The European Journal of Health Economics

, Volume 10, Issue 4, pp 437–453

Contractual design and PPPs for hospitals: lessons for the Portuguese model

Original Paper

DOI: 10.1007/s10198-009-0152-7

Cite this article as:
Barros, P.P. & Martinez-Giralt, X. Eur J Health Econ (2009) 10: 437. doi:10.1007/s10198-009-0152-7


Recently the Portuguese Government announced the launching of public–private partnerships (PPPs) to build hospitals with the distinctive feature that infrastructure construction and clinical activities management will be awarded to separate private parties. Also, one of the parties will be in charge of providing soft facilities. We explore alternative configurations of contracts and assess whether the equilibrium allocations attain the first-best solution.


Public–private partnershipsContract design

JEL Classification


Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Faculdade de EconomiaUniversidade Nova de LisboaLisboaPortugal
  2. 2.CEPRLondonUK
  3. 3.CODE and Departament d’EconomiaUniversitat Autònoma de BarcelonaBellaterraSpain