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The public/private mix and human resources for health

Datos Bibliográficos

ID11490355
AutoresJulio Frenk (0000-0002-8760-7926, Harvard Global Health Institute, autor de correspondencia)
Año1993
Volumen8
Número4
Páginas315-326
Fecha de publicación1993-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/8.4.315
PMID10131033
OpenAlexW1993406480
IdiomaEN
Citas recibidas6

This paper examines the general question of the public/private mix in health care, with special emphasis on its implications for human resources. After a brief conceptual exercise to clarify these terms, we place the problem of human resources in the context of the growing complexity of health systems. We next move to an analysis of potential policy alternatives. Unfortunately, a lot of the public/private debate has looked only at the pragmatic aspects of such alternatives. Each of them, however, reflects a specific set of values--an ideology--that must be made explicit. For this reason, we outline the value assumptions of the four major principles to allocate resources for health care: purchasing power, poverty, socially perceived priority, and citizenship. Finally, the last section discusses some of the policy options that health care systems face today, with respect to the combinations of public and private financing and delivery of services. The conclusion is that we need to move away from false dichotomies and dilemmas as we search for creative ways of combining the best of the state and the market in order to replace polarized with pluralistic systems. The paper is based on a fundamental premise: The way we deal with the question of the public/private mix will largely determine the shape of health care in the next century.

Center (category theory) · Library science · Political science · Population · Public health · Sociology · Demography · Global Public Health Policies and Epidemiology · Medicine · Nursing · Public Administration

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Obras citantes distintas6
Citas por año0,19
Intervalo de citas1995 - 2012 (18)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 4
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