Private Sector Engagement in Public Health Systems

dc.creatorCortez, Rafael
dc.creatorQuinlan-Davidson, Meaghen
dc.date2022-10-31T18:50:04Z
dc.date2022-10-31T18:50:04Z
dc.date2022-09
dc.date.accessioned2026-07-01T00:34:42Z
dc.descriptionThe aim of the literature review was to provide evidence on private health sector engagement globally, with a specific focus on the South Caucasus. The analysis focused on private sector engagement through the lens of policy dialogue, information sharing, regulation, financing, and private sector provision, including performance and private sector engagement modalities. Results showed that the private sector in Armenia, Azerbaijan, and Georgia is heterogenous. Regulation aimed to increase health coverage with quality services and increase the institutional capacity of the Ministries of Health to collect and analyze data to know better how the private health sector operates and promote private-public partnership to respond to public health challenges. The creation of an autonomous health superintendence would help improve the performance of the private sector: overseeing and supervising the service delivery of private providers and ensuring a strong regulatory environment within countries with high levels of out-of-pocket payments. This entity should enforce transparent behaviors of doctor practices, licensing of physicians, and accreditation of private providers. In addition, the South Caucasus countries can adopt a mix of payment systems with private providers and establish arrangements that ensure a strong private-public partnership (PPP) in health through well-defined contracts. Health facilities with management autonomy should also ensure quality-based purchasing. PPPs would be an optimal way for the South Caucasus to engage with the private sector. Political will, legislative environments and regulatory frameworks, transparency, public sector capacity, complete and flexible contracts, and broad stakeholder engagement are essential conditions to expand PPPs. Learning from best practices globally and expanding research on how health systems create and regulate mixed public-private services are also essential to improve quality, equity, and efficiency of these systems, as countries work to achieve universal health coverage.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/099450210272236644/IDU03ef2274a0a0c504d7b093d80c9e9034062b1
dc.identifierhttps://hdl.handle.net/10986/38231
dc.identifierhttps://doi.org/10.1596/38231
dc.identifier.urihttp://hdl.handle.net/123456789/406528
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition, and Population (HNP) Discussion Paper;September 2022
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectPRIVATE HEALTH SECTOR
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectREGULATION
dc.subjectPUBLIC-PRIVATE PARTNERSHIP
dc.subjectFINANCING
dc.subjectPOLICY DIALOGUE
dc.subjectINFORMATION SHARING
dc.titlePrivate Sector Engagement in Public Health Systems
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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