Budayan, C; Koc, K; Erk, E Y and Tokdemir, O B (2025) Uncovering value creation factors for healthcare public-private partnership (PPP) projects. Engineering, Construction and Architectural Management, 32(8), pp. 5456-5483. ISSN 0969-9988
Abstract
Purpose – Many countries struggled to respond to the pandemic burden; in fact, most suffer from healthcare incapacity generally. Therefore, they need to find innovative systems to compensate for their deficiencies in dealing with current and future problems. One such goes down the public-private partnership (PPP) route. It is important to note, however, that PPP is not a magic wand, and some of these projects have been criticized for overruns that exceed the value created. Aiming to promote the value created in healthcare PPP projects, this study aims to identify factors and critical points related to their implementation. Design/methodology/approach – A two-stage literature review was conducted to shape semi-structured interviews. Based on this, the questions to be asked in the interviews were prepared. The interviews were conducted with twelve experts. The transcripts of the twelve semi-structured interviews were analyzed using manual thematic analysis to reveal the most critical value-creation factors (VCFs). The VFCs were validated by comparing them with the studies in the literature and by having focus group discussions (FGDs) with the experts. Finally, in an FGD, the experts discussed how these factors affect value creation in healthcare PPP projects. Findings – The findings show that VFCs can be categorized into four dimensions: assets, partnership synergy, cooperation environment and processes. Based on the frequency of codes during the thematic analysis, the most frequently addressed VFCs in each category were identified. These were complementary skills and resources, attitude, early establishment of the operational body and effective design development, respectively. Practical implications – This research contributes to both society and practice by unveiling VCFs and effective ways to achieve them in healthcare PPP projects. Thus, practitioners can generate more value and bring value to the forefront of healthcare PPPs, which can then enhance the value gained by society. Originality/value – Studies to date have offered little about VCFs and how to realize value in PPP projects by considering the factors involved in them. Moreover, value creation in PPP healthcare projects has largely remained unexplored, despite PPPs being adopted and investigated quite commonly.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | healthcare sector; public-private partnerships; value creation factors; value in construction |
| Index terms: | interview, society, focus group, literature review, overrun, methodology, practitioner, thematic analysis, value creation, cooperation, pandemic, partnership, implementation, design development, dimension, synergy |
| Subjects: | project controls, partnership management, methods and analysis, health risk and incident analysis, data analysis and analytics, health monitoring assessment and metrics, data collection methods, communities and social development, design process, economic development, research methods, contractual arrangements, psychology, practitioner |
| Topics: | Health and Safety, Procurement, Sustainability, Research Practice, Stakeholder Management, Roles and Professions, Design Practice, Organizational Design, Time Control |
| Descriptive scope: | 5 PCTEA |
N.B. Descriptive scope is a count of how many of the five facets of empirical research are indicated by the words used in title, abstract and keywords. It is not intended as a judgement on the research; merely a count of the kind of word we would expect to indicate Phenomenon, Concepts, Theoretical framing, Empirical techniques, Analytical techniques. If all five are present, then a code of “5 PCTEA” will indicate this. If you feel the coding for this record is questionable, we welcome discussion around the terms we matched or the way we categorized them. The facet you would expect may not be coded, or a facet may be coded inappropriately. This can also bear on a larger question, of which facets should be treated as defining in construction management research. Please get in touch, and we will look at it. More details here