检索结果-内蒙古大学图书馆

Researching the public/private mix in health care in a Thai urban area: methodological approaches

HEALTH POLICY AND PLANNING 1998年第3期13卷 234-248页

作者： Pannarunothai, S Mills, A Univ London London Sch Hyg & Trop Med Hlth Policy Unit London WC1E 7HT England Buddhachinaraj Hosp Phitsanulok Thailand

The private health sector has been growing rapidly in many low and middle income countries, yet not enough is known about its sources of finance or characteristics of its users. Moreover, health care reform measures are leading to alterations in the mix of public and private finance and provision, increasing further the need for information. This paper presents and evaluates some research methods which can be used to collect information relevant to considering policies on the public/private mix. They comprise a household survey, a health diary and interview survey, a bed census, and a health resource survey. Each method is described as it was used in a study in a large urban setting in Thailand, and strengths and weaknesses of the methods are identified. The use of data to estimate the shares of public and private finance and provision, and particularly private sources of finance of public hospitals and public sources of finance for private hospitals, is demonstrated. Policy issues highlighted by the data are identified.

关键词：卫生保健改革卫生保健调查/方法卫生经费支出/统计学和数值数据医院私立/经济学医院私立/统计学和数值数据医院私立/利用医院公立/经济学医院公立/统计学和数值数据医院公立/利用收入/统计学和数值数据模型经济计量学私营部门/经济学私营部门/统计学和数值数据公共卫生管理/经济学公共卫生管理/统计学和数值数据社会经济因素泰国

来源：评论

学校读者我要写书评

暂无评论

Private health care provision in developing countries: a preliminary analysis of levels and composition

引用

HEALTH POLICY AND PLANNING 1998年第3期13卷 195-211页

作者： Hanson, K Berman, P Univ London London Sch Hyg & Trop Med Hlth Policy Unit London WC1E 7HT England Harvard Univ Sch Publ Hlth Dept Populat & Int Hlth Boston MA 02115 USA

While the importance of the private sector in providing health services in developing countries is now widely acknowledged, the paucity of data on numbers and types of providers has prevented systematic cross-country comparisons. Using available published and unpublished sources, we have assembled data on the number of public and private health care providers for approximately 40 countries. This paper presents some results of the analysis of this database, looking particularly at the determinants of the size and structure of the private health sector. We consider two different types of dependent variable: the absolute number of private providers (measured here as physicians and hospital beds), and the public-private composition of provision. We examine the relationship between these variables and income and other socioeconomic characteristics, at the national level. We find that while income level is related to the absolute size of the private sector, the public-private mix does not seem to be related to income. After controlling for income, certain socioeconomic characteristics, such as education, population density, and health status are associated with the size of the private sector, though no causal relationship is posited. Further analysis will require more complete data about the size of the private sector, including the extent of dual practice by government-employed physicians. A richer story of the determinants of private sector growth would incorporate more information about the institutional structure of health systems, including provider payment mechanisms, the level and quality of public services, the regulatory structure, and labour and capital market characteristics. Finally, a normative analysis of the size and growth of the private sector will require a better understanding of its impact on key social welfare outcomes.

关键词：发展中国家卫生保健调查卫生经费支出/统计学和数值数据卫生资源卫生服务研究收入/统计学和数值数据私人开业/统计学和数值数据私营部门/经济学私营部门/统计学和数值数据社会经济因素

来源：评论

学校读者我要写书评

暂无评论

The role of private medical practitioners and their interactions with public health services in Asian countries

引用

HEALTH POLICY AND PLANNING 1995年第4期10卷 333-349页

作者： Aljunid, S LONDON SCH HYG & TROP MED HLTH ECON & FINANCING PROGRAMMEHLTH POLICY UNITLONDONENGLAND

This paper aims to review the role of private practitioners and their interactions with public health services in developing countries, focusing largely on the Asian region. Evidence on the distribution of health facilities. manpower, health expenditures and utilization rates shows that private practitioners are significant health care providers in many Asian countries. Limited information has been published on interactions between public and private providers despite their co-existence. Issues related to enforcement of regulations, human resources, patient referrals and disease notifications, are examined.

关键词：亚洲数据收集发展中国家疾病报告卫生服务/统计学和数值数据卫生服务/利用卫生服务研究机构间关系医师/统计学和数值数据医师/利用私营部门/统计学和数值数据私营部门/利用公共卫生管理/统计学和数值数据转诊和会诊人类

来源：评论

学校读者我要写书评

暂无评论

Public health care and private insurance demand: The waiting time as a link

引用

Health Care Management Science 2000年第1期3卷 51-71页

作者： Jofre-Bonet, Mireia Department of Public Health Yale University LEPH 314 New Haven CT 06510 60 College St. United States

This paper analyzes the effect of waiting times in the Spanish public health system on the demand for private health insurance. Expected utility maximization determines whether or not individuals buy a private health insurance. The decision depends not only on consumer's covariates such as income, socio-demographic characteristics and health status, but also on the quality of the treatment by the public provider. We interpret waiting time as a qualitative attribute of the health care provision. The empirical analysis uses the Spanish Health Survey of 1993. We cope with the absence of income data by using the Spanish Family Budget Survey of 1990-91 as a complementary data set, following the Arellano-Meghir method [4]. Results indicate that a reduction in the waiting time lowers the probability of buying private health insurance. This suggests the existence of a crowd-out in the health care provision market. © Baltzer Science Publishers BV.

关键词：健康态度卫生保健调查卫生服务需求/经济学卫生服务需求/统计学和数值数据健康状况收入保险范围/统计学和数值数据卫生服务使用研究未参加医疗保险者/统计学和数值数据模型经济计量学私营部门/统计学和数值数据私营部门/利用公共卫生管理/经济学卫生保健质量社会经济因素西班牙时间因素预约名单成年人老年人儿童女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Private payers of health care in Brazil: Characteristics, costs and coverage

引用

HEALTH POLICY AND PLANNING 1995年第4期10卷 362-375页

作者： Lewis, MA Medici, AC INST ECON SECTOR PUBL SAO PAULOBRAZIL

The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuel-led by the crisis in the public reimbursement system and the perceived deterioration of publicly provided care. Four major forms of insurance exist: (1) prepaid group practice;(2) medical cooperatives, physician owned and operated preferred provider organizations;(3) company health plans where employers ensure employee access to services under various types of arrangements from direct provision to purchasing of private services;and (4) health indemnity insurance. Each type of plan includes a wide variety of subplans from basic individual/family coverage to comprehensive executive coverage. The paper discusses the characteristics, costs and utilization patterns of all types of privately financed care, as well as the major problems associated with private financing: the limited package of benefits and low payout ceilings, inadequate consumer information and virtually no regulation.

关键词：巴西数据收集卫生保健提供/经济学发展中国家企业家能力筹资组织卫生保健费用卫生服务研究保险健康/分类保险健康/统计学和数值数据保险健康/发展趋势国家卫生规划/经济学国家卫生规划/统计学和数值数据私营部门/经济学私营部门/统计学和数值数据私营部门/发展趋势

来源：评论

学校读者我要写书评

暂无评论

The role of private providers in maternal and child health and family planning services in developing countries

引用

HEALTH POLICY AND PLANNING 1996年第2期11卷 142-155页

作者： Berman, P Rose, L WORLD BANK WASHINGTONDC 20433

This paper uses data from the Demographic and Health Surveys program (DHS) in 11 countries in Asia, Africa, and Latin America to explore the contribution of private health care providers to population coverage with a variety of maternal and child health and family planning services. The choice of countries and services assessed was mainly determined by the availability of data in the different surveys. Private providers contribute significantly to family planning services and treatment of children's infectious diseases in a number of the countries studied. This is as expected from the predictions of economic theory, since these goods are less subject to marker failures. For the more 'public goods' type services, such as immunization and ante-natal care, their role is much more circumscribed. Two groups of countries were identified: those with a higher private provision role across many different types of services and those where private provision was limited to only one or two types of the services studied. The analysis identified the lack of consistent or systematic definitions of private providers across countries as well as the absence of data on many key services in most of the DHS surveys. Given the significance of private provision of public health goads in many countries, the authors propose much more systematic efforts to measure these variables in the future. This could be included in future DHS surveys without too much difficulty.

关键词：病人接受卫生保健的程度/统计学和数值数据私营部门/经济学私营部门/统计学和数值数据私营部门/利用公共卫生妊娠

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：