Private Sector Engagement in Public Health Systems
The aim of the literature review was to provide evidence on private health sector engagement globally, with a specific focus on the South Caucasus. The analysis focused on private sector engagement through the lens of policy dialogue, information sharing, regulation, financing, and private sector provision, including performance and private sector engagement modalities. Results showed that the private sector in Armenia, Azerbaijan, and Georgia is heterogenous. Regulation aimed to increase health coverage with quality services and increase the institutional capacity of the Ministries of Health to collect and analyze data to know better how the private health sector operates and promote private-public partnership to respond to public health challenges. The creation of an autonomous health superintendence would help improve the performance of the private sector: overseeing and supervising the service delivery of private providers and ensuring a strong regulatory environment within countries with high levels of out-of-pocket payments. This entity should enforce transparent behaviors of doctor practices, licensing of physicians, and accreditation of private providers. In addition, the South Caucasus countries can adopt a mix of payment systems with private providers and establish arrangements that ensure a strong private-public partnership (PPP) in health through well-defined contracts. Health facilities with management autonomy should also ensure quality-based purchasing. PPPs would be an optimal way for the South Caucasus to engage with the private sector. Political will, legislative environments and regulatory frameworks, transparency, public sector capacity, complete and flexible contracts, and broad stakeholder engagement are essential conditions to expand PPPs. Learning from best practices globally and expanding research on how health systems create and regulate mixed public-private services are also essential to improve quality, equity, and efficiency of these systems, as countries work to achieve universal health coverage.
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Format: | Working Paper biblioteca |
Language: | English en_US |
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World Bank, Washington, DC
2022-09
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Subjects: | PRIVATE HEALTH SECTOR, UNIVERSAL HEALTH COVERAGE, REGULATION, PUBLIC-PRIVATE PARTNERSHIP, FINANCING, POLICY DIALOGUE, INFORMATION SHARING, |
Online Access: | http://documents.worldbank.org/curated/en/099450210272236644/IDU03ef2274a0a0c504d7b093d80c9e9034062b1 http://hdl.handle.net/10986/38231 |
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dig-okr-10986382312022-11-01T05:10:55Z Private Sector Engagement in Public Health Systems Cortez, Rafael Quinlan-Davidson, Meaghen PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING The aim of the literature review was to provide evidence on private health sector engagement globally, with a specific focus on the South Caucasus. The analysis focused on private sector engagement through the lens of policy dialogue, information sharing, regulation, financing, and private sector provision, including performance and private sector engagement modalities. Results showed that the private sector in Armenia, Azerbaijan, and Georgia is heterogenous. Regulation aimed to increase health coverage with quality services and increase the institutional capacity of the Ministries of Health to collect and analyze data to know better how the private health sector operates and promote private-public partnership to respond to public health challenges. The creation of an autonomous health superintendence would help improve the performance of the private sector: overseeing and supervising the service delivery of private providers and ensuring a strong regulatory environment within countries with high levels of out-of-pocket payments. This entity should enforce transparent behaviors of doctor practices, licensing of physicians, and accreditation of private providers. In addition, the South Caucasus countries can adopt a mix of payment systems with private providers and establish arrangements that ensure a strong private-public partnership (PPP) in health through well-defined contracts. Health facilities with management autonomy should also ensure quality-based purchasing. PPPs would be an optimal way for the South Caucasus to engage with the private sector. Political will, legislative environments and regulatory frameworks, transparency, public sector capacity, complete and flexible contracts, and broad stakeholder engagement are essential conditions to expand PPPs. Learning from best practices globally and expanding research on how health systems create and regulate mixed public-private services are also essential to improve quality, equity, and efficiency of these systems, as countries work to achieve universal health coverage. 2022-10-31T18:50:04Z 2022-10-31T18:50:04Z 2022-09 Working Paper http://documents.worldbank.org/curated/en/099450210272236644/IDU03ef2274a0a0c504d7b093d80c9e9034062b1 http://hdl.handle.net/10986/38231 English en_US Health, Nutrition, and Population (HNP) Discussion Paper;September 2022 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Working Papers Working Papers :: HNP Discussion Papers World |
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PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING |
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PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING Cortez, Rafael Quinlan-Davidson, Meaghen Private Sector Engagement in Public Health Systems |
description |
The aim of the literature review was
to provide evidence on private health sector engagement
globally, with a specific focus on the South Caucasus. The
analysis focused on private sector engagement through the
lens of policy dialogue, information sharing, regulation,
financing, and private sector provision, including
performance and private sector engagement modalities.
Results showed that the private sector in Armenia,
Azerbaijan, and Georgia is heterogenous. Regulation aimed to
increase health coverage with quality services and increase
the institutional capacity of the Ministries of Health to
collect and analyze data to know better how the private
health sector operates and promote private-public
partnership to respond to public health challenges. The
creation of an autonomous health superintendence would help
improve the performance of the private sector: overseeing
and supervising the service delivery of private providers
and ensuring a strong regulatory environment within
countries with high levels of out-of-pocket payments. This
entity should enforce transparent behaviors of doctor
practices, licensing of physicians, and accreditation of
private providers. In addition, the South Caucasus countries
can adopt a mix of payment systems with private providers
and establish arrangements that ensure a strong
private-public partnership (PPP) in health through
well-defined contracts. Health facilities with management
autonomy should also ensure quality-based purchasing. PPPs
would be an optimal way for the South Caucasus to engage
with the private sector. Political will, legislative
environments and regulatory frameworks, transparency, public
sector capacity, complete and flexible contracts, and broad
stakeholder engagement are essential conditions to expand
PPPs. Learning from best practices globally and expanding
research on how health systems create and regulate mixed
public-private services are also essential to improve
quality, equity, and efficiency of these systems, as
countries work to achieve universal health coverage. |
format |
Working Paper |
topic_facet |
PRIVATE HEALTH SECTOR UNIVERSAL HEALTH COVERAGE REGULATION PUBLIC-PRIVATE PARTNERSHIP FINANCING POLICY DIALOGUE INFORMATION SHARING |
author |
Cortez, Rafael Quinlan-Davidson, Meaghen |
author_facet |
Cortez, Rafael Quinlan-Davidson, Meaghen |
author_sort |
Cortez, Rafael |
title |
Private Sector Engagement in Public Health Systems |
title_short |
Private Sector Engagement in Public Health Systems |
title_full |
Private Sector Engagement in Public Health Systems |
title_fullStr |
Private Sector Engagement in Public Health Systems |
title_full_unstemmed |
Private Sector Engagement in Public Health Systems |
title_sort |
private sector engagement in public health systems |
publisher |
World Bank, Washington, DC |
publishDate |
2022-09 |
url |
http://documents.worldbank.org/curated/en/099450210272236644/IDU03ef2274a0a0c504d7b093d80c9e9034062b1 http://hdl.handle.net/10986/38231 |
work_keys_str_mv |
AT cortezrafael privatesectorengagementinpublichealthsystems AT quinlandavidsonmeaghen privatesectorengagementinpublichealthsystems |
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1756576212502708224 |