Public/Private Mix in the Brazilian Health System and the Quest for Equity
< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > The paper discusses the intricate relationship between the public and the private sectors in the current configuration of the Brazilian health system. Although not foreseen in the universal and public model created by the 1988 Constitution, this setting has been consolidated, making it challenging and politically difficult to change. Its expression is a fragile regulation of the private sector, the expansion of private participation in the provision of services, especially in human resources, and the reduction of public funding. In this account, we...
Source: Global Social Welfare - July 29, 2016 Category: Global & Universal Source Type: research
The US Healthcare System: Complex and Unequal
< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > Shaped by the institutions, ideas, and interests that drive American policymaking, the US health care delivery system is uniquely complex, costly, and unequal. Initially private, it has become an increasingly complex public/private mix, as incremental reforms adopted over many decades have sought to correct market failures to finance and deliver health care services to vulnerable populations, particularly segments of the low-income demographic. While successive reforms have led to better coverage and access over time, they are unlikely to lead to u...
Source: Global Social Welfare - July 28, 2016 Category: Global & Universal Source Type: research
The Public-Private Mix in the Delivery of Health-Care Services: Its Relevance for Lower-Income Canadians
< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > This paper reviews and analyzes the implication of the public-private mix of financing and delivery of health care in Canada for lower-income Canadians. Based on the type of government stewardship and the degree of state intervention, the Canadian health system can be separated into three distinct layers: universal hospital and physician services financed and regulated by federal and provincial governments ( “Medicare”); mixed services, including prescription drugs and long-term care, subject to some provincial stewardship and subsidy; and priv...
Source: Global Social Welfare - July 28, 2016 Category: Global & Universal Source Type: research
Health Care Inequality in Spain After the Economic Crisis: the Health Delivery System and the Public Private Sector Mix
This article seeks to examine the impact of the euro crisis on health inequality in Spain. In particular, this study investigates whether health care inequalities differ across the 17 regional governments, as well as across social classes. This article conducts such an investigation by examining citizens ’ attitudes toward access inequalities in the Spanish Health System (e.g., whether citizens believe that the public health care system provides the same services to all people regardless of their socioeconomic status, or their place of residence) along two axes of comparison. First, it analyzes wh ether citizens’ attit...
Source: Global Social Welfare - July 27, 2016 Category: Global & Universal Source Type: research
The Italian NHS, the Public/Private Sector Mix and the Disparities in Access to Healthcare
< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > The Italian healthcare system is based on a combination of the public and private sectors. The public component is represented by the National Health Service (NHS), financed through general taxation. One third of the NHS budget, however, is used to finance private providers. Albeit the Italian National Health Service resolves to be universalistic and comprehensive, it fails to finance all the healthcare needed by Italians, who bear out-of-pocket costs for part of their pharmaceutical treatments, dental and other specialist care. The private compone...
Source: Global Social Welfare - July 27, 2016 Category: Global & Universal Source Type: research
