Abstract
DBFM(O), PFI, BOT, and BOOT arrangements, commonly bracketed under the term ‘concessions’, are gaining in popularity for the provision of infrastructure in general, and notably for the provision of hospitals. Concessions are seen as a solution that will overcome the bottlenecks associated with the conventional approach to hospital provision and, further, as an approach that will generate ‘Value for Money’. However, despite hospital concessions becoming increasingly common, they represent a major, but so far under-evaluated, concept.
This thesis generates insights into whether hospital concessions do deliver the benefits claimed, and what conditions determine the success of the outcome. It endeavors to assess the potential of hospital concessions, and their empirical performance on Value for Money, through addressing the way concession arrangements are structured and the extent of the flexibility they generate. Initial lessons arising from the current provisioning of English and Australian hospital facilities by concessions are identified so that they can be taken into consideration in future projects.
This thesis generates insights into whether hospital concessions do deliver the benefits claimed, and what conditions determine the success of the outcome. It endeavors to assess the potential of hospital concessions, and their empirical performance on Value for Money, through addressing the way concession arrangements are structured and the extent of the flexibility they generate. Initial lessons arising from the current provisioning of English and Australian hospital facilities by concessions are identified so that they can be taken into consideration in future projects.
Original language | English |
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Qualification | Doctor of Philosophy |
Awarding Institution |
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Supervisors/Advisors |
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Award date | 3 Apr 2008 |
Place of Publication | Enschede |
Publisher | |
Print ISBNs | 978-90-365-2648-7 |
DOIs | |
Publication status | Published - 3 Apr 2008 |