Filc Dani, Davidovitch Nadav
Professor, Department of Politics and Government, Ben-Gurion University of the Negev, Israel
Professor, Department of Health Systems Management, Ben-Gurion University of the Negev, Israel.
J Health Serv Res Policy. 2016 Oct;21(4):249-56. doi: 10.1177/1355819616650470. Epub 2016 Jun 21.
To analyse the process of health care privatization using the case of Israeli health care reforms during the last three decades.
We used mixed methods including quantitative analysis of trends in health expenditures in Israel and qualitative critical analysis of documents describing the main health reforms.
Israel epitomizes how boundaries between the private and public sector become blurred when health care services are subject to privatization, both of finance and supply. Additionally, the continuous growth of public-private relationships in health care results in systems that lack both equity and efficiency.
More than three decades of experience show that such private-public partnerships increase both inequality and inefficiency. While most discussion surrounding the private-public mix in health care focuses on financing infrastructure, in Israel, the public-private mix has become a central way of financing and delivering services, making its damaging influence more pervasive.
以过去三十年以色列医疗改革为例，分析医疗保健私有化进程。
我们采用了混合方法，包括对以色列医疗支出趋势的定量分析以及对描述主要医疗改革的文件进行定性批判性分析。
以色列集中体现了在医疗保健服务（包括融资和供应）私有化时，私营部门与公共部门之间的界限如何变得模糊不清。此外，医疗保健领域公私关系的持续增长导致了缺乏公平性和效率的体系。
三十多年的经验表明，这种公私伙伴关系加剧了不平等和低效率。虽然围绕医疗保健公私混合模式的大多数讨论都集中在融资基础设施方面，但在以色列，公私混合已成为融资和提供服务的核心方式，使其破坏性影响更为普遍。
