The impacts of corporatisation of healthcare on medical practice and professionals in Maharashtra, India.

BMJ Global Health
Shweta MaratheSusan F Murray

Abstract

A heterogeneous private sector dominates healthcare provision in many middle-income countries. In India, the contemporary period has seen this sector undergo corporatisation processes characterised by emergence of large private hospitals and the takeover of medium-sized and charitable hospitals by corporate entities. Little is known about the operations of these private providers and the effects on healthcare professions as employment shifts from practitioner-owned small and medium hospitals to larger corporate settings. This article uses data from a mixed-methods study in two large cities in Maharashtra, India, to consider the implications of these contemporary changes for the medical profession. Data were collected from semistructured interviews with 43 respondents who have detailed knowledge of healthcare in Maharashtra and from a witness seminar on the topic of transformation in Maharashtra's healthcare system. Transcripts from the interviews and witness seminar were analysed thematically through a combination of deductive and inductive approaches. Our findings point to a restructuring of medical practice in Maharashtra as training shifts towards private education and employment to those corporate hospitals. The latter is f...Continue Reading

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Citations

May 31, 2020·Globalization and Health·Benjamin M Hunter
Sep 2, 2020·BMJ Global Health·Vikash Ranjan KeshriRama Baru
Aug 20, 2021·BMC Health Services Research·Samir GargKirtti Kumar Bebarta

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