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  • Purchasing health care from the private sector: a primer for middle-income countries in the WHO European Region / World Health Organization. Regional Office for Europe
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Purchasing health care from the private sector: a primer for middle-income countries in the WHO European Region / World Health Organization. Regional Office for Europe

Tác giả : World Health Organization. Regional Office for Europe

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2025

Tùng thư : Health financing policy papers

Chủ đề : 1. Contract Services. 2. Delivery of Health Care. 3. Government Regulation. 4. Private Sector. 5. Technical documents.

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Tóm tắt :

The decision to include private health-care providers (PHPs) in state financed service delivery networks can be motivated by a number of potential benefits, such as stimulating choice and competition, harnessing the disciplines of private ownership and management and increasing capacity. By making this decision, state authorities limit their ability to influence the network's structure and providers' conduct and performance. This loss of control can generate risks to equity of access, financial protection, efficiency and quality of care – particularly if regulatory gaps enable PHPs to engage in adverse behaviours, such as inappropriate self-referrals, abuse of dual practice and patient selection. In principle, stronger regulations can mitigate these risks. However, in reality, these are often absent or inadequate in the middle-income countries of the WHO European Region. As a result, purchasing policies – including eligibility criteria, contractual specifications and monitoring arrangements – must be strong enough to ensure that PHPs have appropriate incentives and are held accountable for their conduct and performance. This report draws on experiences from Member States in the Region, including many middle income countries, to provide guidance on how to achieve these outcomes. xi, 36 p.
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https://iris.who.int/handle/10665/380993

 

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