Universal health coverage and public-private participation: towards a new balance?

This commentary discusses the emergence of a new paradigm to address the health policy issues through Public-Private Participation (PPP). The discussion provides a detailed literature review of PPPs by presenting an initial overview of the ideological shift from state to market intervention, then id...

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Main Author: Kai Hong Phua
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2017-09-01
Series:Global Health Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2414644719300788
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author Kai Hong Phua
author_facet Kai Hong Phua
author_sort Kai Hong Phua
collection DOAJ
description This commentary discusses the emergence of a new paradigm to address the health policy issues through Public-Private Participation (PPP). The discussion provides a detailed literature review of PPPs by presenting an initial overview of the ideological shift from state to market intervention, then identifying arguments in support of or against public-private approaches and finally exploring the emergence of this new paradigm of PPP or its hybrid forms. It then discusses the contextual realities of Public-Private Participation in health care, and whether an optimal balance is possible with better government stewardship and private provision.Conceptually, the premise of stewardship in governance is that it is possible to create not only efficient but also effective systems. These ideas may find a receptive audience in many countries, especially in the emerging economies with improving standards. In East Asian societies, the concept of stewardship bears a strong resemblance to Confucian ideals of morality in government, with social expectations of those who govern to be principled and virtuous.Increasingly, a pragmatic theory of development seems to apply in public-private, similarly, through it is expected, that public-private participation in the healthcare system should also achieve the goal of Universal Health Coverage through good governance.
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spelling doaj.art-9ca84051d8f644028a12204bfcd47d892023-03-16T05:05:16ZengKeAi Communications Co., Ltd.Global Health Journal2096-39472017-09-0112311Universal health coverage and public-private participation: towards a new balance?Kai Hong Phua0Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, Singapore 259772, Singapore; Correspondence: spppkh@nus.edu.sgThis commentary discusses the emergence of a new paradigm to address the health policy issues through Public-Private Participation (PPP). The discussion provides a detailed literature review of PPPs by presenting an initial overview of the ideological shift from state to market intervention, then identifying arguments in support of or against public-private approaches and finally exploring the emergence of this new paradigm of PPP or its hybrid forms. It then discusses the contextual realities of Public-Private Participation in health care, and whether an optimal balance is possible with better government stewardship and private provision.Conceptually, the premise of stewardship in governance is that it is possible to create not only efficient but also effective systems. These ideas may find a receptive audience in many countries, especially in the emerging economies with improving standards. In East Asian societies, the concept of stewardship bears a strong resemblance to Confucian ideals of morality in government, with social expectations of those who govern to be principled and virtuous.Increasingly, a pragmatic theory of development seems to apply in public-private, similarly, through it is expected, that public-private participation in the healthcare system should also achieve the goal of Universal Health Coverage through good governance.http://www.sciencedirect.com/science/article/pii/S2414644719300788healthcare reformhealth policypublic-private participationdeveloping countries
spellingShingle Kai Hong Phua
Universal health coverage and public-private participation: towards a new balance?
Global Health Journal
healthcare reform
health policy
public-private participation
developing countries
title Universal health coverage and public-private participation: towards a new balance?
title_full Universal health coverage and public-private participation: towards a new balance?
title_fullStr Universal health coverage and public-private participation: towards a new balance?
title_full_unstemmed Universal health coverage and public-private participation: towards a new balance?
title_short Universal health coverage and public-private participation: towards a new balance?
title_sort universal health coverage and public private participation towards a new balance
topic healthcare reform
health policy
public-private participation
developing countries
url http://www.sciencedirect.com/science/article/pii/S2414644719300788
work_keys_str_mv AT kaihongphua universalhealthcoverageandpublicprivateparticipationtowardsanewbalance