IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0233802.html
   My bibliography  Save this article

Barriers to the implementation of public-private partnerships in the healthcare sector in the Kingdom of Saudi Arabia

Author

Listed:
  • Mohammed Khaled Al-Hanawi
  • Sarh Almubark
  • Ameerah M N Qattan
  • Agnieszka Cenkier
  • Ewa Agnieszka Kosycarz

Abstract

Background: Saudi Arabia is considering increasing the role of the private sector’s participation in financing and delivering healthcare services through the adoption of Public-Private Partnerships (PPPs). However, the adoption and successful implementation of PPPs in the Saudi healthcare sector requires careful attention to overcome potential obstacles. Objectives: This study investigates and identifies potential barriers to the successful implementation of PPPs in the Saudi healthcare sector. Methods: A pre-tested interviewer-administered questionnaire was used to collect data from 72 respondents over a two-month period. Respondents were asked to rate the degree of influence of potential key barriers using a five-point Likert scale. The collected data was analysed using descriptive and inferential statistics. Results: The evidence showed that the top three barriers, as rated by the respondents, were legal barriers, including delays in receiving approval and permits and law and regulation changes, environmental barriers, including lack of transparency and accountability and technological barriers, including a shortage of professionals qualified to handle PPP projects. Conclusions: The barriers identified suggested that the government should ensure that PPPs are implemented in a timely manner to ensure that private sector involvement yields the intended benefits. Furthermore, a stable legal and regulatory framework must be established that is properly and easily enforced to avoid confusing stakeholders with too many changes. It is also important to ensure that transparency and accountability measures are strengthened.

Suggested Citation

  • Mohammed Khaled Al-Hanawi & Sarh Almubark & Ameerah M N Qattan & Agnieszka Cenkier & Ewa Agnieszka Kosycarz, 2020. "Barriers to the implementation of public-private partnerships in the healthcare sector in the Kingdom of Saudi Arabia," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-15, June.
  • Handle: RePEc:plo:pone00:0233802
    DOI: 10.1371/journal.pone.0233802
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233802
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0233802&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0233802?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Veronica Vecchi & Mark Hellowell & Raffaele della Croce & Stefano Gatti, 2017. "Government policies to enhance access to credit for infrastructure-based PPPs: an approach to classification and appraisal," Public Money & Management, Taylor & Francis Journals, vol. 37(2), pages 133-140, February.
    2. Jingfeng Yuan & Alex Yajun Zeng & Miroslaw Skibniewski & Qiming Li, 2009. "Selection of performance objectives and key performance indicators in public-private partnership projects to achieve value for money," Construction Management and Economics, Taylor & Francis Journals, vol. 27(3), pages 253-270.
    3. Ilze Kivleniece & Bertrand Quélin, 2012. "Creating and Capturing Value in Public-Private Ties: A Private Actor's Perspective," Post-Print hal-00677772, HAL.
    4. Mohammed Khaled Al-Hanawi & Omar Alsharqi & Saja Almazrou & Kirit Vaidya, 2018. "Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders’ Attitudes," Applied Health Economics and Health Policy, Springer, vol. 16(1), pages 55-64, February.
    5. Roehrich, Jens K. & Lewis, Michael A. & George, Gerard, 2014. "Are public–private partnerships a healthy option? A systematic literature review," Social Science & Medicine, Elsevier, vol. 113(C), pages 110-119.
    6. Valila, Timo, 2005. "How expensive are cost savings? On the economics of public-private partnerships," EIB Papers 4/2005, European Investment Bank, Economics Department.
    7. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    8. Mohammed Khaled Al-Hanawi & Kirit Vaidya & Omar Alsharqi & Obinna Onwujekwe, 2018. "Investigating the Willingness to Pay for a Contributory National Health Insurance Scheme in Saudi Arabia: A Cross-sectional Stated Preference Approach," Applied Health Economics and Health Policy, Springer, vol. 16(2), pages 259-271, April.
    9. Unknown, 2005. "Forward," 2005 Conference: Slovenia in the EU - Challenges for Agriculture, Food Science and Rural Affairs, November 10-11, 2005, Moravske Toplice, Slovenia 183804, Slovenian Association of Agricultural Economists (DAES).
    10. Basilio Acerete & Anne Stafford & Pamela Stapleton, 2012. "New development: New global health care PPP developments—a critique of the success story," Public Money & Management, Taylor & Francis Journals, vol. 32(4), pages 311-314, July.
    11. Erik-Hans Klijn & Jurian Edelenbos & Michael Hughes, 2007. "Public-Private Partnership: a Two-Headed Reform. A Comparison of PPP in England and the Netherlands," Palgrave Macmillan Books, in: Christopher Pollitt & Sandra Thiel & Vincent Homburg (ed.), New Public Management in Europe, chapter 5, pages 71-89, Palgrave Macmillan.
    12. Abu Naser Chowdhury & Po-Han Chen & Robert Tiong, 2011. "Analysing the structure of public-private partnership projects using network theory," Construction Management and Economics, Taylor & Francis Journals, vol. 29(3), pages 247-260.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fabio De Matteis & Giovanni Notaristefano & Piervito Bianchi, 2021. "Public—Private Partnership Governance for Accessible Tourism in Marine Protected Areas (MPAs)," Sustainability, MDPI, vol. 13(15), pages 1-14, July.
    2. Hazem S Kassem & Salim Bagadeem & Bader Alhafi Alotaibi & Mohammed Aljuaid, 2021. "Are partnerships in nonprofit organizations being governed for sustainability? A partnering life cycle assessment," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-25, March.
    3. Wen-Kuo Chen & Venkateswarlu Nalluri & Man-Li Lin & Ching-Torng Lin, 2021. "Identifying Decisive Socio-Political Sustainability Barriers in the Supply Chain of Banking Sector in India: Causality Analysis Using ISM and MICMAC," Mathematics, MDPI, vol. 9(3), pages 1-23, January.
    4. Ahmed M. Al-Wathinani & Dennis G. Barten & Marta Borowska-Stefańska & Paweł Gołda & Noora A. AlDulijan & Mohammad A. Alhallaf & Lujain O. Samarkandi & Abdullah S. Almuhaidly & Mariusz Goniewicz & Wale, 2023. "Driving Sustainable Disaster Risk Reduction: A Rapid Review of the Policies and Strategies in Saudi Arabia," Sustainability, MDPI, vol. 15(14), pages 1-20, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bilal Anwar & Zhongdong Xiao & Sharmin Akter & Ramiz-Ur Rehman, 2017. "Sustainable Urbanization and Development Goals Strategy through Public–Private Partnerships in a South-Asian Metropolis," Sustainability, MDPI, vol. 9(11), pages 1-26, October.
    2. Gordon Dugle & Stephen Debar Kpinpuo & Benjamin Baisie Ghartey, 2021. "From paper to practice: an exploratory study of policy making and implementation in alternative forms of healthcare public‐private partnership in Ghana," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 866-884, May.
    3. Lauri Koskela & John Rooke & Mohan Siriwardena, 2016. "Evaluation of the Promotion of Through-Life Management in Public Private Partnerships for Infrastructure," Sustainability, MDPI, vol. 8(6), pages 1-23, June.
    4. Surbhi Gupta & Anil Kumar Sharma, 2022. "Evolution of infrastructure as an asset class: a systematic literature review and thematic analysis," Journal of Asset Management, Palgrave Macmillan, vol. 23(3), pages 173-200, May.
    5. Nigel D. Caldwell & Jens K. Roehrich & Gerard George, 2017. "Social Value Creation and Relational Coordination in Public-Private Collaborations," Journal of Management Studies, Wiley Blackwell, vol. 54(6), pages 906-928, September.
    6. Gabriel Castelblanco & Jose Guevara & Harrison Mesa & Diego Flores, 2020. "Risk Allocation in Unsolicited and Solicited Road Public-Private Partnerships: Sustainability and Management Implications," Sustainability, MDPI, vol. 12(11), pages 1-28, June.
    7. Libiao Bai & Yi Li & Qiang Du & Yadan Xu, 2017. "A Fuzzy Comprehensive Evaluation Model for Sustainability Risk Evaluation of PPP Projects," Sustainability, MDPI, vol. 9(10), pages 1-22, October.
    8. Palaco, Ileana & Park, Min Jae & Kim, Suk Kyoung & Rho, Jae Jeung, 2019. "Public–private partnerships for e-government in developing countries: An early stage assessment framework," Evaluation and Program Planning, Elsevier, vol. 72(C), pages 205-218.
    9. Luigi Dolores & Maria Macchiaroli & Gianluigi De Mare, 2020. "A Dynamic Model for the Financial Sustainability of the Restoration Sponsorship," Sustainability, MDPI, vol. 12(4), pages 1-27, February.
    10. Adam Eckerd & Amanda M. Girth, 2017. "Designing the Buyer–Supplier Contract for Risk Management: Assessing Complexity and Mission Criticality," Journal of Supply Chain Management, Institute for Supply Management, vol. 53(3), pages 60-75, July.
    11. Pascual Berrone & Joan Enric Ricart & Ana Isabel Duch & Valeria Bernardo & Jordi Salvador & Juan Piedra Peña & Miquel Rodríguez Planas, 2019. "EASIER: An Evaluation Model for Public–Private Partnerships Contributing to the Sustainable Development Goals," Sustainability, MDPI, vol. 11(8), pages 1-25, April.
    12. Cheng Chen & Dan Li & Caixia Man, 2018. "Toward Sustainable Development? A Bibliometric Analysis of PPP-Related Policies in China between 1980 and 2017," Sustainability, MDPI, vol. 11(1), pages 1-25, December.
    13. Chinyere Ndukwe & Adeline Nnenna Idike & Ikechukwu Ogeze Ukeje & Cornelius Ofobuisi Okorie & Johnpaul Chukwujindu Onele & Nneka Ernestina Richard-Nnabu & Clementina Kanu & Benedette Nneka Okezie & Rap, 2023. "Public Private Partnerships Dynamics in Nigeria Power Sector: Service Failure Outcomes and Consumer Dissonance Behaviour," Public Organization Review, Springer, vol. 23(2), pages 623-646, June.
    14. Vicente Alcaraz Carrillo De Albornoz & Antonio Lara Galera & Juan Molina Millán, 2018. "Is It Correct to Use the Internal Rate of Return to Evaluate the Sustainability of Investment Decisions in Public Private Partnership Projects?," Sustainability, MDPI, vol. 10(12), pages 1-15, November.
    15. Pilar Lopez-Llompart & G. Mathias Kondolf, 2016. "Encroachments in floodways of the Mississippi River and Tributaries Project," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 81(1), pages 513-542, March.
    16. Cheng, Jianquan & Bertolini, Luca, 2013. "Measuring urban job accessibility with distance decay, competition and diversity," Journal of Transport Geography, Elsevier, vol. 30(C), pages 100-109.
    17. M. De Donno & M. Pratelli, 2006. "A theory of stochastic integration for bond markets," Papers math/0602532, arXiv.org.
    18. Prilly Oktoviany & Robert Knobloch & Ralf Korn, 2021. "A machine learning-based price state prediction model for agricultural commodities using external factors," Decisions in Economics and Finance, Springer;Associazione per la Matematica, vol. 44(2), pages 1063-1085, December.
    19. Michelle Sheran Sylvester, 2007. "The Career and Family Choices of Women: A Dynamic Analysis of Labor Force Participation, Schooling, Marriage and Fertility Decisions," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 10(3), pages 367-399, July.
    20. Henrekson, Magnus & Johansson, Dan, 2010. "Firm Growth, Institutions and Structural Transformation," Ratio Working Papers 150, The Ratio Institute.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0233802. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.