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Potenziale des Privatsektors für „Primary-Health-Care“-Strategien

The potential for private sector involvement in primary health care strategies

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Zusammenfassung

Hintergrund

Bei der Diskussion um Gesundheitsreformstrategien für Entwicklungsländer wird zunehmend die Berücksichtigung der Dienstleister im Privatsektor gefordert.

Ziel

Eine Bestandsaufnahme anhand neuerer Literatur stellt Trends der Beteiligung privater Akteure sowie Potenziale der Privatsektorbeteiligung für Gesundheitssystementwicklung und „Primary Health Care“ in Entwicklungsländern vor.

Ergebnisse

Private Dienstleister können durch geeignete Anreizsysteme in Investitionen und die effiziente Erbringung von Dienstleistungen zu angemessenen Kosten – keineswegs nur für die Wohlhabenden – eingebunden werden. Der Staat muss dabei die Verantwortung für Regulierungsaufgaben, die Gesundheitspolitik sowie die Sicherstellung der Gesamtfinanzierung des Systems übernehmen. Dadurch wird ein wichtiger Beitrag zum Ziel des umfassenden Zugangs zur Gesundheitsversorgung im 21. Jahrhundert möglich.

Abstract

Background

Discussions on health sector reform in low-income and middle-income countries increasingly focus on the recognition of private-sector health care providers.

Aim

A review of recent literature presents trends of private stakeholder involvement as well as the potential for private sector participation in health system development and primary health care in these countries.

Results

Appropriate incentive structures may encourage private sector investments in health care as well as in service delivery in an efficient way and at reasonable cost – not only for the better-off. The role of government lies with regulation, health politics, and stewardship for health system financing. This approach may constitute an important contribution to achieving the goal of universal access to health care in the 21st century.

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  1. Kompetenz-Center Gesundheit, Bildung, Soziale Sicherung, KfW Entwicklungsbank Frankfurt a.M., Palmengartenstraße 5–9, 60325, Frankfurt a.M., Deutschland

    W. Bichmann MCommH, Liv.

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  1. W. Bichmann MCommH, Liv.
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Correspondence to W. Bichmann MCommH, Liv..

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Bichmann, W. Potenziale des Privatsektors für „Primary-Health-Care“-Strategien. Praev Gesundheitsf 5, 23–28 (2010). https://doi.org/10.1007/s11553-009-0205-x

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