2023-03-01-亚开行-基于证据的公共-私人卫生部门合作_合作治理促进亚洲新冠肺炎经济复苏的潜力（英）_62页_796kb

Evidence-Based Public–Private Collaboration in Health Sector: Potential for Economic Recovery in Asia

Health systems in Asia face the challenge of balancing public and private roles in delivering essential services, particularly during the COVID-19 pandemic. Collaborative governance, which involves shared discretion between public and private actors, is presented as a key mechanism for enhancing resilience and improving healthcare outcomes. The analysis highlights that private providers are integral to health service delivery, serving diverse populations, including the poor and wealthy, though with varying quality and access issues.

The pandemic underscored the importance of innovation, transparency, and preparedness, with successful responses often relying on public-private partnerships in vaccine development, testing, and service delivery. However, these collaborations require robust frameworks to ensure accountability and equity, addressing potential risks like payoff and preference discretion.

The report emphasizes the need for governments to invest in evidence-based governance, including streamlined procurement, rigorous evaluation of partnerships, and transparent accountability mechanisms. Recommendations include:

• Emphasizing the use of technology (e.g., telehealth, AI-driven diagnostics) for improving access and efficiency in healthcare.
• Strengthening regulatory frameworks to support cross-sector collaboration while maintaining quality and equity.
• Encouraging regional cooperation organizations (e.g., ASEAN) and multilateral institutions (e.g., ADB) to facilitate knowledge sharing and coordinate best practices.

The potential for collaborative governance extends beyond pandemic response, contributing to long-term economic recovery by building resilient health systems. Success hinges on pragmatic approaches that blend evidence, innovation, and inclusive stakeholder engagement.