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Article: The failure of private health services: COVID-19 induced crises in low- and middle-income country (LMIC) health systems

TitleThe failure of private health services: COVID-19 induced crises in low- and middle-income country (LMIC) health systems
Authors
KeywordsPolitics of service coverage
Neoliberalism
Universal health coverage
public-private partnerships
pandemic preparedness
Issue Date2021
PublisherRoutledge. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/17441692.asp
Citation
Global Public Health, 2021, v. 16 n. 8-9, p. 1320-1333 How to Cite?
AbstractFor decades, governments and development partners promoted neoliberal policies in the health sector in many LMICs, largely motivated by the belief that governments in these countries were too weak to provide all the health services necessary to meet population needs. Private health markets became the governance and policy solution to improve the delivery of health services which allowed embedded forms of market failure to persist in these countries and which were exposed during the COVID-19 pandemic. In this article, we analyse the manifestations of these market failures using data from an assembled database of COVID-19 related news items sourced from the Global Database of Events, Language, and Tone. Specifically, we identify how pre-existing market failure and failures of redistribution have led to the rise of three urgent crises in LMICs: a financial and liquidity crisis among private providers, a crisis of service provision and pricing, and an attendant crisis in state-provider relations. The COVID-19 pandemic has therfore exposed important failures of the public-private models of health systems and provides an opportunity to rethink the future orientation of national health systems and commitments towards Universal Health Coverage.
DescriptionBronze open access
Persistent Identifierhttp://hdl.handle.net/10722/302432
ISSN
2023 Impact Factor: 2.3
2023 SCImago Journal Rankings: 1.037
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorDavid Williams, O-
dc.contributor.authorYung, KC-
dc.contributor.authorGrepin, KA-
dc.date.accessioned2021-09-06T03:32:12Z-
dc.date.available2021-09-06T03:32:12Z-
dc.date.issued2021-
dc.identifier.citationGlobal Public Health, 2021, v. 16 n. 8-9, p. 1320-1333-
dc.identifier.issn1744-1692-
dc.identifier.urihttp://hdl.handle.net/10722/302432-
dc.descriptionBronze open access-
dc.description.abstractFor decades, governments and development partners promoted neoliberal policies in the health sector in many LMICs, largely motivated by the belief that governments in these countries were too weak to provide all the health services necessary to meet population needs. Private health markets became the governance and policy solution to improve the delivery of health services which allowed embedded forms of market failure to persist in these countries and which were exposed during the COVID-19 pandemic. In this article, we analyse the manifestations of these market failures using data from an assembled database of COVID-19 related news items sourced from the Global Database of Events, Language, and Tone. Specifically, we identify how pre-existing market failure and failures of redistribution have led to the rise of three urgent crises in LMICs: a financial and liquidity crisis among private providers, a crisis of service provision and pricing, and an attendant crisis in state-provider relations. The COVID-19 pandemic has therfore exposed important failures of the public-private models of health systems and provides an opportunity to rethink the future orientation of national health systems and commitments towards Universal Health Coverage.-
dc.languageeng-
dc.publisherRoutledge. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/17441692.asp-
dc.relation.ispartofGlobal Public Health-
dc.rightsThis is an Accepted Manuscript of an article published by Taylor & Francis in [JOURNAL TITLE] on [date of publication], available online: http://www.tandfonline.com/[Article DOI].-
dc.subjectPolitics of service coverage-
dc.subjectNeoliberalism-
dc.subjectUniversal health coverage-
dc.subjectpublic-private partnerships-
dc.subjectpandemic preparedness-
dc.titleThe failure of private health services: COVID-19 induced crises in low- and middle-income country (LMIC) health systems-
dc.typeArticle-
dc.identifier.emailYung, KC: rayyung@hku.hk-
dc.identifier.emailGrepin, KA: kgrepin@hku.hk-
dc.identifier.authorityGrepin, KA=rp02646-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1080/17441692.2021.1874470-
dc.identifier.pmid33471633-
dc.identifier.scopuseid_2-s2.0-85099771397-
dc.identifier.hkuros324723-
dc.identifier.volume16-
dc.identifier.issue8-9-
dc.identifier.spage1320-
dc.identifier.epage1333-
dc.identifier.isiWOS:000609522500001-
dc.publisher.placeUnited Kingdom-

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