University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Arts
  • School of Historical and Philosophical Studies
  • School of Historical and Philosophical Studies - Research Publications
  • View Item
  • Minerva Access
  • Arts
  • School of Historical and Philosophical Studies
  • School of Historical and Philosophical Studies - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

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

    Thumbnail
    Download
    published version (491.7Kb)

    Citations
    Scopus
    Web of Science
    Altmetric
    57
    42
    Author
    Bhattacharyya, O; Khor, S; McGahan, A; Dunne, D; Daar, AS; Singer, PA
    Date
    2010-01-01
    Source Title
    Health Research Policy and Systems
    Publisher
    BMC
    University of Melbourne Author/s
    Singer, Peter
    Affiliation
    School of Historical and Philosophical Studies
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Bhattacharyya, O., Khor, S., McGahan, A., Dunne, D., Daar, A. S. & Singer, P. A. (2010). Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?. HEALTH RESEARCH POLICY AND SYSTEMS, 8 (1), https://doi.org/10.1186/1478-4505-8-24.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/256828
    DOI
    10.1186/1478-4505-8-24
    Abstract
    BACKGROUND: 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. METHODS: 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. RESULTS: After an initial sample of 46 studies, 10 case studies of exemplars were developed spanning different geography, disease areas and health service delivery models. These ten organizations had innovations in their marketing, financing, and operating strategies. These included approaches such a social marketing, cross-subsidy, high-volume, low cost models, and process reengineering. They tended to have a narrow clinical focus, which facilitates standardizing processes of care, and experimentation with novel delivery models. Despite being well-known, information on the social impact of these organizations was variable, with more data on availability and affordability and less on quality of care. CONCLUSIONS: These private sector organizations demonstrate a range of innovations in health service delivery that have the potential to better serve the poor's health needs and be replicated. There is a growing interest in investing in social enterprises, like the ones profiled here. However, more rigorous evaluations are needed to investigate the impact and quality of the health services provided and determine the effectiveness of particular strategies.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45770]
    • School of Historical and Philosophical Studies - Research Publications [1500]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors