Can Public Healthcare Afford Marketization? Market Principles, Mechanisms, and Effects in Five Health Systems

نویسندگان

چکیده

Policymakers now have four decades’ experience using marketization to address cost and quality problems in public-sector health services. While much is known about the challenges, it difficult draw lessons because there remains no agreed-upon definition of marketization. This article contributes a that focuses on transaction, particularly effects funding arrangements intensity competition among providers. Based prior literature 106 interviews with practitioners researchers five countries, authors contribute systematization 12 concrete market mechanisms enacting three principles. Furthermore, analyze respondents' perceptions healthcare marketization's costs quality. multi-faceted, sometimes ambiguous phenomenon requiring further research before definite conclusions can be reached, most statements from our respondents were negative.

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ژورنال

عنوان ژورنال: Public Administration Review

سال: 2021

ISSN: ['1540-6210', '0033-3352']

DOI: https://doi.org/10.1111/puar.13388