scholarly journals A survey of patients from five health districts receiving special care in the private sector

1991 ◽  
Vol 15 (5) ◽  
pp. 257-262 ◽  
Author(s):  
Jeremy W. Coid

There has been a rapid growth in the number of patients receiving secure and special care in private hospitals, although their overall numbers are still comparatively small. The behavioural modification unit at St Andrews Hospital, Northampton, has the largest concentration of detained patients outside the National Health Service (NHS), but there are plans to increase the number of beds at Kneesworth House, Royston, Herts, and Stockton Hall, Yorkshire. St Andrews Hospital has been run as a charitable trust but Kneesworth House and Stockton Hall are currently owned by a private French company, Generale de Santé division of Generale d'Eau, together with Langton House, Dorset, which provides places for disturbed adolescents. Marks & Thornicroft (1990) noted that recent entrants into the private sector have been from private for profit rather than voluntary non-profit providers, catering for what are seen as “market niches” such as eating disorders, impotence, alcohol or substance abuse, and stress reactions. They criticise these developments, claiming that few people benefit and that the “bull market” in private hospital development challenges the catchment area concept and seems to be producing a two-tier system of psychiatric care in Britain.

2021 ◽  
Vol 13 (19) ◽  
pp. 10697
Author(s):  
Boaz Anglade ◽  
Marilyn E. Swisher ◽  
Rose Koenig

The formal input supply sector has received little attention in developing nations, including Haiti. We interviewed input store owners in Haiti and collected information on the availability and sources of inputs and challenges facing vendors. Three large suppliers import most inputs available to farmers. Second tier traders, mostly small stores that purchase from the major suppliers, play a critical role in making inputs accessible to rural communities. These formal stores have significant potential to transform the agricultural sector but face three major challenges. (1) Improved seed is a critically needed input, but older cultivars dominate because there is limited breeding in Haiti, few seed importers, and inadequate patent protections that make holders reluctant to move new varieties into Haiti. (2) The types of fertilizers and pesticides available to farmers are limited and many are technologically outdated. (3) In-country transportation is slow and relatively expensive and needed inputs often do not reach farmers in a timely manner. We conclude that approaches that bring together the strengths and assets of the public sector, the non-profit private sector and the for-profit private sector and increased attention to policy measures that benefit all three sectors are requisites for supply chain development in Haiti.


2016 ◽  
Vol 23 (2) ◽  
pp. 53-63 ◽  
Author(s):  
Dan Podjed ◽  
Meta Gorup ◽  
Alenka Bezjak Mlakar

AbstractThe article presents the state of applied anthropology in Europe, in particular focusing on the application of anthropological knowledge and skills within the private sector. Firstly, the text depicts the historical context, which has had a strong and often negative impact on the developments in contemporary applied anthropology and specifically on applying anthropology in for-profit endeavours. It then provides an overview of this type of applied anthropology in Europe by identifying its main institutions and individuals. Building on this analysis, the article elaborates on extant challenges for its future development, and outlines the most promising solutions. The authors conclude that it is of crucial importance for European anthropology to make the transition ‘from words to actions’, especially in the areas not traditionally addressed by anthropologists, such as business and design anthropology or consultancy work in the private sector. While the discipline has a longer applied history in areas such as development, human rights and multiculturalism, few anthropologists have played significant roles in the efforts usually associated with the private sector. It is argued that anthropology should – also outside the non-profit and non-governmental sectors – shift from being a descriptive, hermeneutical and interpretative branch of social sciences describing and explaining the past or commenting on the present, to an applied discipline intervening in shaping the future.


2020 ◽  
Vol 33 (2) ◽  
pp. 101
Author(s):  
André Beja ◽  
Van Hanegem Menezes Moreira ◽  
Augusta Biai ◽  
Agostinho N’Dumbá ◽  
Clotilde Neves ◽  
...  

Introduction: The weaknesses of Guinea-Bissau’s health system have long been highlighted. The purpose of this study is to contribute with evidence for decision-making on the reform of the country’s healthcare map, by analyzing the availability and readiness of services at the facilities that may become part of a Hospital Complex in Bissau, proposed in the National Health Development Plan.Material and Methods: We analyzed 13 public and private facilities with inpatient capacity, located in Bissau and Biombo. Service Availability and Readiness Assessment (SARA) tools were used for data collection, treatment and analysis.Results: A comprehensive overview of these facilities has been provided, describing their general capacity to provide care and their readiness to implement it, along with the availability and readiness of specific services: diagnosis, family planning, mother and child health, obstetrics, communicable and non communicable diseases, blood transfusion and surgery. We observed a greater concentration of beds and professionals in the facilities of public sector, the only that provides all the specific services analyzed. Private sector services with agreements to supply the public sector have higher readiness levels and the private sector has the lowest operating capacity.Discussion: Findings reflect the lack of equipment, infrastructure and resources, the predominance of the public sector and the growth of the private for-profit and non-profit sectors, as well as inadequacies in planning and regulation. Similarities and differences between our findings and those described in the literature for other African countries are identified.Conclusion: This study reinforces the relevance of developing integrated and rational responses of health services and provides evidence for this.


ILR Review ◽  
2005 ◽  
Vol 58 (3) ◽  
pp. 471-493 ◽  
Author(s):  
Janet Currie ◽  
Mehdi Farsi ◽  
W. Bentley Macleod

The authors examine changes in the wages, employment, and effort of nurses in California hospitals following takeovers by large chains in the 1990s. The market for nurses has been described as a classic monopsony, so that one might expect increases in firm market power to be associated with declines in wages. However, a basic contracting model predicts effects on effort rather than on wages, which is what this analysis finds: nurses experienced few declines in wages following takeovers, but did see increases in the number of patients per nurse, the measure of effort used here. The authors show that their results are also consistent with an extended version of the monopsony model that considers effort and allows for revenue shifts following a takeover. Finally, they find that these changes were similar in the largest for-profit and non-profit chains, suggesting that market forces are more important than institutional form.


2021 ◽  
Vol 13 (3) ◽  
pp. 1100
Author(s):  
María-Celia López-Penabad ◽  
José Manuel Maside-Sanfiz ◽  
Juan Torrelles-Manent ◽  
Carmen López-Andión

Social enterprise pursues both social and economic goals and is recognized as a formula for achieving sustainable development. Sheltered workshops (SWs) are a manifestation of this phenomenon, their main objective being the labor market integration of disabled people. In this paper, the efficiency of SWs has been studied taking into account the operational and the core social aspects, as well as their distinct nature, namely for-profit or non-profit status. Additionally, we have analyzed the relationship between the social efficiency and the economic returns of these entities. To do this, a semiparametric methodology, combining different data envelopment analysis (DEA) models with truncated regression estimation has been used. It is the non-profit and top-performing SWs that achieve the best social and economic efficiency. For-profit and low-performing SWs show further reductions in social efficiency as a result of the economic crisis and uncertainty in subsidy-related public policies. Their extensive social proactiveness and high economic strength in the crisis period positively influenced their social and economic efficiency. We have also proven that it is the most profitable SWs that have the greatest social efficiency. We consider that our results constitute a useful complement to other evaluation models for social enterprise.


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