Evidence map›Paper›PMID 42445049›Full record

ReviewHealth science reports2026

A Systematic Review on the Outcomes of Implementing Public-Private Partnerships in Healthcare Systems: The Experience of the Middle East.

Reyhane Izadi, Zahra Zare, Mohsen Khosravi

Abstract readReview
In one paragraph

Review in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Reyhane IzadiDepartment of Healthcare Management, School of Management and Medical Informatics Shiraz University of Medical Sciences Shiraz Iran.
Zahra ZareDepartment of Healthcare Management, School of Management and Medical Informatics Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0001-6778-8267
Mohsen KhosraviSocial Determinants of Health Research Center, Birjand University of Medical Sciences Birjand Iran.ORCID https://orcid.org/0000-0002-0576-7660

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Public-Private Partnerships (PPPs) have been proposed with an aim to improve performance of healthcare systems. This paper aimed to investigate the outcomes of implementing PPPs in healthcare systems within the Middle East. Methods: In 2024, a systematic review was conducted on the studies within the literature. The quality of the included studies was assessed using the AACODS (Accuracy, Coverage, Objectivity, Date, Significance) checklist. Subsequently, a thematic analysis was conducted on the gathered data adhering to the guidelines published by Thomas and Harden. The search was conducted across multiple scholarly databases, such as PubMed, Scopus, ProQuest, and the Cochrane Database of Systematic Reviews. Results: 12 studies were found to meet the inclusion criteria. The quality assessment of these studies indicated a high standard and an acceptable level of bias. A thematic analysis of the data from these studies revealed four main themes: 'positive client-based outcomes', 'positive service delivery outcomes', 'positive economic outcomes', and 'challenging outcomes'. Conclusion: PPPs have been presented to improve outcomes and efficiency but face organizational, financial, legal, and ethical challenges. Their success requires specific conditions, ongoing oversight, and adaptation to unlock their transformative potential in regional healthcare.

Indexed as

Health Care ReformHealth PlanningHealth PolicyOrganization and AdministrationPublic‐Private Sector Partnerships

Identifiers

PMID42445049
PMCPMC13358216

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.