Public-Private in The Modernization of The Health Reform

• Autor: Mendoza, Pedro
• Formato: artículo
• Fecha de Publicación: 1995
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/4927
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4927
• Nivel de acceso: acceso abierto
• Materia: Public-private mix; purchaser-provider split; financing; planning; health care systems; Combinación público-privado; separación compra-producción; financiamiento; planificación; sistemas de salud

We present a review of concepts around public an private in the process of modernization and heaIth sector reform currently ongoing in Perú. We begin with a general overview of the public and private concepts in differente functional levels of a generic health systems, namely, users function, provider function and financing function. We introduce then the concept of "public-private Mix" by using examples of international experience and also from national experiences. Finally, we propose some criteria for assessment of reform processes in health care systems when they inelude a purchaser-provider split, and we examine conditions to be taken in account if the introduction of market mechanisms and a higher private participation in health care provision is promoted, but preserving efficiency and quality of health care, and improving the equity principies of the system.