiency of comparable public hospitals. In a report analyzing the performance of the hospitals of Braga, Villafranca de Gila, Laures and Cascais, TdC estimated that the state has saved 203 million euros through these contracts, but even so , Less than one-third of the estimated initial value is 671 million US dollars.
The news was provided by Expresso newspaper, which quoted the report conclusion of the Ministry of Finance’s Monitoring Project Technology Unit and used it as the basis for the work of the Court of Audit. The conclusion of the Court of Audit is that hospitals are on a global scale and the economics and benefits of “private clinical management” Operational efficiency indicators are higher than the average level of the corresponding benchmark group hospitals [referência]”. In 2018, the hospital units of Braga, Laures and Villa Franca de Gila even had the lowest per capita surgical costs. The focus is on Braga, which has been the lowest since 2013. : 2280 Euros per patient.
TdC said that whether it is from a national perspective, independent external evaluations conducted, or even from a user perspective, the performance evaluation of PPP in hospital management is positive. Compared with the standards used to monitor publicly managed hospitals, 90 of the hospitals managed by purchasing power parity have higher quality standards.
But TdC also concluded that the medical care level of these four hospitals is higher than that of contracted hospitals. These contracts produced a cumulative difference of 61 million euros, of which 22 million euros are still in dispute. It left some recommendations, namely, “whether the annual production volume is sufficient to affect the health service needs of the population in the affected areas”, the application of satisfaction surveys in all publicly managed hospitals (already in the PPP) and in Cascais And Routh, in the configuration of the new management contract, today’s consideration of the controversial subject. TdC will also challenge “the rationale for choosing between traditional public procurement and PPP in a cost-benefit analysis to ensure the best use of public funds”, that is, in Braga’s reassessment of new partnerships.