Risk identification and assessment for ppp integrated health campus projects in Turkey a case study: Kayseri integrated health campus

Thesis Type: Postgraduate

Institution Of The Thesis: Middle East Technical University, Faculty of Engineering, Department of Civil Engineering, Turkey

Approval Date: 2019

Thesis Language: English


Principal Supervisor (For Co-Supervisor Theses): Mustafa Talat Birgönül

Co-Supervisor: Onur Behzat Tokdemir


Apparently, the most crucial role of a government is providing health services to the public effectively. Hundreds of hospitals under this purpose are taken into service since the establishment of the Republic of Turkey. Different methods are tried to be used to provide health services through hospitals that are in charge of the government. Those hospitals were directly bonded to the government up to now. In other words, they are built and operated by the government herself. This was a way to make the business more effortful and overpriced for the state. Employing the private sector at this point was vital, and it was also a common culture especially in England. Turkey had integrated Public-Private Partnership (PPP) model since 2000s and carried the business through domestic construction firms. PPP Model has not only some whip hands but also some difficulties to understand and implement it correctly.   This study will be trying to reveal the concepts, meanings, advantages & disadvantages of PPP and the risks which may be encountered as implementing the PPP in Turkey. Through a literature survey, risk factors and their possible impacts on some superstructure projects will be tried to conceive. And the study examines and put under the scope a major implementation of PPP in Turkey: Health Campuses.  Founded risk factors will be spotted and interpreted over a real implementation of PPP in Turkey: Kayseri Health Campus. Scenario Analysis will also be employed as a tool to assess the risk factors and the related cost overruns, which are showing up due to those risk factors.          Scrutinizing and revealing those factors makes this study meaningful and essential for upcoming projects. Because the current situation seems like; Turkey will be performing some PPP health campus projects hereupon and changing the way of the conventional understanding of health service provision. From this aspect, the study is crucial to understand, particularly for eager contractor firms.