Policy issues in the private health sector: examples from long-term care in the UK

David Rosser PHILLIPS, Helen BARTLETT

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

17 Citations (Scopus)

Abstract

The international trend towards private markets in health care can be illustrated very clearly by developments over the last decade in the U.K., where the balance of health care provision has shifted from a predominantly free, public and comprehensive system to more of a mixed economy model. The shift can be attributed to a variety of factors, and not government policy alone. The relationship between the private and NHS sectors of health care is not a simple one and there are both positive and negative implications of the public-private mix. The growth of private hospitals and acute beds has dominated debates about private health care, but further policy issues have emerged in relation to the significant growth in private residential and nursing home care. This paper briefly reviews developments in private health care and then explores the key policy issues associated with this development. Secondly, an analysis of developments in the private residential care sector is undertaken highlighting the relationship between the public and private sectors of care provision. Policy issues pertaining to the long-term care sector of private health care are raised, including the regulation of residential care, regulatory models, enforcement and quality, and standards of care. Lessons for the regulation of private health care generally are considered and the implications for the private sector of a growing trend towards market deregulation are explored. Future models of long-term care are discussed and the likely balance between the public and private sectors explored.
Original languageEnglish
Pages (from-to)731 - 737
Number of pages7
JournalSocial Science and Medicine
Volume43
Issue number5
DOIs
Publication statusPublished - Sep 1996
Externally publishedYes

Fingerprint

Private Sector
Long-Term Care
health care
Delivery of Health Care
Health
health
Health Care Sector
Public Sector
private sector
Private Hospitals
public sector
Quality of Health Care
Standard of Care
Home Care Services
Growth
Nursing Care
Nursing Homes
regulation
market
trend

Keywords

  • private health policy
  • aged care
  • regulation
  • privatization

Cite this

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abstract = "The international trend towards private markets in health care can be illustrated very clearly by developments over the last decade in the U.K., where the balance of health care provision has shifted from a predominantly free, public and comprehensive system to more of a mixed economy model. The shift can be attributed to a variety of factors, and not government policy alone. The relationship between the private and NHS sectors of health care is not a simple one and there are both positive and negative implications of the public-private mix. The growth of private hospitals and acute beds has dominated debates about private health care, but further policy issues have emerged in relation to the significant growth in private residential and nursing home care. This paper briefly reviews developments in private health care and then explores the key policy issues associated with this development. Secondly, an analysis of developments in the private residential care sector is undertaken highlighting the relationship between the public and private sectors of care provision. Policy issues pertaining to the long-term care sector of private health care are raised, including the regulation of residential care, regulatory models, enforcement and quality, and standards of care. Lessons for the regulation of private health care generally are considered and the implications for the private sector of a growing trend towards market deregulation are explored. Future models of long-term care are discussed and the likely balance between the public and private sectors explored.",
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Policy issues in the private health sector: examples from long-term care in the UK. / PHILLIPS, David Rosser; BARTLETT, Helen.

In: Social Science and Medicine, Vol. 43, No. 5, 09.1996, p. 731 - 737.

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

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