tailieunhanh - báo cáo sinh học:" Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Contracting private sector providers for public sector health services in Jalisco, Mexico: perspectives of system actors | Human Resources for Health BioMed Central Open Access Case study Contracting private sector providers for public sector health services in Jalisco Mexico perspectives of system actors Gustavo H Nigenda 1 and Luz María Gonzalez2 Address 1Health Services and Systems Innovations Health Systems Research Centre National Institute of Public Health Cuernavaca Morelos Mexico and 2Management and Leadership Health Systems Research Centre National Institute of Public Health Cuernavaca Morelos Mexico Email Gustavo H Nigenda - gnigenda@ Luz María González - lgonzalezr@ Corresponding author Published 22 October 2009 Received 24 February 2009 Human Resources for Health 2009 7 79 doi 1478-4491-7-79 Accepted 22 October 2009 This article is available from http content 7 1 79 2009 Nigenda and González licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction Contracting out health services is a strategy that many health systems in the developing world are following despite the lack of decisive evidence that this is the best way to improve quality increase efficiency and expand coverage. A large body of literature has appeared in recent years focusing on the results of several contracting strategies but very few papers have addressed aspects of the managerial process and how this can affect results. Case description This paper describes and analyses the perceptions and opinions of managers and workers about the benefits and challenges of the contracting model that has been in place for almost 10 years in the State of Jalisco Mexico. Both qualitative and quantitative information was collected. An .