دورية أكاديمية
The effect of health-care privatisation on the quality of care.
| العنوان: | The effect of health-care privatisation on the quality of care. |
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| المؤلفون: | Goodair B; Department of Social Policy and Intervention, University of Oxford, Oxford, UK. Electronic address: benjamin.goodair@spi.ox.ac.uk., Reeves A; Department of Social Policy and Intervention, University of Oxford, Oxford, UK. |
| المصدر: | The Lancet. Public health [Lancet Public Health] 2024 Mar; Vol. 9 (3), pp. e199-e206. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier, Ltd Country of Publication: England NLM ID: 101699003 Publication Model: Print Cited Medium: Internet ISSN: 2468-2667 (Electronic) NLM ISO Abbreviation: Lancet Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Oxford] : Elsevier, Ltd., [2016]- |
| مواضيع طبية MeSH: | Privatization* , Delivery of Health Care*, Humans ; Health Services ; Quality of Health Care |
| مستخلص: | Over the past 40 years, many health-care systems that were once publicly owned or financed have moved towards privatising their services, primarily through outsourcing to the private sector. But what has the impact been of privatisation on the quality of care? A key aim of this transition is to improve quality of care through increased market competition along with the benefits of a more flexible and patient-centred private sector. However, concerns have been raised that these reforms could result in worse care, in part because it is easier to reduce costs than increase quality of health care. Many of these reforms took place decades ago and there have been numerous studies that have examined their effects on the quality of care received by patients. We reviewed this literature, focusing on the effects of outsourcing health-care services in high-income countries. We found that hospitals converting from public to private ownership status tended to make higher profits than public hospitals that do not convert, primarily through the selective intake of patients and reductions to staff numbers. We also found that aggregate increases in privatisation frequently corresponded with worse health outcomes for patients. Very few studies evaluated this important reform and there are many gaps in the literature. However, based on the evidence available, our Review provides evidence that challenges the justifications for health-care privatisation and concludes that the scientific support for further privatisation of health-care services is weak. Competing Interests: Declaration of interests We declare no competing interests. (Copyright © 2024 The Authors. Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240301 Date Completed: 20240304 Latest Revision: 20240304 |
| رمز التحديث: | 20240304 |
| DOI: | 10.1016/S2468-2667(24)00003-3 |
| PMID: | 38429019 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2468-2667 |
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| DOI: | 10.1016/S2468-2667(24)00003-3 |