Private sector contributions and their effect on physician emigration in the developing world
The contribution made by the private sector to health care in a low- or middle-income country may affect levels of physician emigration from that country. The increasing importance of the private sector in health care in the developing world has resulted in newfound academic interest in that sector&...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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The World Health Organization
2013-03-01
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| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000300014&lng=en&tlng=en |
| _version_ | 1797287479675453440 |
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| author | Lawrence C Loh Cesar Ugarte-Gil Kwame Darko |
| author_facet | Lawrence C Loh Cesar Ugarte-Gil Kwame Darko |
| author_sort | Lawrence C Loh |
| collection | DOAJ |
| description | The contribution made by the private sector to health care in a low- or middle-income country may affect levels of physician emigration from that country. The increasing importance of the private sector in health care in the developing world has resulted in newfound academic interest in that sector's influences on many aspects of national health systems. The growth in physician emigration from the developing world has led to several attempts to identify both the factors that cause physicians to emigrate and the effects of physician emigration on primary care and population health in the countries that the physicians leave. When the relevant data on the emerging economies of Ghana, India and Peru were investigated, it appeared that the proportion of physicians participating in private health-care delivery, the percentage of health-care costs financed publicly and the amount of private health-care financing per capita were each inversely related to the level of physician expatriation. It therefore appears that private health-care delivery and financing may decrease physician emigration. There is clearly a need for similar research in other low- and middle-income countries, and for studies to see if, at the country level, temporal trends in the contribution made to health care by the private sector can be related to the corresponding trends in physician emigration. The ways in which private health care may be associated with access problems for the poor and therefore reduced equity also merit further investigation. The results should be of interest to policy-makers who aim to improve health systems worldwide. |
| first_indexed | 2024-03-07T18:33:43Z |
| format | Article |
| id | doaj.art-0d2e48f095354c9b88a5bca60651b3a3 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T18:33:43Z |
| publishDate | 2013-03-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-0d2e48f095354c9b88a5bca60651b3a32024-03-02T05:19:02ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862013-03-0191322723310.2471/BLT.12.110791S0042-96862013000300014Private sector contributions and their effect on physician emigration in the developing worldLawrence C Loh0Cesar Ugarte-Gil1Kwame Darko2University of TorontoUniversidad Peruana Cayetano HerediaKorle-Bu Teaching HospitalThe contribution made by the private sector to health care in a low- or middle-income country may affect levels of physician emigration from that country. The increasing importance of the private sector in health care in the developing world has resulted in newfound academic interest in that sector's influences on many aspects of national health systems. The growth in physician emigration from the developing world has led to several attempts to identify both the factors that cause physicians to emigrate and the effects of physician emigration on primary care and population health in the countries that the physicians leave. When the relevant data on the emerging economies of Ghana, India and Peru were investigated, it appeared that the proportion of physicians participating in private health-care delivery, the percentage of health-care costs financed publicly and the amount of private health-care financing per capita were each inversely related to the level of physician expatriation. It therefore appears that private health-care delivery and financing may decrease physician emigration. There is clearly a need for similar research in other low- and middle-income countries, and for studies to see if, at the country level, temporal trends in the contribution made to health care by the private sector can be related to the corresponding trends in physician emigration. The ways in which private health care may be associated with access problems for the poor and therefore reduced equity also merit further investigation. The results should be of interest to policy-makers who aim to improve health systems worldwide.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000300014&lng=en&tlng=en |
| spellingShingle | Lawrence C Loh Cesar Ugarte-Gil Kwame Darko Private sector contributions and their effect on physician emigration in the developing world Bulletin of the World Health Organization |
| title | Private sector contributions and their effect on physician emigration in the developing world |
| title_full | Private sector contributions and their effect on physician emigration in the developing world |
| title_fullStr | Private sector contributions and their effect on physician emigration in the developing world |
| title_full_unstemmed | Private sector contributions and their effect on physician emigration in the developing world |
| title_short | Private sector contributions and their effect on physician emigration in the developing world |
| title_sort | private sector contributions and their effect on physician emigration in the developing world |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862013000300014&lng=en&tlng=en |
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