Journal of Siberian Federal University. Humanities & Social Sciences / Analysis of the Interaction Between Participants in PPP Healthcare Projects

Full text (.pdf)
Issue
Journal of Siberian Federal University. Humanities & Social Sciences. 2026 19 (6)
Authors
Novikova, Tatyana S.; Kaneva, Maria A.; Dushenin, Alexandr I.; Zafarjonova, Mokhidilkhon R.
Contact information
Novikova, Tatyana S.: Institute of Economics and Industrial Engineering of SB RAS (Novosibirsk, Russian Federation); Novosibirsk State Technical University (Novosibirsk, Russian Federation); ; ORCID: 0000-0001-8636-5219; Kaneva, Maria A. : Institute of Economics and Industrial Engineering of SB RAS (Novosibirsk, Russian Federation); ORCID: 0000-0002-9540-2592; Dushenin, Alexandr I. : Institute of Economics and Industrial Engineering of SB RAS (Novosibirsk, Russian Federation); ORCID: 0009-0009-7988-6636; Zafarjonova, Mokhidilkhon R. : Institute of Economics and Industrial Engineering of SB RAS (Novosibirsk, Russian Federation); ORCID: 0009-0007-7898-4125
Keywords
social infrastructure; social effects; healthcare projects; cost-benefit analysis; public-private partnership
Abstract

This paper proposes social cost-benefit analysis (CBA) for evaluating healthcare infrastructure projects, implemented under different financing mechanisms, including public–private partnerships (PPPs). Current methods used in practice to assess social infrastructure projects have significant limitations. In the case of PPPs, they typically disregard economic efficiency and corresponding social and indirect effects; rather than analyzing the project’s financial efficiency, they assess only the participation efficiency of a specific agent (the special purpose vehicle), based on a particular financing scheme, while ignoring the benefits accruing to other private participants (such as banks). The paper proposes to eliminate these shortcomings by applying the cost analysis method to each project option under consideration. Meanwhile, attention is focused on two groups of problems. Firstly, we explore the dependence of the efficiency of project participation on the interaction of agents across different project implementation mechanisms. The financial analysis includes a comparative analysis of the efficiency of eight financing options, with three of them being related to the PPP mechanism. Secondly, new approaches to solving the problem of calculating the benefits of medical projects are proposed, evaluating social and indirect effects on the basis of the social and input-output multipliers. The developed approach was tested on using the example of a PPP project for the construction of seven outpatient hospitals, providing a quantitative assessment of the results of social interaction between agents within the framework of financial and economic analysis

Pages
1260–1270
EDN
NWCRGY
Paper at repository of SibFU
https://elib.sfu-kras.ru/handle/2311/158607

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