意大利市建设经营性转移医院的公共筹资.docxVIP

意大利市建设经营性转移医院的公共筹资Public Financing into Build-Operate-Transfer Hospital Projects in ItalyAbstract: An empirical analysis is presented to investigate the factors that have significant influence on the share of public financing into the total initial investment required to develop build-operate-transfer (BOT) health-care projects. Based on a model describing the main risks associated with public participation in BOT projects, a linear regression analysis has been conducted on a data set of Italian BOT hospital projects to yield implications. Outcomes reveal that the size of investment, the financial strength of the concessionaire, the duration of the concession period, the number of services, and the level of borrowing of the local health-care granting agency are significant factors of the level of public funding. The study confirms that public funding is provided not only to cover the non-self-financing portion of investment but also as a way to undertake a project in periods of scarce public financial resources. The methodology may be useful to refine the decision criteria for determining the level of public funding of a BOT hospital project in order to gain an understanding of the value that could be obtained from funding similar projects. DOI: 10.1061/(ASCE)CO.1943-7862.0000545. ? 2012 American Society of Civil Engineers.摘要：提出了探讨公共融资需要开发建设经营转让的总初始投资份额显著影响因素的实证分析（BOT）保健项目。基于模型的描述与BOT项目中公众参与的主要风险，线性回归分析得到的数据集上的意大利BOT项目产量的影响进行了医院。结果表明，投资的大小，对特许人的财务实力，租界时期的时间，服务的数量，与地方医疗机构借款发放水平信号的公共筹资水平的重要因素。这项研究证实，公共资金提供不仅覆盖的非自筹资金部分的投资，但也作为一种方式来进行一个项目，在稀缺的公共财政资源。该方法可以提炼确定公共资金的BOT医院项目为了获得价值的认识，可以从类似的项目中获得的资金水平决策准则有用。关键词：10.1061 /（ASCE）co.1943-7862.0000545。?2012美国土木工程师学会。CEDB Subject Headings: Build/Operate/Transfer; Financial factors; Project management; Health care facilities; Risk management; Regression analysis; Italy.主题词：建立数据库/操作/转移；财务因素；项目管理；卫生设施；风险管理；回归分析；意大利。Author keywords: Build/operate/transfer; Financial factors; Project management; Health-care facilities; Risk management;