Public and private partnership in health care is to improve the efficiency of health services. This lecture provides the models and the benefits of public private partnership in health care

1. Public Private Partnership in
Health Care
Prof Dr. Hematram Yadav
Malaysia

2. What is PPP?
•Public Private Partnership (PPP) in Health
care refers to an arrangement between
government and public sector with the
principle objective of providing public infra
structure, community facilities and other
related services

3. Why PPP? (Benefits)
• Govt cant provide Total Health care to all due to Financial constraint so PPP is
an alternate
• World Bank and IMF recommends PPP approach
Benefits
• Efficiency of services
• Improve access of health care (geographical and financial)
• Improve Equity
• Better Quality
• Continuity of care
• Opportunity to Regulate
• Encourage Best Practice

4. PPP Models
Public Private
Public Funding Public Health care Contract out services
Joint venture
Telemedicine
Franchising
Financing services
Private funding Preventing Communicable diseases
HIV
AIDS
COVID
SARS etc
Private Health care

5. Core Principles of PPP
• Better Equity of services
• Shared responsibility of private and public sector
• Better access of health care
• Mutual Commitment
• Shared decision making
• Better coverage of services
• Economies of scale
• Continuity of care
• Leadership and commitmnet

6. Examples
• Contracting management of Primary health care to private
sector(free diagnosis, consultation, treatment of basic care, supply of
drugs)
• Contracting of management of super specialties (Private sector
providing Beds for Poor patients)
• Public Sector Contracting services to Private sector(CT scan, MRI, Lab
services, ect)

7. Problems
• Legal issues (Who is responsible for the legal issues?)
• Trust of the Public and Private sector
• The issue of misuse of funds (reimbursement of services)
• Public sector issues (Am I getting the best cost of care?)
• Leadership issues

8. End