The Impact of Public Health Sector Stockouts on Private Sector Prices and Access to Healthcare: Evidence from the Anti-Malarial Drug Market

2021 ◽  
pp. 102544
Author(s):  
Anne Fitzpatrick
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Health Sector ◽  
Drug Market ◽  
Access To Healthcare ◽  
Public Health Sector ◽  
The Impact

scholarly journals Measuring and Assessing the Wealth Influence on the Efficiency of the Health System through the Private Sector

2020 ◽  
Vol 31 (4) ◽  
pp. 437-449
Author(s):  
Mina Fanea-Ivanovici ◽  
Marius-Cristian Pană ◽  
Mihail Dumitru Sacală ◽  
Cristina Voicu
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Health Sector ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals ◽  
The Public ◽  
Public Health Sector ◽  
Private Health Sector

The aim of the paper is to provide an analysis of the dynamics of the public and private health sectors in Romania. Using descriptive statistics, it first investigates whether the public health sector follows the reformation trends suggested by official strategies and reports, and to what extent the private health sector is a viable alternative to the public one, by analysing the demand for private inpatient services. We look into the reduction in the occupancy degree in public hospitals as a means to increase the efficiency of public health expenditures, which represents one way to reform the public health sector. We also find that the increase in the occupancy degree in private hospitals is negatively correlated with the quality of services provided by public hospitals, but positively correlated with population wealth. Increase in the occupancy degree in private hospitals is an indicator of poor quality of services in public hospitals. It can also be explained by increasing expectations and requirements of beneficiaries as a reflection of increase in wealth and of their will to preserve their health capital. Using regression models, the paper then proposes the Wealth-Health Index, a composite indicator to explore the connection between wealth and health and the dynamics of the private health sector. Investment in physical infrastructure and the size of medical staff in the private sector is positively correlated with wealth increase.

scholarly journals Impact of government budget deficits on public health sector output in Nigeria

2021 ◽  
Vol 11 (2) ◽  
pp. 350-364
Author(s):  
Chinedu Anthony Umeh ◽  
Chinedu Daniel Ochuba ◽  
Ugochukwu Remigius Ihezie
Keyword(s):  
Public Health ◽  
Capital Expenditure ◽  
Health Sector ◽  
Budget Deficits ◽  
Government Budget ◽  
The Public ◽  
Public Health Sector ◽  
National Health Act ◽  
External Borrowing ◽  
The Impact

The study examined the impact of government budget deficits on the public health sector output in Nigeria over a period of 1980 to 2018. The specifically study sought to: investigate the impact of government budget deficits affect the public health sector output in Nigeria, ascertain the impact of external borrowing on the public health sector output in Nigeria and evaluate the impact of domestic borrowing budget deficits financing on the public health sector output in Nigeria. The methods of data analysis range from argument dickey fuller unit root test, Johansen co-integration test and finally error correction method. The following results were the basic findings of the study: (1) government budget deficits have positive insignificant impact on public health sector output in Nigeria (t – statistics (0.5663) < t0.05 (1.684); (2) external borrowing of financing budget deficits has negative insignificant impact on Health sector output in Nigeria (t – statistics (-1.2746) < t0.05 (1.684) and (3) domestic borrowing of financing budget deficits has positive significant impact on Health sector output in Nigeria (t – statistics (2.1711) > t0.05 (1.684). This study concludes that the budget deficits of government have positive insignificant impact on Health sector output in Nigeria because more budget allocations are put in health recurrent government expenditure than health capital expenditure whereas health capital expenditure is the engine of growth in health sector output. The study recommended that the Federal Government should commence and continue to execute the National Health Act. Allocation’s map-out for the Basic Health Care Provision Fund (BHCPF) should be drawn directly from the National Health Act, which is not less than 1% of the Consolidated Revenue (CRF) Fund of the Federation and is to flow from the FG's share of revenue.

scholarly journals Comparative analysis of health institutions, personnel and service in private and public health sector in Serbia in 2009

2011 ◽  
Vol 58 (4) ◽  
pp. 216-228 ◽  
Author(s):  
Milena Gajic-Stevanovic ◽  
Snezana Dimitrijevic ◽  
Nevenka Teodorovic ◽  
Slavoljub Zivkovic
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Health Care System ◽  
Health Sector ◽  
Public Health Sector ◽  
Private Health Sector ◽  
Hospital Days ◽  
Care System

Introduction. Collecting data about the structure and function of private health care sector in Serbia and its inclusion in joint health care system is one of the most important issues for making decisions in health care and getting more accurate picture about the possibilities of health care system in Serbia. The aim of this analysis was to compare health institutions, personnel, visits, number of hospital days and morbidity by ICD-10 classification of diseases in public and private health sector in South Backa, Nisava, Toplica and Belgrade district in 2009. Material and Methods. A retrospective comparative analysis was performed using data about private providers of health services obtained from the Institute of Public Health Novi Sad, the Institute of Public Health Nis and the City Institute of Public Health Belgrade. Data about personnel and morbidity in public health sector in Serbia for 2009 was obtained from the Center for Information Technology of the Institute for Public Health of Serbia. Data about public health facilities in South Backa, Nisava, Toplica and Belgrade district in 2009 was obtained from Serbian Chamber of medical institutions. Results. The results showed that health care was provided in Belgrade district in 2009 by total of 1,051 employees in private sector and 31,404 in public sector. We found that public sector had a far wider range of health facilities than private sector, which was mainly due to the number of clinics. In South Backa district private sector had 323 practices, the district of Belgrade 655 and Nisava and Toplica district 173. Seventeen times more visits to households (4,650,423 vs. 267,356) and 111 times greater number of hospital days was provided in public health sector as compared to private health sector (781,083 vs. 7,023) in South Backa district. Conclusion. The conclusion of this analysis was that public health sector has remained the foundation of health care system in Serbia. Private health sector is expanding, but its structure and scope of services is still undervalued as compared to public sector.

scholarly journals New public management in Iran’s health complex: a management framework for primary health care system

2018 ◽  
Vol 19 (03) ◽  
pp. 264-276 ◽  
Author(s):  
Jafar Sadegh Tabrizi ◽  
Elaheh HaghGoshayie ◽  
Leila Doshmangir ◽  
Mahmood Yousefi
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Public Management ◽  
New Public Management ◽  
Health Sector ◽  
Market Mechanism ◽  
Primary Health Care System ◽  
The Public ◽  
Public Health Sector ◽  
New Public

BackgroundNew public management (NPM) was developed as a management reform to improve the efficiency and effectiveness in public organizations, especially in health sector. Using the features of private sector management, the managers of health organizations may try to implement the elements of NPM with the hope to improve the performance of their systems.AimsOur aim in the present study was to identify the elements and infrastructures suitable for implementing NPM in the Iranian health complex.MethodIn this qualitative study with conventional content analysis approach, we tried to explore the NPM elements and infrastructures in Iranian public health sector. A series of semi-structured interviews (n=48) were conducted in 2016 with a managers in public and private health complex. Three focus group discussions with nine faculty members were also conducted. A data collection form was used to collect the demographic characteristics and perspectives of the participants.FindingsFrom the perspective of managers, managerialism, decentralization, using market mechanism, performance management, customer orientation and performance budgeting were the main elements of NPM in the Iranian context. The most important infrastructures for implementing this reform were as follows: education and training, information technology, the proper use of human resources, decision support systems, top management commitment, organizational culture, flexibility of rules, rehabilitating of the aging infrastructures, and expanding the coverage of services.ConclusionThe NPM was generally identified to be an effective replacement for the traditional administration method. These reforms may be helpful in strengthening the public health complex and the management capacity, as well. NPM also seems to be useful in interacting the public health sector with the private sector in terms of personnel and resources, performance, reward structure, and methods of doing business.

scholarly journals Employment Relations in the New Zealand Public Health Sector - A Survey

1970 ◽  
Author(s):  
Michael Pye ◽  
Joanna Cullinane
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Workforce Development ◽  
Care Delivery ◽  
Industrial Relations ◽  
Health Sector ◽  
Employment Relations ◽  
State Sector ◽  
Public Health Sector ◽  
The Impact

The New Zealand Public Health sector has undergone significant political, Legislative and managerial changes since 1986. These changes have had a major impact on the nature of employment relations in the sector. The unified, state sector industrial relations regime has been restructured and replaced a by diverse set of practices. Many of the changes of the last decade have had time to 'mature' and become embedded into the system and it now seems appropriate to start to identify issues that have arisen from the impact of the new regime of employment relations. This paper presents the results of a survey of related public health sector organisations including employers, unions, professional organisations, statutory bodies and funding agencies. Five distinct areas for future employment relations research, with varying Levels of priority, were identified by the respondents including; 1) Workforce development and planning. 2) The nature, scope and negotiation of employment contracts. 3) The problematic of people management of largely 'professional ' group of workers. 4) Relationships with external organisations such as the 'NZQA 'and the 'Health and Disability Commissioner' and the impact on internal employment relations. 5) The effects of uncertainty about current health care delivery structures and possible further politically directed restructuring are having on employment relations.

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