Performance of private sector health care: implications for universal health coverage

Rosemary Morgan, Tim Ensor, Hugh Waters

Research output: Contribution to journalReview articlepeer-review

Abstract

Although the private sector is an important health-care provider in many low-income and middle-income countries, its role in progress towards universal health coverage varies. Studies of the performance of the private sector have focused on three main dimensions: quality, equity of access, and efficiency. The characteristics of patients, the structures of both the public and private sectors, and the regulation of the sector influence the types of health services delivered, and outcomes. Combined with characteristics of private providers—including their size, objectives, and technical competence—the interaction of these factors affects how the sector performs in different contexts. Changing the performance of the private sector will require interventions that target the sector as a whole, rather than individual providers alone. In particular, the performance of the private sector seems to be intrinsically linked to the structure and performance of the public sector, which suggests that deriving population benefit from the private health-care sector requires a regulatory response focused on the health-care sector as a whole.

Original languageEnglish (US)
Pages (from-to)606-612
Number of pages7
JournalThe Lancet
Volume388
Issue number10044
DOIs
StatePublished - Aug 6 2016

ASJC Scopus subject areas

  • Medicine(all)

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