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De la planification au marché. La privatisation du secteur hospitalier en Inde (1947-2007)

Identifieur interne : 000478 ( Hal/Corpus ); précédent : 000477; suivant : 000479

De la planification au marché. La privatisation du secteur hospitalier en Inde (1947-2007)

Auteurs : Bertrand Lefebvre

Source :

RBID : Hal:hal-00682784

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English descriptors

Abstract

At the time of Independence, India wished to provide universal public health care. Sixty years later, the private sector has become the main access to hospital care for Indian patients. Keeping in mind the territorial discontinuities that divide the country, this article examines the political, economic and social mechanisms leading to the privatization of Indian hospital care. We argue that this privatization has less to do with liberal health sector reform policies than with long-term endogenous changes in Indian hospital care. We also question the capacity of the Indian state to enforce new regulation schemes on private hospital care.

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Hal:hal-00682784

Le document en format XML

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<abstract xml:lang="en">At the time of Independence, India wished to provide universal public health care. Sixty years later, the private sector has become the main access to hospital care for Indian patients. Keeping in mind the territorial discontinuities that divide the country, this article examines the political, economic and social mechanisms leading to the privatization of Indian hospital care. We argue that this privatization has less to do with liberal health sector reform policies than with long-term endogenous changes in Indian hospital care. We also question the capacity of the Indian state to enforce new regulation schemes on private hospital care.</abstract>
<abstract xml:lang="fr">Au moment de l'Indépendance, l'Inde souhaite s'orienter vers un système de soins public accessible à tous. Soixante ans plus tard, le secteur privé est devenu l'entrée privilégiée du système de soins pour le patient indien. À travers une approche sensible aux discontinuités territoriales, nous mettons en perspective les mécanismes politiques, économiques et sociaux à l'œuvre dans la privatisation des soins en Inde depuis 1947. La privatisation des soins hospitaliers n'a pas tant été le fait d'une réorientation des politiques de santé à l'échelle nationale, que le résultat d'une transformation endogène du secteur hospitalier. On s'interroge en conclusion sur la capacité de l'État indien à assurer sa nouvelle mission de régulation du secteur hospitalier privé.</abstract>
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