Public, Private or Neither? Analysing the publicness of health care social enterprises

Hall, Kelly; Miller, Robin; Millar, Russell B.

doi:10.1080/14719037.2015.1014398

Cited by 50 publications

(43 citation statements)

References 39 publications

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“…There is substantial debate on whether performance management can promote equity and efficiency in public health [33,34]. Future research can explore diverse sectoral characteristics across diverse health organizations [35,36]. The effects of hospital organizational characteristics on performance can differ across public, nonprofit, and profit hospitals.…”

Section: Discussionmentioning

confidence: 99%

The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness

Youngju¹,

Kim

Jung

2020

IJERPH

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This paper examined the important organizational and managerial factors of publicness for the equity of health care. The extent of organizational publicness was measured with key independent variables such as ownership, evaluation, and accreditation. The dependent variable was measured by three equity indicators for patients under medical care and veterans care: financial inequity, social equity, and overall equity. We analyzed unbalanced panel data with 328 general hospitals between 2008 and 2012. We performed panel analysis with fixed and random effects. Our findings illustrate that government ownership is significantly associated with differences in equity indicators. Government owned hospitals show the better performance for equity than nonprofit and individually owned hospitals do. Compared to nonprofit and individually owned hospitals, government owned hospitals have a higher share of medical payment bills and health care spending for the disadvantaged but a lower proportion of out-of-pocket payment. Government evaluation is also significantly related to better equity performance. There are, however, significantly negative interactions between hospital government ownership and the size of medical payment bills. We found a significant tendency that the more medical payments, the less responsiveness to the equity of health care in government owned hospitals. Future research in hospital performance is required to consider not only sectoral differences but also the negative proclivity of public hospitals that shrink health care services for the poor. Further research is also expected to explore what sectoral identities and behaviors across public, nonprofit, and private hospitals influence the level of equity or inequity in health care.

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Section: Discussionmentioning

confidence: 99%

The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness

Youngju¹,

Kim

Jung

2020

IJERPH

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“…There has been an international movement toward focal agencies run at arm's length of the government. The British National Health Service (NHS) embraced spin‐outs for the delivery of more responsive welfare services (Hall, Miller, & Millar, ) and opted for a greater reliance on community‐based planning for its devolved policies (Pemberton, Peel, & Lloyd, ). Limitations were naturally reached.…”

Section: Decentralization's Pitfalls In Overseas Exemplars and In Francementioning

confidence: 99%

Recentralization and vertical alignment in the French health‐care system

Simonet

2017

Journal of Public Affairs

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In foreign exemplars, key new public management (NPM) features such as decentralization and devolution of health-care responsibilities had outcomes below expectations. Other NPM traits such as the patient as overseer of reforms or the empowerment of patient remained elusive. In France, the integration of public values such as greater participation of patients and local actors (NGOs and elected officials) and NPM-driven private values such as performance evaluation has yet to be seen. Taking advantage of NPM's failings and austerity agenda, a French welfare elite regained control over health-care policy decisions at the expense of regions and other local actors. NPM outcomes were below expectations. Austerity cures led to weakening of the regional decision spaces, which can be explained under the principal-agent relationship. Accountability shifted to managerial (the professionalization of hospital managers) and legal (governance via regulations) forms in a bid to restore central government control. A democratic recess results from the lack of public engagement in recent health reforms.

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“…; Hall et al . ), and this was continued briefly under the coalition Government under the guise of a ‘Right to Provide’. Lister () claims that from about 2006 under the innocuous terms of ‘Transforming Community Services’ and ‘Right to Request’, community health services were privatized.…”

Section: Period 3: New Labour (1997–2010)mentioning

confidence: 99%

“…However, it is not clear whether social enterprises are public, private or neither (hybrid) (Hall et al . ), with the leaders of these new organizations stating a preference for hybridity and the ability to strengthen and present different sector characteristics depending on the situation and audience.…”

Section: Period 3: New Labour (1997–2010)mentioning

confidence: 99%

Seventy Years of Privatizing the British National Health Service?

Powell

Miller

2015

Soc Policy Adm

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The existence of different and conflicting definitions and different types, but few clear measures, of privatization has contributed to different interpretations of the extent of privatization in the almost 70-year history of the British National Health Service (NHS). This article aims to examine the extent of privatization in the NHS over successive policy chronologies through the lens of the 'three dimensional' approach of the Mixed Economy of Welfare. We find that whilst privatization in the NHS is not new, the generally accepted view that it has increased in recent years appears valid, although precision is difficult due to the lack of a generally accepted typology or measure.

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Public, Private or Neither? Analysing the publicness of health care social enterprises

Cited by 50 publications

References 39 publications

The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness

The Equity of Health Care Spending in South Korea: Testing the Impact of Publicness

Recentralization and vertical alignment in the French health‐care system

Seventy Years of Privatizing the British National Health Service?

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