Private sector participation in delivering tertiary health care: a dichotomy of access and affordability across two Indian states

Health Policy and Planning
Anuradha KatyalM Rao

Abstract

Poor quality care in public sector hospitals coupled with the costs of care in the private sector have trapped India's poor in a vicious cycle of poverty, ill health and debt for many decades. To address this, the governments of Andhra Pradesh (AP) and Maharashtra (MH), India, have attempted to improve people's access to hospital care by partnering with the private sector. A number of government-sponsored schemes with differing specifications have been launched to facilitate this strategy. This article aims to compare changes in access to, and affordability and efficiency of private and public hospital inpatient (IP) treatments between MH and AP from 2004 to 2012 and to assess whether the health financing innovations in one state resulted in larger or smaller benefits compared with the other. We used data from household surveys conducted in 2004 and 2012 in the two states and undertook a difference-in-difference (DID) analysis. The results focus on hospitalization, out-of-pocket expenditure and length of stay. The average IP expenditure for private hospital care has increased in both states, but more so in MH. There was also an observable increase in both utilization of and expenditure on nephrology treatment in private hospita...Continue Reading

References

Jul 7, 2012·International Journal of Health Care Finance and Economics·Victoria Y FanAjay Mahal

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Citations

May 26, 2017·International Health·Neelam Sekhri FeachemAnton L V Avanceña
Apr 4, 2018·The Cochrane Database of Systematic Reviews·Willem A OdendaalTamara Kredo
Sep 9, 2020·The International Journal of Health Planning and Management·Abdul Azeez E PSenthil Kumar A P
Jul 25, 2019·The International Journal of Health Planning and Management·Dayashankar Maurya

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