Driving to Contract Management in Health Care Institutes of Developing Countries


S Vatankhah 1 , O Barati 2 , * , MR Maleki 1 , Sh Tofighi 1 , S Rafii 1

1 Department of Health Services Management, Tehran University of Medical Sciences, Iran

2 National Institute of Health Research, Tehran University of Medical Sciences, No 78, Italia Ave, [email protected], Iran

How to Cite: Vatankhah S, Barati O, Maleki M, Tofighi S, Rafii S. Driving to Contract Management in Health Care Institutes of Developing Countries, Iran Red Crescent Med J. Online ahead of Print ; 14(4):235-239.


Iranian Red Crescent Medical Journal: 14 (4); 235-239
Article Type: Brief Report
Received: September 10, 2011
Accepted: November 12, 2011




Background: Public hospitals can privatize management activities by contracting with a private organization or person to perform the work. Management contract is a method which uses private sector for major government projects like hospitals. This study evaluates contract management in health care institutes of developing countries.


Methods: Information has been collected by reviewing the management contract condition of selected countries. Different forms of public private partnership for private participation in hospitals were surveyed.


Result: The effects of management contract is expanding market opportunities to include public sector clients, capturing a market to be protected from competitors and providing a reliable and timely source of revenue.


Conclusion: Contracting with non-governmental entities will provide better results than government provision of the same services. Contracting initiatives must be regulated and monitored at the highest level of government by experienced and astute policy makers, economists and operational personnel.


Contract management Developing country Public Private Hospital Government

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