Public-private partnerships for equity of access to care for tuberculosis and HIV/AIDS: lessons from Pune, India
Public-private partnerships for equity of access to care for tuberculosis and HIV/AIDS: lessons from Pune, India
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DOI：
10.1016/j.trstmh.2005.04.023
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发表时间：
2006-04-01
影响因子：
2.2
通讯作者：
Rangan, S
中科院分区：
文献类型：
--
作者：
Sheikh, K;Porter, J;Rangan, S
私营医疗部门是印度医疗保健的一个重要和快速增长的来源。私人医疗服务提供者是一个多样化的群体，众所周知，政府政策对其监管不力，所提供的服务质量参差不齐。对他们实践的研究记录了不恰当的处方以及对患者护理的道德准则的违反。然而，尽管有人批评私营医疗部门的特点是服务不公平，但私营医疗服务提供者仍然是重要的首选初级保健提供者。本文认为，它们更多地参与公共卫生框架是实现卫生公平目标的必要条件。通过审查在印度浦那进行的两项研究，以审查私营部门在结核病和艾滋病毒/艾滋病护理方面的作用，探讨了私营部门提供结核病和艾滋病毒/艾滋病护理方面出现的公平和可及性主题，并强调了使私营部门参与公共卫生方案的未来政策方向。该报告的结论是，公私伙伴关系可以加强对结核病和艾滋病毒/艾滋病患者护理的连续性，并认为涉及PMPs的干预措施必须得到适当的研究以及公共和私营部门的政治承诺和领导的支持。(C) 2005年皇家热带医学与卫生学会。Elsevier Ltd.出版。版权所有。
The private medical sector is an important and rapidly growing source of health care in India. Private medical providers (PMP) are a diverse group, known to be poorly regulated by government policies and variable in the quality of services provided. Studies of their practices have documented inappropriate prescribing as well as violation of ethical guidelines on patient care. However, despite the critique that inequitable services characterise the private medical sector, PMPs remain important and preferred providers of primary care. This paper argues that their greater involvement in the public health framework is imperative to addressing the goal of health equity. Through a review of two research studies conducted in Pune, India, to examine the role of PMPs in tuberculosis (TB) and HIV/AIDS care, the themes of equity and access arising in private sector delivery of care for TB and HIV/AIDS are explored and the future policy directions for involving PMPs in public health programmes are highlighted. The paper concludes that public-private partnerships can enhance continuity of care for patients with TB and HIV/AIDS and argues that interventions to involve PMPs must be supported by appropriate research, along with political commitment and leadership from both public and private sectors. (C) 2005 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.