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Structural Adjustment and the Health Care Sector in India: some policy issues in financing

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  • Dr B C Purohit

Abstract

The paper examines different strategies for the financing of health care in India, where the effect of structural adjustment has been to undermine the traditional resource base. The relative merits of user fees, insurance schemes, administrative decentralisation and partial privatisation are discussed. The main policy conclusion is the need for better regulation of the various modalities of health care delivery.

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  • Dr B C Purohit, "undated". "Structural Adjustment and the Health Care Sector in India: some policy issues in financing," QEH Working Papers qehwps02, Queen Elizabeth House, University of Oxford.
    • Handle: RePEc:qeh:qehwps:qehwps02
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    File URL: http://workingpapers.qeh.ox.ac.uk/RePEc/qeh/qehwps/qehwps02.pdf
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    References listed on IDEAS

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    1. Yoder, Richard A., 1989. "Are people willing and able to pay for health services?," Social Science & Medicine, Elsevier, vol. 29(1), pages 35-42, January.
    2. Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
    3. von der Schulenburg, J.-Matthias Graf, 1994. "Forming and reforming the market for third-party purchasing of health care: A German perspective," Social Science & Medicine, Elsevier, vol. 39(10), pages 1473-1481, November.
    4. McPake, Barbara & Hanson, Kara & Mills, Anne, 1993. "Community financing of health care in Africa: An evaluation of the Bamako initiative," Social Science & Medicine, Elsevier, vol. 36(11), pages 1383-1395, June.
    5. Randall P. Elllis & D. Keith McInnes & Elizabeth H. Stephenson, 1994. "Inpatient and outpatient Health Care Demand in Cairo, Egypt," Boston University - Institute for Economic Development 38, Boston University, Institute for Economic Development.
    6. Zheng, Xiang & Hillier, Sheila, 1995. "The reforms of the Chinese health care system: County level changes: The Jiangxi study," Social Science & Medicine, Elsevier, vol. 41(8), pages 1057-1064, October.
    7. Arhin, Dyna C., 1994. "The health card insurance scheme in Burundi: A social asset or a non-viable venture?," Social Science & Medicine, Elsevier, vol. 39(6), pages 861-870, September.
    8. Hodgkin, Dominic & McGuire, Thomas G., 1994. "Payment levels and hospital response to prospective payment," Journal of Health Economics, Elsevier, vol. 13(1), pages 1-29, March.
    9. Viveros-Long, Anamaria, 1986. "Changes in health financing: The Chilean experience," Social Science & Medicine, Elsevier, vol. 22(3), pages 379-385, January.
    10. van de Ven, Wynand P.M.M. & Schut, Frederik T. & Rutten, Frans F.H., 1994. "Forming and reforming the market for third-party purchasing of health care," Social Science & Medicine, Elsevier, vol. 39(10), pages 1405-1412, November.
    11. Vogel, R.J., 1988. "Cost Recovery In The Health Care Sector - Selected Country Studies In West Africa," Papers 82, World Bank - Technical Papers.
    12. Liu, Yuanli & Hsiao, William C. L. & Li, Qing & Liu, Xingzhu & Ren, Minghui, 1995. "Transformation of China's rural health care financing," Social Science & Medicine, Elsevier, vol. 41(8), pages 1085-1093, October.
    13. Randall P. Ellis & D. Keith McInnes & Elizabeth H. Stephenson, 1994. "Inpatient and outpatient health care demand in Cairo, Egypt," Health Economics, John Wiley & Sons, Ltd., vol. 3(3), pages 183-200, May.
    14. Le Grand, Julian, 1991. "Quasi-markets and Social Policy," Economic Journal, Royal Economic Society, vol. 101(408), pages 1256-1267, September.
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