Transcript الشريحة 1

Public Private Partnership
-A Reformist Agenda in the Indian Health Sector
Dr.P.M.Mathew
Professor of Economics,
Christ University,
Bangalore-29
Resource Constraints in public sector(Mitchell –
Weaver and Manning 1992
PPPs in health can gain from one another,ADB
2000,Agha 2003.
Public sector bureaucracies inefficient and
irresponsive
Market mechanisms will promote efficiency,
cost
effectiveness and good quality services.
Pvt sector resources to promote public health
obectives.
Partnerships with NGOs.
Problems of private for profit health provision
Illegitimate or unethical means to maximise
profits.
Less concern towards public health goods.
Creating brain drain among public sector staff.
Lack of regulatory control over their practices.
Strengths of Private sector
Innovativeness
Efficiency
Learning from competition
High management standards
Benefits of Partnerships
Improve delivery mechanisms
Increases mobilization of resources for health
care.
Improvement in quality of services
Reduced cost due to competition or through
economies of scale
Reduction in duplication of services.
Adoption of best practices.
Targeted services to the poor
Self regulation and accountability
Models of PPPs
Contracting
Franchising
Social marketing
Joint ventures
Subsidies
BOT
Health co-operatives
Social health insurance
The Yeshaswini scheme of Dr.Devi Shetty
Adoption of PHCs by Dr.Sudarshan of Karuna
Trust
Rajiv Ghandhi superspeciality hospital in
Raichur and the Appolo Hospitals Ltd.
Telemedicines services of Narayanna
Hruduyalaya in collaboration with the
government and ISRO.
Thank You
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