Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?

Health Research Policy and Systems
Onil BhattacharyyaPeter A Singer

Abstract

The poor in low and middle income countries have limited access to health services due to limited purchasing power, residence in underserved areas, and inadequate health literacy. This produces significant gaps in health care delivery among a population that has a disproportionately large burden of disease. They frequently use the private health sector, due to perceived or actual gaps in public services. A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. An environmental scan of peer-reviewed and grey literature was conducted to select exemplars of innovation. A case series of organizations was then purposively sampled to maximize variation. These cases were examined using content analysis and constant comparison to characterize their strategies, focusing on business processes. After an initial sample of 46 studies, 10 case studies of exemplars were developed spanning different geography, disease ar...Continue Reading

References

Sep 11, 2008·Health Affairs·Jason Hwang, Clayton M Christensen
Apr 7, 2009·International Journal of Epidemiology·Shah Ebrahim
Jul 16, 2010·Health Research Policy and Systems·Onil BhattacharyyaPeter A Singer

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Citations

Aug 22, 2013·Health Policy and Planning·Nothemba Kula, Robert J Fryatt
Jul 16, 2010·Health Research Policy and Systems·Onil BhattacharyyaPeter A Singer
Dec 6, 2011·Health Research Policy and Systems·Jenna M EvansOnil K Bhattacharyya
Mar 7, 2014·BMC International Health and Human Rights·Ethel Mary BrindaUlrika Enemark
Jul 31, 2014·Medicine 2.0· Amrita, Dhrubes Biswas
Nov 30, 2010·Reproductive Health Matters·Marge Berer
Dec 12, 2012·The International Journal of Health Planning and Management·Shunsuke MabuchiSara Bennett
Oct 20, 2011·Tropical Medicine & International Health : TM & IH·Priyanka SaksenaJean Perrot
Mar 15, 2015·Bulletin of the World Health Organization·Rosemary WyberLeo Anthony Celi
Nov 7, 2014·PloS One·Ilan ShahinOnil Bhattacharyya
Nov 4, 2004·Social Science & Medicine·Nassor KikumbihJoanna Armstrong Schellenberg
Mar 17, 2018·Anesthesia and Analgesia·Robert J McDougall, Angela C Enright
Dec 21, 2017·BMC Pregnancy and Childbirth·Karsten LunzeDavid E Bloom
Jul 28, 2018·The International Journal of Health Planning and Management·Mufarriq ShahJill Elizabeth Keeffe
Oct 6, 2012·Health Economics, Policy, and Law·Xiaoyuan ZhouYinying Zhang
Oct 6, 2017·Health Policy and Planning·Asankha Pallegedara, Michael Grimm

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Methods Mentioned

BETA
contraception
coronary artery bypass

Software Mentioned

Dentista Bem
VisionSpring
Greenstar
KMET

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