caa a22 4500 397520131 CHVBK 20180308164630.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/heapol/10.3.271 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.3.271 BITRÁN RICARDO Abt Associates Inc. Efficiency and quality in the public and private sectors in Senegal [Elektronische Daten] [RICARDO BITRÁN] It is often argued that the private sector is more efficient than the public sector in the production of health services, and that government reliance on private provision would help improve the efficiency and equity of public spending in health. A review of the literature, however, shows that there is little evidence to support these statements. A study of government and non-governmental facilities was undertaken in Senegal, taking into account case mix, input prices, and quality of care, to examine relative efficiency in the delivery of health services. The study revealed that private providers are highly heterogeneous, although they tend to offer better quality services. A specific and important group of providers - Catholic health posts - were shown to be significantly more efficient than public and other private facilities in the provision of curative and preventive ambulatory services at high levels of output. Policies to expand the role of the private sector need to take into account variations in types of providers, as well as evidence of both high and low quality among them. In terms of public sector efficiency, findings from the study affirm others that indicate drug policy reform to be one of the most important policy interventions that can simultaneously improve efficiency, quality and effectiveness of care. Relationships that this study identified between quality and efficiency suggest that strategies to improve quality can increase efficiency, raise demand for services, and thereby expand access. © 1995 Oxford University Press Overview nationallicence Health Policy and Planning Oxford University Press 10/3(1995-09), 271-283 0268-1080 10:3<271 1995 10 heapol https://doi.org/10.1093/heapol/10.3.271 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.3.271 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- BITRÁN RICARDO Abt Associates Inc NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/3(1995-09), 271-283 0268-1080 10:3<271 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence SWISSBIB 234115947 BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford