Investigating the performance of PPP in major healthcare infrastructure projects: the role of policy, institutions, and contracts
Journal
Oxford Review of Economic Policy
ISSN
0266-903X
Type
journal article
Date Issued
2022
Author(s)
Abstract (De)
In the wake of the Covid-19 pandemic, public private partnerships (PPP) can prove useful to close the healthcare investment gap and accelerate long-term recovery, by matching public and private money. Despite their extensive application in the delivery of major infrastructure projects globally, their performance remains contested. Drawing on a unique set of data of PPP contracts for healthcare investments in Italy, the paper explores the antecedents (namely, policies, institutions, and contracts), that have influenced the capacity of PPP contracts to deliver performance, measured in terms of value for money (VfM), and contract stability. Results show that although explicit policy goals have a clear contribution, VfM can benefit from competent central PPP institutions, which should play a hands-on role in the planning, design, and project management activities. At the same time, centralised PPP units, if not combined with local competent authorities and strong governance mechanisms, may increase the risk of contract renegotiation.
Language
English
HSG Profile Area
SoM - Business Innovation
Refereed
Yes
Publisher
Univ. Press
Volume
38
Number
2
Start page
385
End page
401
Subject(s)
Division(s)
Eprints ID
266310
File(s)![Thumbnail Image]()
Name
Vecchi et al_2022_PPP performance.pdf
Size
224.26 KB
Format
Adobe PDF
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