Health Care in Sri Lanka : What Can the Private Health Sector Offer?

This review represents an attempt to bridge the significant knowledge gaps on the private health sector in Sri Lanka, and foster a dialogue on opportunities for collaboration between the government and the private sector. It accomplishes this throu...

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Bibliographic Details
Main Authors:	Govindaraj, Ramesh, Navaratne, Kumari, Cavagnero, Eleonora, Seshadri, Shreelata Rao
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2014
Subjects:	ACCESS TO HEALTH SERVICES ACCOUNTABILITY ACCOUNTING AGE STRUCTURE AGING AMBULATORY CARE ANCILLARY SERVICES ANTENATAL CARE AVAILABILITY OF DRUGS BLOOD BANK BLOOD PRESSURE BREASTFEEDING BURDEN OF DISEASE CATASTROPHIC EXPENDITURE CATASTROPHIC EXPENDITURES CHILD HEALTH CHILDBIRTH CHILDHOOD VACCINATION CLEANLINESS CLINICS COMMUNICABLE DISEASES COST OF CARE COST OF HEALTH CARE DEATHS DECISION MAKING DELIVERY OF SERVICES DELIVERY SYSTEM DENTAL SURGERY DIAGNOSIS DIAGNOSTIC SERVICES DIAGNOSTIC TESTS DISPENSARIES DOCTORS ECONOMIC GROWTH EMBRYO TRANSFER EMPLOYMENT EPIDEMIOLOGICAL TRANSITION ETHICAL ISSUES FAMILY PLANNING FINANCIAL INFORMATION GENERAL PRACTITIONERS GROSS DOMESTIC PRODUCT GYNECOLOGY HEALTH AUTHORITIES HEALTH CARE HEALTH CARE ACCESS HEALTH CARE FACILITY HEALTH CARE FINANCING HEALTH CARE INSTITUTIONS HEALTH CARE POLICY HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CLINIC HEALTH COVERAGE HEALTH DATA HEALTH DATABASE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INFORMATION HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH INSURANCE COVER HEALTH INSURANCE COVERAGE HEALTH INSURANCE POLICIES HEALTH POLICY HEALTH PROMOTION HEALTH PROVIDERS HEALTH REGULATIONS HEALTH RESEARCH HEALTH SCREENING HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVISION HEALTH SERVICES HEALTH SERVICEDELIVERY HEALTH SPECIALIST HEALTH STATUS HEALTH SYSTEM HEALTH UNIT HEALTH UNITS HEALTHCARE HEALTHCARE SERVICES HOMEOPATHY HOSPITAL BEDS HOSPITAL CARE HOSPITALS HOUSEHOLD BUDGETS HOUSEHOLD EXPENDITURE HOUSEHOLD INCOME HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN TISSUES HYGIENE ILLNESS IMMUNIZATION INCOME INCOME COUNTRIES INDEPENDENT MEDICAL PRACTITIONERS INEQUALITIES IN HEALTH CARE INFORMATION SYSTEM INPATIENT CARE INSURANCE INSURANCE COMPANIES INSURANCE FIRMS INSURANCE PREMIUM INSURANCE PREMIUMS INTEREST RATE IRON LABORATORY SERVICES LABORATORY TECHNICIANS LABORATORY TESTING LEGAL FRAMEWORK LIFE EXPECTANCY LIFE INSURANCE MARKETING MEDICAL BENEFITS MEDICAL BILLS MEDICAL EQUIPMENT MEDICAL GOODS MEDICAL INSURANCE MEDICAL RECORDS MEDICAL SERVICES MEDICAL STAFF MEDICAL SUPPLIES MEDICATION MEDICINES MENTAL HEALTH MINISTRY OF FINANCE MORBIDITY MORTALITY NONPROFIT SECTOR NOTIFIABLE DISEASES NURSES NURSING NURSING CARE NURSING HOMES NUTRITION OUTCOME INDICATORS OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT SATISFACTION PATIENTS PEDIATRICS PHARMACISTS PHYSICIAN POCKET PAYMENTS POCKET PAYMENTS BY HOUSEHOLDS POLICY RESEARCH POSTNATAL CARE PREVENTIVE CARE PREVENTIVE HEALTH SERVICES PRIMARY CARE PRIMARY HEALTH CARE PRIVATE FINANCING PRIVATE HEALTH INSURANCE PRIVATE HEALTH SERVICES PRIVATE HOSPITAL SECTOR PRIVATE HOSPITALS PRIVATE INSURANCE PRIVATE PHARMACIES PRIVATE PROVIDERS PRIVATE SECTOR PRIVATE SECTOR ACTORS PRIVATE SECTOR FINANCING PRIVATE SECTORS PRIVATE SPENDING PROVISION OF HEALTH CARE PROVISION OF HEALTH SERVICES PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH CARE SYSTEM PUBLIC HEALTH OBJECTIVES PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC SECTOR PUBLIC SECTORS PUBLIC SERVICES QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICES QUALITY STANDARDS REGULATORY FRAMEWORK RURAL HOSPITALS SCHOOL HEALTH SCREENING SERVICE PROVIDERS SHARE OF HEALTH EXPENDITURE SMOKING SMOKING CESSATION SURGERY TEACHING HOSPITALS TOTAL EXPENDITURE TRANSPARENCY TREATMENTS UNIVERSAL ACCESS VACCINATION VISITS WASTE
Online Access:	http://documents.worldbank.org/curated/en/2014/06/20053127/health-care-sri-lanka-can-private-health-sector-offer http://hdl.handle.net/10986/20018

Description
Summary:	This review represents an attempt to bridge the significant knowledge gaps on the private health sector in Sri Lanka, and foster a dialogue on opportunities for collaboration between the government and the private sector. It accomplishes this through a systematic collection and analysis of primary and secondary data on the provision, financing, and regulation of health care services. On health service delivery, the review finds that the private sector: includes a range of providers; focuses primarily on curative and outpatient services rather than preventive services; is heavily dependent on the public sector for its supply of human resources; and is concentrated in urban areas. The quality of health care services in Sri Lanka in both the private and public sectors, while better than in most developing countries, still lags behind those in more advanced countries. There is also little systematic dialogue and collaboration between the public and private sectors. On financing, the review finds that private health expenditure is more than half of total health expenditure, mostly in the form of out-of-pocket payments by households, with clear implications for Sri Lanka's progression toward universal health coverage. On stewardship and regulation, there is a clear and urgent need to bridge the existing gaps in the legal and regulatory framework, and in the enforcement of health regulations applicable to the private sector, as well as to create an enabling environment for more effective private sector participation in the health sector. The review demonstrates that the private health sector in Sri Lanka is a growing force, due both to greater investment from private players as well as greater demand from the population. The review highlights areas where a more effective engagement with the private sector could ensure that Sri Lanka is able to offer its citizens universal access to good quality health service while also stimulating economic growth.

Health Care in Sri Lanka : What Can the Private Health Sector Offer?

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