The rise of private medicine in South Asia

Sengupta, Amit; Mukhopadhyaya, Indranil; Weerasinghe, Manuj C.; Karki, Arjun

doi:10.1136/bmj.j1482

Cited by 19 publications

(21 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the best of our knowledge, this is the first national study using data from 31 provinces reporting private ED status in mainland China. Hospitals included in this study were characteristically distinct from previous studies in high‐income settings or comparatively in studies from other Asian countries …”

Section: Discussionmentioning

confidence: 95%

Comparing public and private emergency departments in China: Early evidence from a national healthcare quality survey

Jin

Zhang

Seery

et al. 2019

Health Planning & Management

View full text Add to dashboard Cite

Summary The number of private healthcare facilities has rapidly increased since the progressive open market policies, which began in the 1980s; however, little is known about the development of private emergency departments (EDs). This cross‐sectional study was part of the National Control Information System (NCIS) project, which collects data annually from hospitals across China. Emergency services data were extracted and included location, infrastructure, human resources, beds, and number of patients; 4529 hospitals across 31 provinces in mainland China were eventually included, consisting of 988 private and 3541 public EDs. Evidence shows that most private EDs are located in central China, where local economies are relatively developed. Most private EDs (91.6%) are found in secondary hospitals but have significantly fewer beds and smaller workforces compared with public EDs. An imbalance of emergency medical resources was observed across China, and this disparity becomes even more profound in rural hospitals. These findings may initiate collaborative, public‐private partnerships in emergency health services provision and suggest there is a need to offer tax breaks to incentivize investors, but further research is required. We may also need to rethink health insurance policies, which could enable more equitable access to private emergency care. Future planning and health policies must be based upon the strongest available evidence, if we are to address imbalanced health services distribution and growing demand.

show abstract

Section: Discussionmentioning

confidence: 95%

Comparing public and private emergency departments in China: Early evidence from a national healthcare quality survey

Jin

Zhang

Seery

et al. 2019

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…However, in practice, urban governance for health is distributed unevenly across national, regional, and municipal governments 57. It spans public, private for-profit, and not-for-profit providers of various types,1213 and is characterised by internal politics at various levels,141516 and almost systemic exclusion of vulnerable populations 17…”

Section: Urban Health Governancementioning

confidence: 99%

“…South Asian cities are distinguished by a large private sector,1318 with the power to sustain existing profit and market share. The private sector is weakly regulated and largely unaccredited and ignored in national health information systems.…”

Section: Urban Health Governancementioning

confidence: 99%

See 1 more Smart Citation

Advancing universal health coverage in South Asian cities: a framework

Adams

Nambiar

Siddiqi

et al. 2018

BMJ

View full text Add to dashboard Cite

show abstract

“…This is because of the political economy of the region, which has produced an underfunded and inefficient public sector and a dominant private sector. 3 Reforming surgical care is therefore a priority for the region.…”

mentioning

confidence: 99%