The Role of the Private Sector in Health Services: Lessons for ASEAN

Russo, Gerard

doi:10.1355/ae11-2e

Cited by 5 publications

(6 citation statements)

References 41 publications

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“…Thus, the private sector is inadequately involved in PHC, therebey limiting its effectiveness, despite existing evidence that engaging the private sector in public PHC to create a public-private mix could strengthen PHC (Russo, 1994;Palmer, 2000;Thomas et al, 2016). International Finance Cooperation (2011) also recommends deliberate and systematic collaboration of the public and the private health sector in line with national health priorities (World Bank, 2011).…”

Section: Discussionmentioning

confidence: 99%

Iranian primary health care network: challenges and ways forward

Doshmangir

Shirjang²,

Assan

et al. 2023

Prim Health Care Res Dev

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Aim: This study aimed to explore the current challenges of Iran’s Iranian Primary Health Care (PHC) network and possible ways forward. Background: PHC network was established in 1985. It remains a core instrument of health care delivery. However, it faces several challenges that can threaten its effective functioning. Methods: We conducted face-to-face semi-structured interviews with 26 key stakeholders. We used the deductive content analysis approach. World Health Organization’s health system framework guided our analyses. Data were analysed using MAXQDA software. To enhance data triangulation, we reviewed PHC national related plans, bylaws, and national and international published reports. Findings: PHC network experiences financial challenges and fails to respond fully to the emerging population’s needs due to unfair distribution of resources and a lack of community health workers for PHC and a sustainable financing model for PHC. Furthermore, the insurance package is not well integrated into the PHC network system. Policy interests and resource commitments for innovative, preventive, and health promotion initiatives are lacking. Innovative, preventive, and health promotion initiatives should become the highest priority for policymakers. Well-trained community health professionals, active community participation, private sector engagements and active involvement of non-government organisations are fundamental for a well-functioning PHC network in Iran, especially to foster the delivery of evidence-based initiatives.

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Section: Discussionmentioning

confidence: 99%

Iranian primary health care network: challenges and ways forward

Doshmangir

Shirjang²,

Assan

et al. 2023

Prim Health Care Res Dev

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“…Although universal health coverage (UHC)[ 1 ] is grounded in public health-care systems, efforts toward UHC cannot ignore the private sector (PS). [ 2 3 ] In particular, the provision of hospital services is one economic activity that has the greatest potential for PS involvement in developing countries,[ 4 ] and even this sector plays a crucial role in many low-income countries. [ 5 ] There is an urgent need to build the capacity of all countries to better manage the PS and mixed health systems to ensure that all providers, whether public and private, effectively contribute to a country's goals for UHC,[ 6 7 ] and policymakers must identify and ensure appropriate roles for private providers and health markets toward UHC.…”

Section: Introductionmentioning

confidence: 99%

“…There are a growing appreciation and diagnosis of the role of the PS in the development of better health systems and the improvement of health care worldwide,[ 9 ] and also a fair amount of experience has been gained on how to work with the PS in developing countries, however there is no conceptual clarity and sufficient evidence about the role of this sector in health systems,[ 6 10 ] particularly in UHC. [ 11 ] For example, there are some different kinds of scientific literature about the participation or role of private service delivery that was not in the context of UHC,[ 4 12 13 14 ] or did not consider private hospital services (PHS). [ 15 16 ]…”

Section: Introductionmentioning

confidence: 99%

Participation of delivering private hospital services in universal health coverage

Fallah

Bazrafshan

2021

Journal of Education and Health Promotion

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There is a lack of conceptual clarity about the role of delivering private hospital services (DPHS) accompanied by major gaps in evidence. The purpose of this systematic scoping review was to identify and map the available evidence regarding the developing countries to scrutinize the participation of DPHS exclusively in the universal health coverage (UHC) through providing graphical/tabular classifications of the bibliometric information, sources of the records, frequent location, contribution of the private hospital services in the health system, and roles of DPHS in UHC. This study was performed following the published methodological guidance of the Joanna Briggs Institute for the conduct of scoping review, applying some major databases and search engines. In addition, a narrative-thematic synthesis integrated with the systematic analysis using the policy framework of the World Health Organization was employed. The 28 included records in English which met the inclusion criteria were found between 2014 and January 2020. The chronological trend of records was progressive until 2019. India was the most frequent location (12%). China and Sri Lanka on the one end of the spectrum and Somalia along with South Korea from the other end were, respectively, the least and the most contributed countries in terms of DPHS. Overall, 90% of the roles were concerned with UHC goals. Although evidence has revealed inconsistency in the identified roles, a continuous chain of positive or negative effects in the UHC objectives and goals was observed. Some knowledge gaps about the roles, causes of the increasing and decreasing DPHS contribution, and its behaviors around the privatization types and circumstances of the delivery were recommended as prioritized research agendas for evidence-based policymaking in future.

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“…Private hospital services (PHS) with the undeniable effects on the Universal Health Coverage (UHC) objectives and goals,[ 1 ] have had a considerable contribution to the health system of developing countries from the past to present. [ 1 2 ] On the other hand, pursuant to the UHC pledge-to leave no one behind[ 3 ] -progress toward UHC that will be essential to Sustainable Development Goals,[ 4 ] requires a fundamental shift toward integrated health-care systems. [ 5 ] With respect to the complexity of health systems, systems thinking is inevitable.…”

Section: Introductionmentioning

confidence: 99%

Nature of the private hospital services toward universal health coverage

Fallah

Maleki

2021

Journal of Education and Health Promotion

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Private hospital services (PHS) with the undeniable effects on the Universal Health Coverage (UHC) goals have a considerable contribution to the health system of developing countries. The purpose of this systematic scoping review (ScR) was to identify and map the available evidence regarding the developing countries to scrutinize the nature of the PHS toward UHC through providing graphical/tabular information of the records trends and types, sources of the records, frequent settings, drivers of the PHS growth, range of the PHS, behaviors of the PHS, and opportunities for policy actions. This study was performed following the 2017 published methodological guidance of the Joanna Briggs Institute for the conduct of ScR. Furthermore, a narrative-thematic synthesis integrated with the systematic analysis applying approach to health system strengthening (HSS) through systems thinking was employed. Thirty-two included records in English that met the inclusion criteria were found between 2011 and July 2020. There has been a sharp increase in the generation of the records with a 90.6% growth rate between 2015 and 2020. The most frequent records types were review article, and the lancet was the most specialized journal. India was the most frequent country. Near half of the growth drivers of PHS have been originated from the governance. Besides, the range of PHS was identified only about Mongolia, and the significant frequency of codes of the PHS behaviors (32.6%) was related to integrated people-centered health service delivery. 47.8% of the identified HSS interventions were recommended about governance. Governance plays a decisive role in the nature of the PHS in UHC. Concerning the dynamic architectures of interactions between health system functions, probably the countries themselves have realized the importance of the governance role in the HSS than other functions. Given the all of the recommended interventions were a combination of foundational and institutional, sustainable participation of PHS in the health system seems far and requires a solid will of the governments. Future research is needed about the range of PHS and its behaviors in terms of consumables, revenue-raising, and pooling of funds.

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The Role of the Private Sector in Health Services: Lessons for ASEAN

Cited by 5 publications

References 41 publications

Iranian primary health care network: challenges and ways forward

Iranian primary health care network: challenges and ways forward

Participation of delivering private hospital services in universal health coverage

Nature of the private hospital services toward universal health coverage

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