Evaluation of Public-Private Partnership (PPP) policies in service delivery access, quality, and accountability: A literature review
DOI:
https://doi.org/10.54957/ijhs.v6i3.2207Kata Kunci:
Accountability, Public-private partnership, Service contract, Service qualityAbstrak
Public-Private Partnership (PPP) has emerged as a strategic instrument to address fiscal and infrastructure constraints in achieving Universal Health Coverage (UHC) in Indonesia. However, its implementation effectiveness is often hindered by governance complexities and low transparency. This study aims to evaluate PPP policies in the healthcare sector, focusing on implementation dynamics, performance determinants, and policy improvement implications for access, quality, and accountability. This research utilizes a descriptive-analytical literature review method through systematic searches of Google Scholar, PubMed, BMC, and IJHPM databases for the period 2018–2025. The findings indicate that PPP significantly expands service access at primary and referral levels and fosters medical technology innovation. In Indonesia, the flexibility of BLUD status in regional hospitals supports Operational Cooperation (KSO), while at the primary level, private primary care facility (FKTP) integration strengthens basic service coverage. Nonetheless, major identified barriers include low contract transparency, information asymmetry, fragmented health information systems, and a shortage of competent medical personnel. Strengthening PPP governance requires more standardized regulations, rigorous independent oversight, and active public-interest-oriented contract management to ensure the sustainability of healthcare service quality and accountability.
Referensi
Abdullah, M. T. (2020). Public Private Partnership Dalam Penyediaan Infrastruktur Pelayanan Publik : Pengalaman Indonesia dan India. Publik (Jurnal Ilmu Administrasi), 9(2), 102–114. http://dx.doi.org/10.31314/pjia.9.2.102-114.2020
Al-hanawi, M. K., Almubark, S., Qattan, A. M. N., Cenkier, A., & Kosycarz, E. A. (2020). Barriers to the implementation of public- private partnerships in the healthcare sector in the Kingdom of Saudi Arabia. PLoS ONE, 1–15. https://doi.org/10.1371/journal.pone.0233802
Basabih, M. (2023). POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY POTRAIT OF PUBLIC PRIVATE PARTNERSHIP POLICY SUBSTANCES IN. JOURNAL OF INDONESIAN HEALTH POLICY AND ADMINISTRATION, 8(1), 28–37. https://doi.org/10.7454/ihpa.v8i1.6570
Dhynianti, L., & Darmawan, E. S. (2024). KERJASAMA PEMERINTAH SWASTA DALAM PEMENUHAN PELAYANAN KESEHATAN PRIMER DI JAKARTA. Jurnal Cahaya Mandalika (JCM), (1), 486–501. https://ojs.cahayamandalika.com/index.php/jcm/article/view/3089
Joudyian, N., Doshmangir, L., Mahdavi, M., Tabrizi, J. S., & Gordeev, V. S. (2021). Public-private partnerships in primary health care : a scoping review. BMC Health Sevices Research, 21(4), 1–18. https://doi.org/10.1186/s12913-020-05979-9
Kementerian Kesehatan RI. (2024). PROFIL KESEHATAN INDONESIA 2023.
Liu, Z., & Wang, N. (2025). The Governance of PPP Project Resilience : A Hybrid DMATEL-ISM Approach. Systems, 13(4), 277. https://doi.org/10.3390/systems13040277
Mulyanto, J., Kringos, D. S., & Kunst, A. E. (2018). The evolution of income-related inequalities in healthcare utilisation in Indonesia, 1993–2014. In PLoS ONE, 14(6). https://doi.org/10.1371/journal.pone.0218519
Rakmawati, T., Hinchcliff, R., & Pardosi, J. F. (2019). District-level impacts of health system decentralization in Indonesia: A systematic review. In International Journal of Health Planning and Management, 34(2), pp. e1026–e1053. https://doi.org/10.1002/hpm.2768
Reich, M. R. (2018). The Core Roles of Transparency and Accountability in the Governance of Global Health Public – Private Partnerships The Core Roles of Transparency and Accountability in the Governance of Global Health Public – Private Partnerships. Health Systems & Reform, 4(3), 239–248. https://doi.org/10.1080/23288604.2018.1465880
Reig, M., Gasco-hernandez, M., & Esteve, M. (2021). Internal and External Transparency in Public-Private Partnerships — The Case of Barcelona ’ s Water Provision. Sustainability, 13(4), 1777. https://doi.org/10.3390/su13041777
Salangwa, C., Munthali, R., Mfune, L., & Kaunga, V. (2025). Public-Private partnership (PPP) and health service delivery in Malawi: The case of Christian Health Association of Malawi (CHAM) facilities in Mzimba district. Health Policy OPEN, 8, 100139. https://doi.org/10.1016/j.hpopen.2025.100139
Sofiyan, O., Kurniasih, D., & Publik, E. K. (2024). DILEMA ETIS KONTRAK PUBLIK DENGAN PIHAK SWASTA: TINJAUAN ETIKA DAN AKUNTABILITAS. Jurnal Review Pendidikan Dan Pengajaran (JRPP), 7(4), 16634–16640. https://journal.universitaspahlawan.ac.id/index.php/jrpp/article/view/38070
Solikha, D. A., Butler, D. C., Setiawan, E., Korda, R. J., & Kelly, M. (2025). Primary health care performance measurement at the service delivery level in Indonesia : a scoping review. BMC Health Sevices Research, 25(1), 898. https://doi.org/10.1186/s12913-025-12955-88
Syahruddin, Wijaya, A. F., Suryono, A., & Riyadi, B. S. (2023). A Qualitative Study: Critical Success Factors of Public Private Partnerships in Indonesia. International Journal of Membrane Science and Technology, 10(2), 511–521. https://doi.org/10.15379/ijmst.v10i2.1263
Trisnadewi, H., & Rachmawati, F. (2026). Identification of Dominant Risks in Public-Private Partnership (PPP) Projects in the Health Sector. SENTRI: Jurnal Riset Ilmiah, 5(1), 790–797. https://doi.org/10.55681/sentri.v5i1.5631
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Hak Cipta (c) 2026 Nadia Putri Untiami, Siti Aisyah, Amanda Safitri, Riswandy Wasir
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