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Author: Sarasi Amarasinghe
Publisher:
ISBN: 9789551707118
Category :
Languages : en
Pages : 61
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Book Description
In 2006, Sri Lanka engaged in a bold experiment to change the regulation of private sector services, by moving responsibilities to an independent Private Health Services Regulatory Council (PHSRC). The system is unique in a regional context as it moves regulation out of the health ministry, and directly involves the private sector providers in the regulatory agency. Assessment of the PHSRC shows that it is completely ineffective, failing to discharge most of its envisaged functions. The one function it does attempt is the annual licensing of private medical providers, but analysis shows that it does this badly, with most private hospitals failing to obtain their annual license, and an even greater proportion of other providers also not doing so. PHSRC licensing performance is actually deteriorating over time, with some evidence pointing to conflicts of interest between those of the private sector representatives and the PHSRC's regulatory objectives playing a part. It is recommended that the PHSRC be abolished, and private sector regulation be transferred back to MoH, as in other similar countries, such as Malaysia and Singapore. This profile was prompted by concerns that there was inadequate information on the activities of private healthcare providers in Sri Lanka. Although only limited primary data collection was done, it was possible to build up a fairly detailed profile of private healthcare activities in the country, and recent trends. It is possible to profile private sector activity in Sri Lanka in greater detail than in most other regional countries, by making use of data collected outside MoH. This is despite the inability of the PHSRC to provide reliable statistics on private sector activities. The findings indicate that MoH can improve its monitoring of the private sector health contribution by strengthening partnerships with other agencies in the country, although restructuring the private sector regulatory mechanisms would also make a big difference.
Author: Sarasi Amarasinghe
Publisher:
ISBN: 9789551707118
Category :
Languages : en
Pages : 61
Get Book Here
Book Description
In 2006, Sri Lanka engaged in a bold experiment to change the regulation of private sector services, by moving responsibilities to an independent Private Health Services Regulatory Council (PHSRC). The system is unique in a regional context as it moves regulation out of the health ministry, and directly involves the private sector providers in the regulatory agency. Assessment of the PHSRC shows that it is completely ineffective, failing to discharge most of its envisaged functions. The one function it does attempt is the annual licensing of private medical providers, but analysis shows that it does this badly, with most private hospitals failing to obtain their annual license, and an even greater proportion of other providers also not doing so. PHSRC licensing performance is actually deteriorating over time, with some evidence pointing to conflicts of interest between those of the private sector representatives and the PHSRC's regulatory objectives playing a part. It is recommended that the PHSRC be abolished, and private sector regulation be transferred back to MoH, as in other similar countries, such as Malaysia and Singapore. This profile was prompted by concerns that there was inadequate information on the activities of private healthcare providers in Sri Lanka. Although only limited primary data collection was done, it was possible to build up a fairly detailed profile of private healthcare activities in the country, and recent trends. It is possible to profile private sector activity in Sri Lanka in greater detail than in most other regional countries, by making use of data collected outside MoH. This is despite the inability of the PHSRC to provide reliable statistics on private sector activities. The findings indicate that MoH can improve its monitoring of the private sector health contribution by strengthening partnerships with other agencies in the country, although restructuring the private sector regulatory mechanisms would also make a big difference.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309381428
Category : Medical
Languages : en
Pages : 127
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Book Description
Over the past several decades, the public and private sectors made significant investments in global health, leading to meaningful changes for many of the world's poor. These investments and the resulting progress are often concentrated in vertical health programs, such as child and maternal health, malaria, and HIV, where donors may have a strategic interest. Frequently, partnerships between donors and other stakeholders can coalesce on a specific topical area of expertise and interest. However, to sustain these successes and continue progress, there is a growing recognition of the need to strengthen health systems more broadly and build functional administrative and technical infrastructure that can support health services for all, improve the health of populations, increase the purchasing and earning power of consumers and workers, and advance global security. In June 2015, the National Academies of Sciences, Engineering, and Medicine held a workshop on the role of public-private partnerships (PPPs) in health systems strengthening. Participants examined a range of incentives, innovations, and opportunities for relevant sectors and stakeholders in strengthening health systems through partnerships; to explore lessons learned from pervious and ongoing efforts with the goal of illuminating how to improve performance and outcomes going forward; and to discuss measuring the value and outcomes of investments and documenting success in partnerships focused on health systems strengthening. This report summarizes the presentations and discussions from the workshop.
Author: Howard Palley
Publisher: Oxford University Press
ISBN: 0197571107
Category : Medical
Languages : en
Pages : 353
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Book Description
"This volume examines the public/private sector mix in a number of national healthcare systems and their interface with the goals of health equity and quality of healthcare. Moreover, there is a consideration of public accountability. The unique significance of this collection of national studies involving the public/private sector mix of healthcare services and/or finances is that it provides insights into the factors that enhance the public/private sector mix in fulfilling the goals of health equity and the quality of healthcare services as well as an understanding of the circumstances in which elements of the public/private sector mix may be harmful for the achievement of such goals in a variety of national settings. The contributions to this volume provide a variety of perspectives in dealing with these objectives"--
Author: James White
Publisher: World Bank Publications
ISBN: 1464800421
Category : Medical
Languages : en
Pages : 219
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Book Description
The Tanzania Private Health Sector Assessment provides information on the size, location and characteristics of non-state health service providers in Tanzania. It also identifies challenges and opportunities for the Government of Tanzania and International Community to leverage the potential of these providers to achieve
Author: Michael Reich
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 220
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Book Description
How do organizations with different values, interests, and worldviews come together to resolve critical public health issues? How are shared objectives and shared values created within a partnership? How are relationships of trust fostered and sustained in the face of the inevitable conflicts, uncertainties, and risks of partnership?".
Author: Ramya Kumar
Publisher: Cambridge University Press
ISBN: 1009209604
Category : Social Science
Languages : en
Pages : 102
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Book Description
This Element highlights the pivotal role of corporate players in universal health coverage ideologies and implementation, and critically examines social innovation-driven approaches to expanding primary care in low-income settings. It first traces the evolving meanings of universal health/healthcare in global health politics and policy, analysing their close, often hidden, intertwining with corporate interests and exigencies. It then juxtaposes three social innovations targeting niche 'markets' for lower-cost services in the Majority World, against three present-day examples of publicly financed and delivered primary healthcare (PHC), demonstrating what corporatization does to PHC, within deeply entrenched colonial-capitalist structures and discourses that normalize inferior care, private profit, and dispossession of peoples.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309477891
Category : Medical
Languages : en
Pages : 399
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Book Description
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Author: Elisabeth Rosenthal
Publisher: Penguin
ISBN: 0698407180
Category : Medical
Languages : en
Pages : 434
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Book Description
A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Author: Jeff Barnes
Publisher: World Bank Publications
ISBN: 0821383639
Category : Medical
Languages : en
Pages : 190
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Book Description
This paper broadly examines the health sector in Kenya, by synthesizing an assessment of the health sector with an analysis of the market. After considering the legal and regulatory framework, the policy enforcement, the human resource capacity, and the financing of health systems, the paper makes recommendations for policy makers.
Author: Anne-Emanuelle Birn
Publisher: Oxford University Press
ISBN: 0199392307
Category : Medical
Languages : en
Pages : 713
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Book Description
THE CRITICAL WORK IN GLOBAL HEALTH, NOW COMPLETELY REVISED AND UPDATED "This book compels us to better understand the contexts in which health problems emerge and the forces that underlie and propel them." -Archbishop Emeritus Desmond Mpilo Tutu H1N1. Diabetes. Ebola. Zika. Each of these health problems is rooted in a confluence of social, political, economic, and biomedical factors that together inform our understanding of global health. The imperative for those who study global health is to understand these factors individually and, especially, synergistically. Fully revised and updated, this fourth edition of Oxford's Textbook of Global Health offers a critical examination of the array of societal factors that shape health within and across countries, including how health inequities create consequences that must be addressed by public health, international aid, and social and economic policymaking. The text equips students, activists, and health professionals with the building blocks for a contextualized understanding of global health, including essential threads that are combined in no other work: · historical dynamics of the field · the political economy of health and development · analysis of the current global health structure, including its actors, agencies, and activities · societal determinants of health, from global trade and investment treaties to social policies to living and working conditions · the role of health data and measuring health inequities · major causes of global illness and death, including under crises, from a political economy of health vantage point that goes beyond communicable vs. non-communicable diseases to incorporate contexts of social and economic deprivation, work, and globalization · the role of trade/investment and financial liberalization, precarious work, and environmental degradation and contamination · principles of health systems and the politics of health financing · community, national, and transnational social justice approaches to building healthy societies and practicing global health ethically and equitably Through this approach the Textbook of Global Health encourages the reader -- be it student, professional, or advocate -- to embrace a wider view of the global health paradigm, one that draws from political economy considerations at community, national, and transnational levels. It is essential and current reading for anyone working in or around global health.
