The Provision of Private Healthcare Services in European Countries: Recent Data and Lessons for Universal Health Coverage in Other Settings

Dominic Montagu

Chapter 2 in Embracing Mixed Health Systems:Navigating the Development Trap, 2024, pp 23-41 from World Scientific Publishing Co. Pte. Ltd.

Abstract: In this chapter, Dominic Montagu uses the well-documented experiences of countries in Europe to show what is and isn’t possible to accomplish through a health system that encompasses well-regulated and centrally funded private health providers. These lessons are given as examples to understand the potential for LMICs in addressing system integration in subsequent chapters.Universal Health Coverage (UHC) exists in all of the countries in Europe, despite variation in the ownership structure of healthcare delivery systems. As countries around the world seek to advance UHC and manage the private sector within their health systems, the European experiences can offer useful insights. We found four different models for the provision of healthcare, with the private sector predominant in some countries but of minimal importance in others. The European experiences indicate that UHC can be effectively provided with or without large-scale private sector provision in hospitals, specialty, and primary care services, and that, moreover, it can be provided with high levels of patient satisfaction.These findings offer regulatory models for countries in other regions to review as they advance UHC. Better regulation of the private sector is a key requirement for more efficient and effective management of mixed public and private systems, as described in the rest of the book.

Keywords: Private Health; Private Healthcare; Public-private Partnership; Health System; Health System Governance (search for similar items in EconPapers)
JEL-codes: I11 I15 I18 (search for similar items in EconPapers)
Date: 2024
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