Evaluating public private partnerships in the healthcare sector. Scoping review

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Published Dec 27, 2025
https://doi.org/10.62438/tunismed.v103i10.6153
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Vol. 103 No. 10 (2025): Tunis Med Oct 2025

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Khadija Salim
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Regional Directorate of Health, Casablanca Settat, Morocco
Amina Idrissi Azami
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca, Morocco
Belabbes Sanae
Head of the Health Organisation Management Department, Head of the Hospital Management MBA Programme, Mohammed VI University of Science and Health, Casablanca, Morocco

Abstract

Introduction: Governments faced efficiency crises in healthcare between the 1980s and 1990s, leading to the adoption of Public-Private Partnerships (PPPs) as innovative solutions. This study explores evaluation methodologies, criteria, and research gaps in the healthcare sector.


 Methods: The study utilized Arksey and O'Malley's framework to conduct a scoping review of public-private partnerships in the health sector, identifying gaps, suggesting new research directions, and clarifying complex concepts using various databases and dictionaries.


Results: A study screened 21 255 papers for inclusion in an analysis, resulting in 26 studies selected for final review. The aim was to understand the contribution of Public-Private Partnerships (PPPs) to healthcare service quality, operational efficiency, and accessibility. The studies were categorized into four: access to quality care, strengthening health programs, improving communication, information, and awareness, and strengthening leadership and financial management. The studies were conducted in various countries, including Africa, Europe, Asia, North America, and South America.


Discussion: Public-private partnerships (PPPs) play a crucial role in the healthcare sector, improving efficiency and quality. They provide greater access to healthcare, especially for lowincome populations, and reduce financial burdens. However, their success depends on effective governance, accountability, and equitable cost-sharing arrangements. Effective communication and promotion are essential for PPP success. Resilient strategies are needed to overcome service disruptions and ensure transparency.

Keywords:

Public-private partnership, evaluation, healthcare system, Contribution

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Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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