ISSN:
1467-8292
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Economics
Notes:
This paper presents an empirical and comparative investigation of four types of organizations providing primary health care services: private clinics, community centres, health coops and community associations. Case studies were done following a common design for data collecting and analysis, taking into account the organizations' context of creation, their institutional dimension (structure of power and political system), their organizational dimension (co-ordination and production of health care), and their main paths of development. Results show that organizations present many differences when it comes to delivering universal, accessible, and complete health care services. Non-profit organizations offer more promising perspectives for patients and health care workers by encouraging them to participate in their management. Health coops' openness depends on their nature: while consumer coops encourage patient participation, producer coops allow employees to make decisions. In this sense, patients and employees in collective health care organizations seem to have more political advantages than in private organizations.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/1467-8292.00144
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