The Impact of Public-Private Partnerships on Hospital Performance: A review study

  • Nasrin Shaarafchizadeh
  • Mohammad Reza Rezayatmand
  • Ghazaal Etemadi
Keywords: Public sector, Public-private sector partnerships, Hospital


Objective: Public-private partnerships (PPP) have been used recently in many countries for reforming the structural health sector. The purpose of this study was to investigate the impact of PPP models in hospitals on raising the awareness of health policy makers, managers, and authorities to make sound decisions and planning.

Information sources and selection methods for the study: This review was conducted in 2019 by searching the databases of Scopus, ProQuest, PubMed, and Google Scholar. The following keywords were used for the search: public private partnership, PPP, public hospital, public private partnership in hospital, and partnership model. Furthermore, Persian equivalents of these key words were searched in databases of Scientific Information Database and Irandoc from 1990 to 2017. A total of 954 articles were studied in a step-by-step manner.

Results: Finally, 21 articles related to the study objectives entered
the research. Based on the results collected from reviewing the selected papers, PPP in hospitals were categorized into 9 different categories of Service Purchase, Outsourcing, Management Contract, (Design, Build, Finance, Operate), (Build, Own, Operate), (Build, Own, Operate, Transfer), (Buy, Own, Lease back), Alzira model and Privatization. So, PPP influenced the performance of hospitals.

Conclusion: Overall, PPP can be a good solution for the hospital sector that can improve the hospital performance in the case of providing the necessary contexts. However, these models are not generalizable to all parts of the health system and may face numerous challenges in implementation.