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医疗保健服务中的私营部门:巴基斯坦的现实与挑战

PRIVATE SECTOR IN HEALTH CARE DELIVERY: A REALITY AND A CHALLENGE IN PAKISTAN.

作者信息

Shaikh Babar Tasneem

出版信息

J Ayub Med Coll Abbottabad. 2015 Apr-Jun;27(2):496-8.

Abstract

Under performance of the public sector health care system in Pakistan has created a room for private sector to grow and become popular in health service delivery, despite its questionable quality, high cost and dubious ethics of medical practice. Private sector is no doubt a reality; and is functioning to plug many weaknesses and gaps in health care delivery to the poor people of Pakistan. Yet, it is largely unregulated and unchecked due to the absence of writ of the state. In spite of its inherent trait of profit making, the private sector has played a significant and innovative role both in preventive and curative service provision. Private sector has demonstrated great deal of responsiveness, hence creating a relation of trust with the consumers of health in Pakistan, majority of who spend out of their pocket to buy 'health'. There is definitely a potential to engage and involve private and non-state entities in the health care system building their capacities and instituting regulatory frameworks, to protect the poor's access to health care system.

摘要

巴基斯坦公共部门医疗保健系统的表现不佳,为私营部门的发展创造了空间,使其在医疗服务提供方面变得受欢迎,尽管其质量存疑、成本高昂且医疗行为的道德性存疑。私营部门无疑是一个现实存在;并且在弥补巴基斯坦贫困人口医疗保健服务中的许多弱点和差距方面发挥着作用。然而,由于国家权力的缺失,它在很大程度上不受监管和约束。尽管私营部门有盈利的固有特性,但它在预防和治疗服务提供方面都发挥了重要且创新的作用。私营部门展现出了很强的响应能力,因此与巴基斯坦的医疗消费者建立了信任关系,其中大多数人自掏腰包购买“健康”。在医疗保健系统建设中,让私营和非国家实体参与进来、提升其能力并建立监管框架,以保护穷人获得医疗保健系统服务的机会,这肯定是有潜力的。

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