Évaluation des partenariats public privé dans le secteur de la santé. Revue de la portée
DOI :
https://doi.org/10.62438/tunismed.v103i10.6153Mots-clés :
Partenariat public privé, évaluation, système de santé, contributionRésumé
Introduction : Face aux crises d'efficience des systèmes de santé dans les années 1980-1990, les gouvernements ont eu recours aux partenariats public-privé (PPP) comme solutions innovantes. Cette étude vise à explorer en profondeur les différentes méthodologies d’évaluation appliquées aux PPP dans le domaine de la santé.
Méthodes : Se basant sur le cadre d’Arksey et O'Malley nous avons mené une revue de la portée sur les PPP dans le secteur de la santé. Elle identifie les lacunes existantes, propose de nouvelles pistes de recherche et clarifie des concepts complexes à l’aide de bases de données et de dictionnaires spécialisés.
Résultats : Sur un total de 21 255 publications analysées, seules 26 ont été retenues. Ces études provenaient principalement d’Asie (10), d’Afrique (7), d’Europe (6), d’Amérique du Nord (2) et d’Amérique du Sud (1). Sur le plan méthodologique, 38,46 % étaient qualitatives, 23,07 % évaluatives, 11,54 % des cas pratiques, 11,54 % analytiques, 7,7 % mixtes, 3,85 % descriptives et 3,85 % ethnologiques. Les études ont été regroupées en quatre catégories : l’accès aux soins de qualité, le renforcement des programmes de santé, la communication et la sensibilisation, ainsi que la gouvernance et la gestion financière.
Discussion : Les PPP jouent un rôle central dans l'amélioration de l'efficacité et de la qualité des soins. Ils élargissent l’accès aux services, notamment pour les populations défavorisées, et réduisent les charges financières. Leur réussite dépend toutefois d’une gouvernance solide, d’une répartition équitable des coûts, d’une communication efficace et de mécanismes de transparence.
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