International Journal of Scientific Research and Engineering Development

Here’s the basic problem that Public-Private Partnerships in healthcare were supposed to fix: governments just couldn't afford to do everything themselves. Infrastructure costs kept climbing. Technology demands kept expanding. And taxfunded budgets? Flat or shrinking.The idea sounded clean enough. Let private capital and private efficiency build hospitals, run diagnostic labs, or manage IT systems. Meanwhile, governments could stick to policy and equity. And in some places, it actually worked. India’s PPP hospital model in Gujarat? Cut patient wait times. The UK’s private finance initiative? Built dozens of new NHS facilities.But things got messy fast. Contracts locked governments into decades of high-interest payments. Private partners grabbed the profitable services and left the unprofitable but essential care — you know, the stuff that actually matters — to the public system. Quality monitoring? Turned into a bureaucratic nightmare.This paper reviews studies from 2015 to 2025 across low-, middle-, and high-income countries. What did we find? PPPs work well in narrow, well-regulated contexts — think diagnostic services, hospital maintenance, specialized equipment. But they fail systematically when used for core clinical care or emergency services.

Miss.Ravina Kumavat, Miss.Sharmeen Khan,"Public-Private Partnerships (PPPs) in Healthcare Financing" International Journal of Scientific Research and Engineering Development, V9(3): Page(953-957) May-June 2026. ISSN: 2581-7175. www.ijsred.com. Published by Scientific and Academic Research Publishing.