Project Finance Structuring, Management and Sustainability of Healthcare Systems

Abstract

designed for populations expected to live for an average of 65–70 years. With retirement at 60–65 and near full employment, lifetime earnings and savings were sufficient to finance a decent health system, while rising health expenditure meant welfare gains for all. In the 21stcentury, average life expectancy rose above the age of80, and health science and technology improved quality of life even at a very old age. Abstract: This concept paper examines how project finance structuring and management affect the sustainability of healthcare systems. A good healthcare system is characterized by efficient health service delivery, adequate human resources, a sustainable financing system and good governance. The study was guided by the sustainability model, prospect theory, pecking order theory and the agency theory. This study adopted a qualitative approach, relying on articles previously reviewed. There is an urgent need to transform healthcare systems so that new and existing health problems can be dealt with decisively and more efficiently. This requires renewed commitment from governments, reprioritizing and readjustment of present healthcare programs, inter-sectorial collaborations that involve all relevant stakeholders including the communities, and renewed investments in sustainable healthcare policies that deliver maximum impact at minimal cost. Project Finance structuring is a framework in which risk structure and financial structure decisions are made and tied together in the project's legal structure, which, in turn, forms a foundation for funding the project on a limited recourse basis. From the analyses, institutions are yet to achieve ideal project finance structuring and management to achieve sustainable healthcare systems. Countries must come up with elaborate healthcare structures and management models to achieve sustainable healthcare systems. This paper explores the relationship between project finance structuring, management and sustainability of healthcare systems. The interrelationship between these variables determines the condition, functionality and adequacy of healthcare systems. In conclusion, health care should move towards quality improvement and safe practice through effective risk management in organizational process, equitable health financing mix and strong legal frameworks.