Luca Martinotti
From Value for Money to Value for Society: An Application to Hospital PPP Projects.
Rel. Alberto De Marco. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Gestionale (Engineering And Management), 2026
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Abstract
Public-Private Partnerships (PPPs) have become an increasingly adopted procurement strategy for the delivery of public infrastructures and services. This approach has been particularly relevant in sectors such as transportation, energy, and healthcare, where large upfront investments and long asset lifecycles require effective risk allocation and performance-oriented management. Traditionally, the evaluation of PPPs has been primarily based on the concept of Value for Money (VfM), which aims to determine whether private sector participation leads to cost savings and efficiency gains compared to conventional public procurement. While this perspective is essential to ensure the responsible use of public resources, it may offer only a partial representation of the overall value generated by infrastructure projects.
Public investments are not intended solely to minimize costs but also maximize collective welfare: an exclusive reliance on VfM may underestimate the broader societal impacts of PPP projects
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