ENHANCING HOSPITAL EFFICIENCY AND REDUCING PATIENT WAITING TIMES THROUGH PUBLIC-PRIVATE PARTNERSHIPS

Abstract

This policy paper proposes a Public-Private Partnership (PPP) as an effective model to address the critical challenges facing healthcare in Karachi. Public hospitals in the city experience severe overcrowding, often exceeding 120% occupancy, while trust-based healthcare facilities remain underutilized, with occupancy rates below 75%. To address this imbalance, the paper advocates an integrative model that redistributes patient loads, enhances operational efficiency, and ensures equitable access to healthcare services. Drawing on successful PPP experiences from countries such as Kenya, Lesotho, and Sri Lanka, the paper outlines a three-step implementation plan: stakeholder engagement, pilot testing, and scale-up, supported by digital integration and real-time monitoring systems. Key themes emerging from stakeholder interviews include operational feasibility, financial incentives, public-private coordination, quality assurance, and regulatory support. The proposed model seeks to optimize existing healthcare infrastructure, reduce patient turnaround times, and promote inclusive and sustainable services for marginalized communities. If implemented effectively, this initiative could serve as a replicable model for other high-density cities in the Global South.