scholarly journals Outsourcing of health-care services to the private sector by English Clinical Commissioning Groups and mortality rates, 2013–20: an observational analysis

The Lancet ◽  
2021 ◽  
Vol 398 ◽  
pp. S49
Author(s):  
Benjamin Goodair ◽  
Aaron Reeves ◽  
Charles Rahal
2020 ◽  
Vol 1 (1) ◽  
pp. 238
Author(s):  
Dimitrios Kritas ◽  
Stylianos - Ioannis Tzagkarakis ◽  
Zoi Atsipoulianaki ◽  
Symeon Sidiropoulos

The spread of the Covid-19 brought global institutions, societies, states and economies in a critical position as they encounter a new worldwide multilevel crisis. At the same time, states have had to handle this crisis acquiring an interventionist role, protecting the social and economic cohesion, providing better health care services for their citizens and investing in scientific research, as a means to restrict this new pandemic. In order to handle that situation and its consequences, the use of all the available resources became necessary as well as the improvement of the cooperation between the private and the public sector. In Greece private sector has shown an unprecedented willingness for Greece’s CSR tradition, to contribute government’s efforts.


Curationis ◽  
1988 ◽  
Vol 11 (2) ◽  
Author(s):  
S. Pera

The purpose of this study was to develop a profile of professional nursing practice in private enterprise health care services in the Republic of South Africa. In the light of the future health care needs and the relationship between the private and public sector health care establishments, information about the role and task of the I professional nurse was needed. Information would provide a data base about the registered nurse and so facilitate future health care planning. An exploratory field study was undertaken to locate the various work environments of the registered nurse in four statistical urban regions. Questionnaires were handed out and collected from a proportional stratified sample of professional nurses who were working in thirteen types of health care environments in the period between I June 1983 and 30 September 1983. A return rate of 68 percent yielded 340 completed questionnaires from 501 registered nurses. The study revealed that the majority of nurses in the private sector were relatively young. White, female, English-speaking professionals who were practising in four broad areas of health care: • Custodial care environments such as residential homes for the aged, institutions for the chronic sick and frail aged, homes for children and homes for the adult handicapped. • Hospitals and related special health centres catering for drug addicts, alcoholics and patients suffering from psychiatric/nervous disorders. • Institutions for child and adult education which included crèches/nursery schools, primary and secondary hoarding schools, special schools for the handicapped, and university based student health centres. • Medical and dental consulting room practices. • Other entrepreneurial employment settings such as business and industrial occupational health care services, nursing service agencies, and mobile emergency care units.


Author(s):  
Medhavi Agarwal ◽  
Ruchi Tanwar

ABSTRACT A public–private partnership (PPP) is a contractual arrangement between a private sector and a government sector. Through this agreement, the skills and assets of each other are shared in delivering a service or facility for use of general public. In recent years, there have been many initiatives to improve the efficiency, effectiveness, and equity in provision of health care services in the country. Public–private partnership is one such initiative. Public–private partnership is the first step toward the health care services to improve quality, efficiency, accessibility, availability, acceptability, and equity of the services. It strengthens the existing health system by improving management of health within the government infrastructure and mobilizes the additional resources. Private sector is the most important source of health care services in India, providing maximum health services to the population. In absence of effective public health system, majority of household seek health care from nongovernment sectors. Various partnerships are being pursued under the existing program of ministry, especially RCH-2, independently by the state under their own resources. How to cite this article Tanwar R, Ojha R, Agarwal M, Singh A, Joshi HS. Role of Public–Private Partnerships in delivering Health Care Services in India. Int J Adv Integ Med Sci 2016;1(3):116-118.


2016 ◽  
Vol 20 (1) ◽  
pp. 201
Author(s):  
Janine Vieira Teixeira ◽  
César Albenes de M. Cruz ◽  
Ana Paula Azevedo

O artigo discute sobre o acesso universal e o seu impedimento no âmbito do sistema de saúde brasileiro. Considera que o SUS tem sido atingido por ações administrativas comprometidas com a gestão capitalista, o que inviabiliza sua plena implementação. Destaca que o acesso universal enfrenta problemas como a dicotomia entre as ações curativas e as ações preventivas, e que as alterações na Lei Orgânica da Saúde e na Constituição de 1988, para introdução do capital estrangeiro, promovem atrasos que fazem com que o sistema seja derrotado, inclusive em seu sentido simbólico. Mostra que o aumento da participação da iniciativa privada na saúde, além de retardar todo processo de construção plena do SUS, traz ainda consequências políticas, pois as empresas de saúde são financiadoras de campanhas eleitorais. O Estado prioriza o repasse de dinheiro público para o setor privado. Conclui que os gastos públicos com a saúde, representados no PIB, não chegam à metade dos gastos totais em saúde. Mesmo assim, os recursos são gastos somente com a parcela mais pobre da população.Palavras-chave: Sistema Único de Saúde (Brasil), Financiamento da Assistência à Saúde, Acesso Universal aos Serviços de Saúde.HEALTH SERVICES ACCESSIBILITY IN BRAZIL: impasses and perspectives Abstract: The article discusses on the universal access to the Brazilian health system and its impediment. The Unified Health System (Sistema Único de Saúde; SUS) has been administrated by actions committed to capitalist management which impedes its full implementation. The universal access face problems as the dichotomy between the curative and preventive actions. The changes in the Health Law and in the Constitution (1988), for the introduction of the foreign capital, promote delays that cause failure in the system and leads to a defeated in the hearts and minds of the Brazilians. The increase in the private sector participation brings political consequences to the health system, because healthcare companies finance election campaigns. The state prioritizes the transfer of public money to the private sector. It concludes that public spending with health represented in the Gross National Product (Produto Interno Bruto, PIB) do not reach half of the total spending on health. Nevertheless, resources are expended only with the poorest part of the population. Key words: Unified Health System, Health care Financing, Universal access to Health Care services.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Abdul -ur- Rehman ◽  
Muhammad Adnan ◽  
Hina Mahmood ◽  
Mahmoodul Hassan ◽  
Ayesha Humayun

Background:  With Pakistan failing to achieve Millennium Development Goals we have now entered into a new era of Sustainable Development Goals. Decreasing child mortality, improving maternal health and increasing the proportion of births by trained birth attendants, are the areas with unmet goals. As 29.5% of population of Pakistan is below the poverty line, expenditure on maternal health care services is of great importance as it determines the utilization of health care services to a large extent.Objective:  To assess maternal health care expenditure and its sociodemographic predictors in rural Khanewal, Punjab, Pakistan.Methodology:  In this cross sectional study average cost on delivery (both SVD and Cesarean section) was assessed in both public and private sector of ruralKhanewal. Total 257 women who had delivered in the last one year were included.Results:  Results revealed that 69.3% of mothers were illiterate.56.8% sought antenatal care in public health unit and 43.2% in a private health care facility. 49.8% delivered in a public health unit and 50.2% in private health care facility. Total expense on antenatal care and delivery was found to be <4,000PKR (<$38.16) in 55.6% (reportedly in a public health care unit) and was >16,000PKR (>$152.65) in 23.3% (reportedly in a private health care facility). A significant difference was found between expense, in public vs private sector and SVD vs. C-section.Conclusion:  This study revealed that there is high financial cost on maternal health services in both public and private sector of rural Khanewal. Although in private sector the cost is more as compared to public sector but still it is high keeping the notion of free health care services in Pakistan by the government. There-fore it is suggested to improve the quality of health care in public sector and if possible to provide free of cost services to mothers during delivery.


2014 ◽  
Author(s):  
Susana J. Ferradas ◽  
G. Nicole Rider ◽  
Johanna D. Williams ◽  
Brittany J. Dancy ◽  
Lauren R. Mcghee

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