Health
Can Outsourcing Public Health Care Work? A Global Review of 80 Studies
A comprehensive review of over 80 peer-reviewed studies finds that contracting out health care can improve access in remote areas, but only when governments maintain strong oversight and communities have a real say in how services are run.
Key Takeaways
- The review analyzed over 80 peer-reviewed studies from countries across South Africa, Brazil, India, Iran, and Bolivia
- Contracting out improved primary care access in remote areas but showed inconsistent results on service quality
- Community participation models like Brazil's health councils with veto powers were linked to measurably better health outcomes
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