Public-Private Partnership Policy in Primary Health Care: A Scoping Review

J Prim Care Community Health. 2020 Jan-Dec:11:2150132720943769. doi: 10.1177/2150132720943769.


Background: Given the challenges of governments to deliver primary health care (PHC), engaging private sector in the form of public-private partnership (PPP) can be effective policy. The aim of present study is to review the experiences of implementing PPP policy in PHC.

Methods: This scoping review study was conducted in 2019 using the framework proposed by Arkesy and O'Malley. Required data were collected through search the related keywords in databases, manual search of some journals, websites, and other sources of information and through references check, from January 2000 to May 2019. All studies, which focused on the results of PPP in PHC, and published in English or Persian were included in the study.

Results: A total of 108 articles were included in the study. The studies were mostly conducted in low- and middle-income countries. The quantitative studies have demonstrated the success of this policy in improving PHC indicators. Based on the qualitative studies PPP in PHC has many benefits, including access improvement, economic benefits, and service quality enhancement.

Conclusions: The present study provides useful information on the experiences of different countries in the field of PPP in PHC that can be used by experts and decision makers to decide whether to engage the private sector in the form of PPP model.

Keywords: primary health care; private sector; public-private partnership; scoping review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Health Policy
  • Humans
  • Income
  • Policy
  • Primary Health Care*
  • Public-Private Sector Partnerships*
  • Qualitative Research