Insights for the future of health system partnerships in low- and middle-income countries: a systematic literature review

BMC Health Serv Res. 2020 Jun 22;20(1):571. doi: 10.1186/s12913-020-05435-8.

Abstract

Background: Despite growing support for the private sector involvement in the provision of public health services in Low- and Middle-Income Countries (LMICs), a lack of clear information on the future of the provision of such services restricts the ability of managers and policy-makers to assess how feasible integration between public and private actors may be in these countries. This paper presents a systematic literature review which traces the dynamics and boundaries of public-private partnerships for the healthcare sector in LMICs.

Methods: A total of 723 articles indexed in Scopus were initially submitted to bibliometric analysis. Finally, 148 articles published in several academic journals were selected for independent full-text review by two researchers. Content analysis was made in order to minimise mistakes in interpreting the findings of studies in the sample.

Results: Public-private partnerships identified through the content analysis were categorised into four research areas: 1) Transfer of resources; 2) Co-production of health goods and services; 3) Governance networks; 4) Criteria for successful partnership development.

Conclusions: The four main research areas supply suggestions for a future research agenda, and managerial and policy implications for partnerships in LMICs.

Keywords: Content analysis; Healthcare management; Low- middle-income countries; Public-private partnership; Systematic literature review.

Publication types

  • Systematic Review

MeSH terms

  • Delivery of Health Care / organization & administration*
  • Developing Countries*
  • Forecasting
  • Humans
  • Public-Private Sector Partnerships / trends*