PRIVATE

HEALTHCARE
SECTOR
Presented by: Ali Muhammad Muazzam
Group#11
CONTENT:

■ Introduction
■ Categories of private sectors clinics
■ Private sector engagement
■ Normative Gaps
■ Goals and objectives of private clinics
■ Recommendations
INTRODUCTION:

■ Quality of care delivered by health care institutions is a matter of public

concern. Any differences in quality of services by ownership of health
care institutions have significant policy implications. Evidence from
health-seeking behavior studies suggests that people who can afford to
tend to use private health care institutions. It is assumed that the private
health care institutions must be providing better quality of services.
CATEGORIES OF PRIVATE SECTORS:

■ The private sector is highly heterogeneous. In this briefing note,the private sector is defined
as those individuals and organizations providing health services or products that are not
owned or directly controlled by government. The private sector can be classified into the
subcategories:
■ For-profit
■ Not-for-profit
■ Formal
■ Informal
■ Domestic
■ Foreign
 PRIVATE SECTORS ENGAGEMENT:

There are three broad categories of private sector engagement:

■ including private actors in the development of public health policy
■ the development of ownership
■ contracting arrangements;
■ influencing private sector behaviour through regulatory and financing policy
tools; and assigning “private attributes” to public sector organizations, for
example by giving them managerial autonomy and exposing them to market
forces and incentives. And exposing them to market forces and incentives.
NORMATIVE GAPS:

There are also important normative gaps. In particular, clear and

comprehensive standards and frameworks are lacking to guide a country’s
efforts:
• in policy-making on the private sector in the health system;
■ • in decision-making to implement policies on the private sector in the
health system;
• to form effective partnerships with the private sector (that are aligned with
universal health coverage and primary health care goals); and
• to make and use effective regulatory and financing tools to steer private
provision and mixed health systems towards universal health coverage.
■ All of these factors combined pose serious barriers to efforts to achieve
universal health coverage based on primary health care.
GOALS& OBJECTIVES OF PRIVATE
CLINICS:
Hospital goals are usually around improving patient service, quality of care, staff retention
and skill, hospital growth, and finances. The goals may not change much, but the way
each goal is phrased, applied and measured can have a huge impact on staff performance.
To deliver care in a timely manner within the constraints of an academic setting. Complete
all planned treatment services authorized by the patient. Deliver appropriate and quality
care. Make appropriate emergency services available to patients.
■ In short, the goals of public health are to save money, improve the quality of life, help
children thrive, and reduce human suffering by: Assuring the quality and accessibility
of health services. Preventing epidemics and the spread of disease. Preventing injuries.
RECOMMENDATIONS:

Home based care admission:

Hospital in the Home (HITH) admissions provide acute hospital inpatient type care that is
delivered to clients in their private residence.
HITH admissions must only occur when a client would otherwise be treated in an acute
inpatient capacity.
Emergency Department (ED):
We can pay an Emergency: Department (ED) facility fee when the hospital is approved to
provide emergency services by the Department of Health.
■ The ED facility fee is only payable when our client is not subsequently admitted as an
inpatient.