Realigning public and private health care in southeast Asia

Dados Bibliográficos

ID12206567
AutoresM Ramesh (0000-0002-7376-2300, National University of Singapore, autor correspondente), Xun Wu (0000-0002-7518-3951, National University of Singapore)
Ano2008
Volume21
Fascículo2
Páginas171-187
Data de publicação2008-04-21
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoThe Pacific Review (JOURNAL)
Identificadores do periódicoISSN: 0951-2748 • E-ISSN: 1470-1332
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/09512740801990238
OpenAlexW2030629595
IdiomaEN
Citações recebidas17
Referências citadas13

This paper compares health policy trends in Indonesia, Malaysia, the Philippines and Thailand with the purpose of drawing usable lessons in reform. The study finds that governments in the region are rapidly privatizing the provision of healthcare at the same time as they are expanding the government's role in financing. The paper argues that expansion of public financing at the same time as private provision is misconceived as the combination would aggravate instances and severity of market failures peculiar to the sector. The dysfunctional trend is particularly evident in Indonesia and the Philippines. In Thailand, in contrast, the expansion of public financing has occurred in the context of a health system dominated by public providers, which has had the effect of restraining healthcare costs. Malaysia occupies a mid position between Indonesia and the Philippines on the one hand and Thailand on the other. All four cases underline the value of state capacity in designing optimal policies and implementing them effectively

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