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Review
. 2022 Aug 26;11(3):22799036221115781.
doi: 10.1177/22799036221115781. eCollection 2022 Jul.

Hospital services under public-private partnerships, outcomes and, challenges: A literature review

Masyitoh Basabih  1 , Eko Prasojo  2 , Amy Yayuk Sri Rahayu  2
Affiliations
Review

Hospital services under public-private partnerships, outcomes and, challenges: A literature review

Masyitoh Basabih et al. J Public Health Res. .

Abstract

Public-private partnerships (PPP) is used to advance health service access and quality. PPP implementation in hospitals is vital to shorten the service and quality gap. Hospitals are the most significant health budget spender, and this study aimed to identify the PPP effect on hospital performance indicators and its implementation challenges. Thirty-three inclusive articles were filtered and collected from Pubmed, ScienceDirect, Medline, and Sage Publication databases. Results showed that various articles succeeded in implementing PPP and improving the access and quality of health services. Several hospital performance indicators such as diagnosis, therapy, service waiting time, length of stay, referral rate, mortality rate, and patient satisfaction were reported to show better results. However, there was insufficient evidence to say the same on related financial indicators. Policy, resource, communication and trust, risk, and evaluation monitoring were considered challenges in PPP implementation. Its success was not only influenced by major factors such as governance model, finance, politics, and social but also was influenced by the medical practice model applied within the organization. This study contributed to whether PPP affects the hospital performance indicators.

Keywords: PPP; hospital performance indicator; policy and governance; quality.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Literature search schematic. Source: Author’s processed results. Schematic adapted from Page et al.
Figure 2.
Figure 2.
Distribution of articles by year of publication. Source: Author’s results.
Figure 3.
Figure 3.
Article distribution by PPP model. Source: Author’s results.
See this image and copyright information in PMC

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