✦ LIBER ✦

Commercialisation, inequality and transition in health care: the policy challenges in developing and transitional countries

✍ Scribed by Maureen Mackintosh; Sergey Kovalev

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 48 KB
Volume: 18
Category: Article
ISSN: 0954-1748
DOI: 10.1002/jid.1289

No coin nor oath required. For personal study only.

✦ Synopsis

Effective health systems can be both developmental and socially integrative: they generate well being, help people to continue working, redistribute resources towards the poor and needy, and are a force for social inclusion and democratic accountability. These developmental roles for health systems are increasingly recognised in international policy debate, including research for the UN Millennium Project (Freedman et al., 2005), the UNRISD Social Policy in a Development Context research programme (www.unrisd.org), and in the World Health Organization's welcome reversion to a more inclusive vision of health policy emphasising integrated health systems and primary care (WHO, 2003). Less addressed to date are the policy challenges to such a vision posed by the last 30 years of economic and policy pressure for health care commercialisation, pressures that have instigated a transition in the direction of market-led health care across many developing and transitional economies (Mackintosh and Koivusalo, 2005).

This Policy Arena explores the inter-linkage between health care commercialisation and social and economic inequality, in the context of broader processes of economic liberalisation, and discusses the implied policy challenges. It brings together perspectives of 'transitional' countries' researchers with developing country experiences and analysis. 'Transition' is a widely used metaphor in both economics and health systems research. In

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