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


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 partnerships Contract design 

JEL Classification

I11 I18 

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

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