Public Values

Many P3 hospital deals, but little public scrutiny

In Ontario alone, 19 hospitals are being financed and constructed by private sector.

The Brampton Hospital is a contentious P3 project.by Ann Silversides, CMAJ

October 21, 2008 — Anyone who works in a hospital knows how incredibly complex the institutions are — and how important they are to Canadians when serious health problems plague them or their loved ones.

So it is surprising that a sea change in the way that many Canadian hospitals are now being developed has gone largely unheralded and unexamined by health care professionals, academics and the public.

Canada's 3 most populous provinces — Ontario, Quebec and British Columbia — have been shifting from traditional procurement methods to public-private partnerships (P3s) to design, build, finance, maintain and, sometimes, operate hospitals.

In Ontario alone, 19 hospitals are being financed and constructed by private sector consortia, and deals are close to completion for another 7, says David Livingston, president of the government agency Infrastructure Ontario.

"There has never been that much activity happening all at the same time," he notes. . .

To read further . . .

Links and sources
  Public-private partnerships, part 1: the next hospital wave, by Ann Silversides, CMAJ, October 21, 2008

Posted: October 28, 2008

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