From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases.
Isr J Health Policy Res
; 9(1): 31, 2020 06 24.
Article
em En
| MEDLINE
| ID: mdl-32580782
ABSTRACT
BACKGROUND:
Different forms of public/private mix have become a central mode of the privatization of healthcare, in both financing and provision. The present article compares the processes of these public/private amalgams in healthcare in Spain and Israel in order to better understand current developments in the privatization of healthcare. MAIN TEXT While in both Spain and Israel combinations between the public and the private sectors have become the main forms of privatization, the concrete institutional forms differ. In Spain, these institutional forms maintain relatively clear boundaries between the private and the public sectors. In Israel, the main forms of public/private mix have blurred such boundaries nonprofit health funds sell private insurance; public nonprofit health funds own private for-profit hospitals; and public hospitals sell private services.CONCLUSIONS:
Comparison of the processes of privatization of healthcare in Spain and Israel shows their variegated characters. It reveals the active role played by national and regional state apparatuses as initiators and supporters of healthcare reforms that have adopted different forms of public/private mix. While in Israel, until recently, these processes have been perceived as mainly technical, in Spain they have created deep political rifts within both the medical community and the public. The present article contains lessons each country can learn from the other, to be adapted in each one's local context The failure of the Alzira model in Spain warns us of the problems of for-profit HMOs and the Israeli private private/public mix shows the risk of eroding trust in the public system, thus reinforcing market failures and inefficient medical systems.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Setor Público
/
Setor Privado
/
Reforma dos Serviços de Saúde
/
Comportamento Cooperativo
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Asia
/
Europa
Idioma:
En
Revista:
Isr J Health Policy Res
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Israel