Public-Private Partnerships in Health Care in India

Raman, Aparna; Björkman, James Warner

doi:10.4324/9780203886557

Cited by 24 publications

(30 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These partnerships range from global governance models (Buse and Harmer ) to product development partnerships (De Pinho Campos et al . ), and different local service delivery approaches whereby public authority generally oversees the activity (Raman and Björkmann ). The evidence of functioning partnerships, their feasibility and their positive impact on the quality and utilisation of healthcare services is not yet conclusive (Patouillard et al .…”

Section: Introductionmentioning

confidence: 99%

Organisational innovation and control practices: the case of public–private mix in tuberculosis control in India

Engel

Lente

2014

Sociology Health & Illness

View full text Add to dashboard Cite

Partnerships between public and private healthcare providers are often seen as an important way to improve health care in resource-constrained settings. Despite the reconfirmed policy support for including private providers into public tuberculosis control in India, the public-private mix (PPM) activities continue to face apprehension at local implementation sites. This article investigates the causes for those difficulties by examining PPM initiatives as cases of organisational innovation. It examines findings from semi-structured interviews, observations and document analyses in India around three different PPM models and the attempts of innovating and scaling up. The results reveal that in PPM initiatives underlying problem definitions and different control practices, including supervision, standardisation and culture, continue to clash and ultimately hinder the scaling up of PPM. Successful PPM initiatives require organisational control practices which are rooted in different professions to be bridged. This entails difficult balancing acts between innovation and control. The innovators handle those differently, based on their own ideas of the problem that PPM should address and their own control practices. We offer new perspectives on why collaboration is so difficult and show a possible way to mitigate the established apprehensions between professions in order to make organisational innovations, such as PPM, sustainable and scalable.

show abstract

Section: Introductionmentioning

confidence: 99%

Organisational innovation and control practices: the case of public–private mix in tuberculosis control in India

Engel

Lente

2014

Sociology Health & Illness

View full text Add to dashboard Cite

show abstract

“…The public sector lacked many of these relevant PHI skills, and therefore, the second‐generation PHIs attempted to overcome that by contracting with private health insurance companies, and the government limited its role to financing and overseeing. However, the government has never engaged in such a large‐scale contracting out in a decentralized manner and lacked capacity in contract designing, monitoring, evaluation, and management . The technical support from development agencies such as the World Bank came to aid in providing the required analytical capacity to ministries for designing and implementing these programs.…”

Section: Resultsmentioning

confidence: 99%

Understanding public health insurance in India: A design perspective

Maurya

2019

Health Planning & Management

View full text Add to dashboard Cite

Summary It is broadly accepted that health policy is crucially affected by contextual conditions. Yet, little is known about how the context limits the effectiveness of public health insurance (PHI) programs and the extent to which these limitations could be overcome. The objective of the paper is to address these issues on the basis of the examination of 17 PHI schemes introduced by federal and state governments in India since independence. Faced with the challenge of simultaneously expanding insurance coverage while containing costs, governments have overwhelmingly favored the latter. At the same time, governments have lacked the capacity to monitor performance, which has led providers to compromise quality in return for low payment rates. While there have been modest improvements in recent years, reform efforts have been hindered by contextual conditions that constrain the use of measures to control profiteering by for‐profit agencies. The paper argues that system‐wide data on the quality of providers (system‐level operational capacity) and the ability of public agencies to monitor quality and link it with payment (organizational‐level operational capacity) critically determined the program effectiveness. We demonstrate the interaction between contextual variables, program design elements, and policy capacity linking to performance, arguing for a broader approach to understand PHI performance. We extend the present frameworks on PHI effectiveness that have narrowly focused on the design of health financing functions without factoring unfavorable context and limited policy capacity in developing countries. The paper contributes to improving PHI performance operating in unfavorable contextual conditions in India and elsewhere.

show abstract

“…Contractors, both NGOs and private healthcare providers, are more efficient than government agencies in terms of quality and coverage of the provided healthcare services and were more cost-effective. There is substantial empirical evidence that contracting increases accessibility, utilization level and coverage of healthcare services [28]. Levin and Kaddar [29] conducted a literature review on the role of the private sector in the provision of immunization services in low-and middle-income countries.…”

Section: Discussion and Policy Implicationsmentioning

confidence: 99%

Who Benefits from Public Healthcare Subsidies in Egypt?

Rashad

Sharaf

2015

Social Sciences

View full text Add to dashboard Cite

Direct subsidization of healthcare services has been widely used in many countries to improve health outcomes. It is commonly believed that the poor are the main beneficiaries from these subsidies. We test this hypothesis in Egypt by empirically analyzing the distribution of public healthcare subsidies using data from Egypt Demographic and Health Survey and Egypt National Health Accounts. To determine the distribution of public health care subsidies, we conducted a Benefit Incidence Analysis. As a robustness check, both concentration and Kakwani indices for outpatient, inpatient, and total healthcare were also calculated. Results show some degree of inequality in the benefits from public healthcare services, which varied by the type of healthcare provided. In particular, subsidies associated with University hospitals are pro-rich and have inequality increasing effect, while subsidies associated with outpatient and inpatient care provided by the Ministry of Health and Population have not been pro-poor but have inequality reducing effect (weakly progressive). Results were robust to the different analytical methods. While it is widely perceived that the poor benefit the most from health subsidies, the findings of this study refute this hypothesis in the case of Egypt. Poverty reduction measures and healthcare reforms in Egypt should not only focus on expanding the coverage of healthcare benefits, but also on improving the equity of its distribution.

show abstract

Public-Private Partnerships in Health Care in India

Cited by 24 publications

References 0 publications

Organisational innovation and control practices: the case of public–private mix in tuberculosis control in India

Organisational innovation and control practices: the case of public–private mix in tuberculosis control in India

Understanding public health insurance in India: A design perspective

Who Benefits from Public Healthcare Subsidies in Egypt?

Contact Info

Product

Resources

About