Working paper 99/009 - Abstract

A Larger Role for the Private Sector in Health Care?: A Review of the Arguments

Carol Propper and Katherine Green

Working Paper No. 99/009

The public sector is the dominant financier of health care in most OECD countries. But in the last two decades the extent of private finance has increased in most of these countries, and private finance now accounts for around a quarter of all health care finance. On the delivery side, the dominance of the public sector is much less strong and mixed public and private provision is common. Many recent reforms in health care have sought to increase the role for the private sector in health care provision. Against this backdrop, this paper examines the case for, and the empirical evidence to support, an increase in the role for the private sector in finance and delivery.

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