Radboud Institute for Health Sciences, Celsus Academy for Sustainable Healthcare, and Scientific Institute for Quality of Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Maastricht University, Maastricht, The Netherlands.
Int J Health Policy Manag. 2016 Dec 1;5(12):721-723. doi: 10.15171/ijhpm.2016.87.
Sweden and Spain experiment with different provider models to reform healthcare provision. Both models have in common that they extend the role of the for-profit sector in healthcare. As the analysis of Saltman and Duran demonstrates, privatisation is an ambiguous and contested strategy that is used for quite different purposes. In our comment, we emphasize that their analysis leaves questions open on the consequences of privatisation for the performance of healthcare and the role of the public sector in healthcare provision. Furthermore, we briefly address the absence of the option of healthcare provision by not-for-profit providers in the privatisation strategy of Sweden and Spain.
瑞典和西班牙尝试了不同的提供者模式来改革医疗保健服务。这两种模式的共同点是,它们扩大了营利性部门在医疗保健领域的作用。正如 Saltman 和 Duran 的分析所示,私有化是一种模糊且有争议的策略,它被用于截然不同的目的。在我们的评论中,我们强调他们的分析留下了一些问题,即私有化对医疗保健绩效和公共部门在医疗保健服务提供中的作用的影响。此外,我们简要地提到了瑞典和西班牙的私有化战略中缺乏非营利性提供者提供医疗服务的选择。