March 2013. Volume 9. Number 1

There is no evidence that the private healthcare sector is better than the public sector in low and middle income countries

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Basu S, Andrews J, Kishore S, Panjabi R, Stuckler D (2012). Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review. PLoS Med 9(6): e1001244.
Reviewers: Esparza Olcina MJ1, González Rodríguez MP2.
1Centro de Salud Barcelona. Móstoles. Madrid. España.
2CS Algete. Imsalud. Madrid. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 10/12/2012
Acceptance date: 20/12/2012
Publication date: 26/12/2012

Abstract

Authors’ conclusions: the studies evaluated in this systematic review do not support the claim that the private sector is usually more efficient, accountable, or medically effective than the public sector; however, the public sector appears frequently to lack timeliness and hospitality towards patients.

Reviewers’ commentary: this systematic review concludes that there is no evidence that private healthcare systems are better than the public healthcare sector in low and middle income countries, except for punctuality and hospitality. Moreover, the private health sector shows lower adherence to clinical guidelines and a higher expenditure in treatments. To be able to address the efficiency of these health systems, the cost associated to this lack of adequacy should be taken into account.

How to cite this article

González Rodríguez MP, Esparza Olcina MJ. En países de renta media-baja no se ha demostrado que los sistemas de salud privados sean mejores. Evid Pediatr. 2013;9:7.

AVC | Critically appraised articles

Basu S, Andrews J, Kishore S, Panjabi R, Stuckler D (2012). Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review. PLoS Med 9(6): e1001244.
Reviewers: Esparza Olcina MJ1, González Rodríguez MP2.
1Centro de Salud Barcelona. Móstoles. Madrid. España.
2CS Algete. Imsalud. Madrid. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 10/12/2012
Acceptance date: 20/12/2012
Publication date: 26/12/2012

How to cite this article

González Rodríguez MP, Esparza Olcina MJ. En países de renta media-baja no se ha demostrado que los sistemas de salud privados sean mejores. Evid Pediatr. 2013;9:7.

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26/12/2012

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