Upload
fhscomms
View
590
Download
1
Embed Size (px)
DESCRIPTION
Sara Bennett's presentation from the Private Sector in Health's webinar - Shaping future health markets: Reflections from Bellagio.
Citation preview
www.futurehealthsystems.org
Dr. Sara Bennett 7 March 2013
Shaping future health markets: Reflections from Bellagio
What future for health markets?
2
Why health markets?
• Health markets are pervasive o Health related goods and services o Sub-national, national and global o Public and private sector actors
• Understanding how markets work will enable us to intervene in them better, particularly to protect the poor.
3
Health markets - The past 20 years
• Have learnt much: heterogeneity of private providers, “informal” markets, contracting for services, social marketing
• But much still to learn: scaling up effective market interventions, improving quality of services, especially for poor
• Increased importance of health markets: due to economic growth, new technologies e.g. ICTs, economic liberalization
4
Evolving market
dynamics
Consumer-side • New technologies • Consumer education • Non-communicable
diseases
Supplier-side • Consolidation to
stronger players • Vertical integration
Governance-side • Push for UHC • Public finance for
private providers? • Oversight
Health markets – The next 20 years?
5
Process
Landscaping analysis • Document
review • Interviews with
range of stakeholders
Identification of key topics • Regulation of
health markets • Networking
providers • Learning in
health markets
Preparation of background papers • Scoping papers
and literature reviews
Bellagio meeting (December 2012) • Consultation
with diverse stakeholders
Research uptake activities • Bellagio
statement • Webinar • Journal special
issue • Meeting with
HANSHEP
6
The Bellagio Statement
7
Strengthen data
• Lack of data on health markets continues to plague decision making
• Identify key data that health market actors should provide o Require data provision as part of participation in
government financing schemes
• Pilot a market data platform – that draws together different types of data from diverse sources (eg. DHS, NHA, market research)
8
Experiment with regulatory approaches
• Effective regulation requires bundles of regulatory approaches
• Dynamic regulatory approaches are required to respond to dynamic market situations
• “Learn and do” o Regulatory experimentation
o Real time, rigorous, assessment of effects
o Adaptation of strategy
o Lessons learned?
9
Strengthen government stewardship capacity • Governments frequently lack appropriate capacities to
manage health markets
• Develop individual skills and organizational capacity for:
Leadership skills –
to balance powerful interests
Technical capacity –
to develop market
information systems,
contract out
Collaborative capacity –
to work with civil society,
private providers, business
Analytical skills –
to anticipate future
developments in health markets
10
Sustain investments
• Donor funding has supported private sector experimentation e.g. social franchising
• Such initiatives – often small scale, but some provide critical services to poor
• How will these be sustained going forward?
• While initiative seek to develop sustainable models, government financing is key to enabling access for the poor
• Needs to be proactive engagement with government on future sustainability
11
Link market and health worker policies
• Connections between health workers and health markets insufficiently acknowledged: o Moonlighting o Migration
• Future for community health workers, if governments do not funding their salaries?
12
Learn about and manage networks
• Business models are evolving – greater networking and integration of previously disorganized private providers?
• Networks can help to correct failures typical of health markets: o Informational asymmetries
o Facilitate distribution of subsidies
• But, networks can also create monopolies and exert political influence
13
Promote learning in health markets
• Better coordination and more consolidated research on health markets needed
• Priorities?
• Real time learning – need for alternative evaluation approaches
New regulatory
approaches
Effects of information on consumer
behavior
Mobile and informational technologies
14
Next steps
• HANSHEP – knowledge priorities group • Collaborate with developing countries to
pilot data collection systems for health markets
• Create a challenge fund to support experimentation and learning on health markets
• Broaden the debate, in particular including more market actors
www.institutions-africa.org
The Africa Power and Politics Programme is a consortium research programme funded by the UK Department for International Development (DFID) and Irish Aid for the benefit of developing countries.
Future Health Systems is a research
consortium working to improve access,
affordability and quality of health services
for the poor. We are a partnership of leading
research institutes from across the globe
working in a variety of contexts: in low-
income countries (Bangladesh, Uganda),
middle-income countries (China, India)
and fragile states (Afghanistan) to build
resilient health systems for the future.
[email protected] www.futurehealthsystems.org