Tesis Pregrado
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Browsing Tesis Pregrado by Author "Alarcón Ramírez, David Alejandro"
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Item Comparación del desempeño de proyectos de infraestructura hospitalaria pública y concesionada en Chile.(Universidad de Concepción, 2024) Alarcón Ramírez, David Alejandro; Oliveros Romero, JoséThe implementation of public-private partnerships (PPP) in public infrastructure is a widespread practice in Chile. While it has proven effective in sectors such as roads and airports, its application in the health sector has been subject to criticism. The difficulty of comparing performance between traditional infrastructure and that managed through PPP, along with the lack of a specific methodology to evaluate concessions, has created uncertainty in decision-making. This thesis focuses on comparing the performance of two specific hospital infrastructure projects in Chile: Talcahuano's Hospital Las Higueras, representing the traditional provision approach, and Santiago's Hospital Félix Bulnes, representing the concessions model. The selection of these projects was based on the availability of information and their geographical proximity. A comprehensive comparison was planned, covering general aspects of both hospital projects and a detailed comparison by phases, including design, construction, and operation. The methodology was based on literature review and interviews with experts in both concessioned and traditional projects. Various sources, including technical reports, official documents, and previous studies, were explored to identify performance characteristics suitable for comparison. The results revealed 14 general characteristics that could be compared between both models, indicating a low level of similarity in four of them, a medium level in another four, and a high level in six. In the design phase, no significant differences were observed, but in the construction phase, the concessioned hospital showed higher costs, and the traditional hospital experienced greater increases in timelines and scope. In the operation phases, areas of similarity in organizational structure were identified, but differences were noted, especially in the methods of contracting non-clinical services and in the evaluation of performance indicators for services. The conclusion emphasizes that, while the thesis does not provide a definitive answer regarding the superiority of one model over the other, it establishes a foundation for future comparisons. Furthermore, it contributes to the debate on the effectiveness of hospital infrastructure projects in Chile and highlights the need to develop specific methodologies for evaluating public-private partnerships in the health sector.