Identifying Characteristics of PPP Projects for Healthcare Facilities for the Elderly Based on Payment Mechanisms in China

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

6 Scopus Citations
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Original languageEnglish
Article number05021009
Journal / PublicationJournal of Management in Engineering - ASCE
Issue number6
Online published2 Sept 2021
Publication statusPublished - Nov 2021


The rapidly increasing aging population requires a corresponding increment of healthcare facilities for the elderly to achieve a sustainable community. As public-private partnership (PPP) is a proven method for supporting the financial viability of various types of infrastructure projects, governments have recently adopted PPP for eldercare facility projects. However, there are limited methods to support decisions on payment mechanisms, which is one of the fundamental factors required to make PPP contracts. This study investigated the relationships between the characteristics of eldercare facility projects and payment mechanisms [e.g., viability gap funding (VGF)]. This study applied a multivalue qualitative comparative analysis (mvQCA) with 26 case studies, which could be considered the best practice in China. Based on the analysis, the authors identified five and three configurations of project attributes for VGF (i.e., VGF user-fee) and user charge (i.e., non-VGF user-fee) mechanisms, respectively. This finding supports informed decision-making on payment mechanisms of PPP projects for healthcare facilities for the elderly. Further research in other countries is necessary to identify not only general but also culturally and politically specific configurations of attributes for different payment mechanisms.

Research Area(s)

  • Elderly healthcare facility, Multivalue qualitative comparative analysis (mvQCA), Payment mechanism, Public private partnership (PPP), Viability gap funding (VGF)

Citation Format(s)