Risk assessment of the integrated health campus projects carried out with the public-private partnership (PPP) model in Turkey

Date

2025-8-27

Author

Arslan, Sertaç

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The public-private partnership (PPP) model, which has emerged as a prominent approach among project delivery methods in the construction of large-scale infrastructure projects since the 1980s, has been adopted by the Turkish Ministry of Health to realize the integrated health campus (IHC) projects nationwide since 2009. The requirement that PPP projects possess an objective, reliable, and applicable risk assessment process is considered one of the most critical success criteria during the project’s life cycle. In line with this objective, a comprehensive risk assessment is carried out in the case of eighteen IHCs implemented by the MoH, encompassing the steps of identification, evaluation, allocation, and management of risks. For this purpose, a structured questionnaire survey was conducted among sixty professionals involved in these PPP projects, and it was used to reveal the probability of occurrence and magnitude of impact of the thirty-six risk factors – regarding both the construction and operation periods of the investments – identified through a comprehensive literature review. The stakeholders responsible for addressing the adverse consequences of such risks are determined through an in-depth review of a typical project agreement and the relevant legislation governing the implementation of PPP healthcare investments in Turkey. Eventually, effective risk mitigation strategies widely acknowledged in the literature and the industry have been proposed to manage systematic risks of macroeconomic origin – i.e., construction and operation period currency risk, financing risk, variation order risk – which have been identified as posing a high level of threat for the timely and cost-effective implementation of IHC projects.

Subject Keywords

Project delivery methods, Public-private partnership, Integrated health campuses, Risk assessment, Allocation of risks

URI

https://hdl.handle.net/11511/115616

Collections

Graduate School of Natural and Applied Sciences, Thesis