Performance Comparison of Public-Private Partnerships and Traditionally Procured Hospitals

Original study by David Alarcon-Ramirez, Jose Oliveros-Romero and Daniel Mahn.

This study examines the extent to which public–private partnership (PPP) and traditional procured (TP) models impact the performance of hospital infrastructure projects.  It therefore adds to the emerging literature that compares PPP with traditional procurement of social infrastructure projects.

The paper begins with a discussion of some of the main topics related to measuring PPP performance.  It notes that the ex ante approval of PPP development is well defined using value for money tests incorporating public sector comparators. However, methodologies for assessing PPP performance and for ex post validation of the PPP alternative are not as well developed.

The paper reviews relevant empirical literature on PPP performance and finds that the research typically presents the potential benefits of the model, success factors, and key risks   Moreover, they conclude that no clear evidence shows how real-world projects generate those potential benefits or what concerns are real. Conducting such an analysis is challenging because of the limited availability of comparative data for conducting a comprehensive assessment.

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