90 likes | 231 Views
Public Private Partnership -A Reformist Agenda in the Indian Health Sector Dr.P.M.Mathew Professor of Economics,
E N D
Public Private Partnership -A Reformist Agenda in the Indian Health Sector Dr.P.M.Mathew Professor of Economics, Christ University, Bangalore-29
Resource Constraints in public sector(Mitchell –Weaver and Manning 1992 PPPs in health can gain from one another,ADB 2000,Agha 2003.Public sector bureaucracies inefficient and irresponsive
Market mechanisms will promote efficiency, cost effectiveness and good quality services. Pvt sector resources to promote public health obectives. Partnerships with NGOs.
Problems of private for profit health provision Illegitimate or unethical means to maximise profits. Less concern towards public health goods. Creating brain drain among public sector staff. Lack of regulatory control over their practices.
Strengths of Private sector Innovativeness Efficiency Learning from competition High management standards
Benefits of Partnerships Improve delivery mechanisms Increases mobilization of resources for health care. Improvement in quality of services Reduced cost due to competition or through economies of scale Reduction in duplication of services. Adoption of best practices. Targeted services to the poor Self regulation and accountability
Models of PPPs Contracting Franchising Social marketing Joint ventures Subsidies BOT Health co-operatives Social health insurance
The Yeshaswini scheme of Dr.Devi Shetty Adoption of PHCs by Dr.Sudarshan of Karuna Trust Rajiv Ghandhi superspeciality hospital in Raichur and the Appolo Hospitals Ltd. Telemedicines services of Narayanna Hruduyalaya in collaboration with the government and ISRO.
Thank You Email-pmat2012@yahoo.com