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Does ownership matter? An overview of systematic reviews of the performance of private for-profit, private not-for-profit and public healthcare providers

Herrera, Cristian A ; Rada, Gabriel ; Kuhn-Barrientos, Lucy ; Barrios, Ximena Hempel, Susanne

PloS one, 2014-12, Vol.9 (12), p.e93456-e93456 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Does ownership matter? An overview of systematic reviews of the performance of private for-profit, private not-for-profit and public healthcare providers
Autor: Herrera, Cristian A ; Rada, Gabriel ; Kuhn-Barrientos, Lucy ; Barrios, Ximena
Hempel, Susanne
Assuntos: Delivery of Health Care - economics ; Delivery of Health Care - organization & administration ; Efficiency ; Handbooks ; Health care ; Health care policy ; Health Facilities, Proprietary - economics ; Health Facilities, Proprietary - organization & administration ; Health Personnel - economics ; Health Personnel - organization & administration ; Health services ; Hospitals ; Hospitals, Private - economics ; Hospitals, Private - organization & administration ; Humans ; Literature reviews ; Low income groups ; Medicine ; Medicine and Health Sciences ; Mortality ; Nonprofit hospitals ; Nonprofit organizations ; Organizations, Nonprofit - economics ; Organizations, Nonprofit - organization & administration ; Ownership ; Profit margins ; Public health ; Public sector ; Quality ; Quality of Health Care - economics ; Quality of Health Care - organization & administration ; Social Sciences ; Stockholders ; Systematic review ; Tax rates
É parte de: PloS one, 2014-12, Vol.9 (12), p.e93456-e93456
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Competing Interests: The authors have declared that no competing interests exist.
Conceived and designed the experiments: CAH GR. Performed the experiments: CAH GR LK-B XB. Analyzed the data: CAH GR LK-B XB. Contributed reagents/materials/analysis tools: CAH GR LK-B XB. Wrote the paper: CAH LK-B XB.
Descrição: Ownership of healthcare providers has been considered as one factor that might influence their health and healthcare related performance. The aim of this article was to provide an overview of what is known about the effects on economic, administrative and health related outcomes of different types of ownership of healthcare providers--namely public, private non-for-profit (PNFP) and private for-profit (PFP)--based on the findings of systematic reviews (SR). An overview of systematic reviews was performed. Different databases were searched in order to select SRs according to an explicit comprehensive criterion. Included SRs were assessed to determine their methodological quality. Of the 5918 references reviewed, fifteen SR were included, but six of them were rated as having major limitations, so they weren't incorporated in the analyses. According to the nine analyzed SR, ownership does seem to have an effect on health and healthcare related outcomes. In the comparison of PFP and PNFP providers, significant differences in terms of mortality of patients and payments to facilities have been found, both being higher in PFP facilities. In terms of quality and economic indicators such as efficiency, there are no concluding results. When comparing PNFP and public providers, as well as for PFP and public providers, no clear differences were found. PFP providers seem to have worst results than their PNFP counterparts, but there are still important evidence gaps in the literature that needs to be covered, including the comparison between public and both PFP and PNFP providers. More research is needed in low and middle income countries to understand the impact on and development of healthcare delivery systems.
Editor: United States: Public Library of Science
Idioma: Inglês

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Does ownership matter? An overview of systematic reviews of the performance of private for-profit, private not-for-profit and public healthcare providers

Herrera, Cristian A ; Rada, Gabriel ; Kuhn-Barrientos, Lucy ; Barrios, Ximena Hempel, Susanne

United States: Public Library of Science

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