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The use of private-sector contracts for primary health care: theory evidence and lessons for low-income and middle-income countries.

机译:在初级卫生保健中使用私营部门合同:低收入和中等收入国家的理论证据和教训。

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摘要

Contracts for the delivery of public services are promoted as a means of harnessing the resources of the private sector and making publicly funded services more accountable, transparent and efficient. This is also argued for health reforms in many low- and middle-income countries, where reform packages often promote the use of contracts despite the comparatively weaker capacity of markets and governments to manage them. This review highlights theories and evidence relating to contracts for primary health care services and examines their implications for contractual relationships in low- and middle-income countries.
机译:提倡提供公共服务的合同,以利用私人部门的资源,并使公共资助的服务更加负责,透明和高效。在许多低收入和中等收入国家,卫生改革也存在争议,尽管市场和政府管理合同的能力相对较弱,但一揽子改革方案经常促进合同的使用。这篇综述重点介绍了与初级卫生保健服务合同有关的理论和证据,并研究了它们对中低收入国家合同关系的影响。

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