This paper summarizes what is known about the impact of public-private partnerships (PPPs) in the three sectors where they have been used intensively: infrastructure (energy, transport, water and sanitation, and telecommunications), education, and health. It lays out the main elements of economic theory relevant to analyzing the trade-off between PPPs and the public provision of complex projects. It places PPPs within a historical perspective. It reviews empirical evaluations of the effectiveness of PPPs and, whenever possible, the implications for social outcomes. Finally, it draws conclusions on cross-cutting issues that influence the efficiency of PPPs, from contract design and regulation to renegotiations and institutional issues. The paper straightens out and qualifies the record of existing evidence and signals some of the main areas and topics for future fruitful research.
Public private partnership; evaluation; infrastructure; education; health;
- H54: Infrastructures • Other Public Investment and Capital Stock
- I11: Analysis of Health Care Markets
- I21: Analysis of Education
- L33: Comparison of Public and Private Enterprises and Nonprofit Institutions • Privatization • Contracting Out
Anaïs Fabre, and Stéphane Straub, “The Impact of Public-Private Partnerships (PPPs) in Infrastructure, Health and Education: A Review”, TSE Working Paper, n. 19-986, January 2019, revised September 2021.
TSE Working Paper, n. 19-986, January 2019, revised September 2021