Does Ownership Matter? An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers
Identifieur interne : 002B31 ( Pmc/Curation ); précédent : 002B30; suivant : 002B32Does Ownership Matter? An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers
Auteurs : Cristian A. Herrera [Chili] ; Gabriel Rada [Chili] ; Lucy Kuhn-Barrientos [Chili] ; Ximena Barrios [Chili]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Ownership of healthcare providers has been considered as one factor that might influence their health and healthcare related performance. The aim of this article was to provide an overview of what is known about the effects on economic, administrative and health related outcomes of different types of ownership of healthcare providers -namely public, private non-for-profit (PNFP) and private for-profit (PFP)- based on the findings of systematic reviews (SR).
An overview of systematic reviews was performed. Different databases were searched in order to select SRs according to an explicit comprehensive criterion. Included SRs were assessed to determine their methodological quality. Of the 5918 references reviewed, fifteen SR were included, but six of them were rated as having major limitations, so they weren't incorporated in the analyses. According to the nine analyzed SR, ownership does seem to have an effect on health and healthcare related outcomes. In the comparison of PFP and PNFP providers, significant differences in terms of mortality of patients and payments to facilities have been found, both being higher in PFP facilities. In terms of quality and economic indicators such as efficiency, there are no concluding results. When comparing PNFP and public providers, as well as for PFP and public providers, no clear differences were found.
PFP providers seem to have worst results than their PNFP counterparts, but there are still important evidence gaps in the literature that needs to be covered, including the comparison between public and both PFP and PNFP providers. More research is needed in low and middle income countries to understand the impact on and development of healthcare delivery systems.
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DOI: 10.1371/journal.pone.0093456
PubMed: 25437212
PubMed Central: 4249790
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An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers</title><author><name sortKey="Herrera, Cristian A" sort="Herrera, Cristian A" uniqKey="Herrera C" first="Cristian A." last="Herrera">Cristian A. Herrera</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation></author><author><name sortKey="Rada, Gabriel" sort="Rada, Gabriel" uniqKey="Rada G" first="Gabriel" last="Rada">Gabriel Rada</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation></author><author><name sortKey="Kuhn Barrientos, Lucy" sort="Kuhn Barrientos, Lucy" uniqKey="Kuhn Barrientos L" first="Lucy" last="Kuhn-Barrientos">Lucy Kuhn-Barrientos</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>National Health Technology Assessment Commission, Ministry of Health Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>National Health Technology Assessment Commission, Ministry of Health Chile, Santiago</wicri:regionArea></affiliation></author><author><name sortKey="Barrios, Ximena" sort="Barrios, Ximena" uniqKey="Barrios X" first="Ximena" last="Barrios">Ximena Barrios</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago</wicri:regionArea></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Ownership of healthcare providers has been considered as one factor that might influence their health and healthcare related performance. The aim of this article was to provide an overview of what is known about the effects on economic, administrative and health related outcomes of different types of ownership of healthcare providers -namely public, private non-for-profit (PNFP) and private for-profit (PFP)- based on the findings of systematic reviews (SR).</p></sec><sec><title>Methods and Findings</title><p>An overview of systematic reviews was performed. Different databases were searched in order to select SRs according to an explicit comprehensive criterion. Included SRs were assessed to determine their methodological quality. Of the 5918 references reviewed, fifteen SR were included, but six of them were rated as having major limitations, so they weren't incorporated in the analyses. According to the nine analyzed SR, ownership does seem to have an effect on health and healthcare related outcomes. In the comparison of PFP and PNFP providers, significant differences in terms of mortality of patients and payments to facilities have been found, both being higher in PFP facilities. In terms of quality and economic indicators such as efficiency, there are no concluding results. When comparing PNFP and public providers, as well as for PFP and public providers, no clear differences were found.</p></sec><sec><title>Conclusion</title><p>PFP providers seem to have worst results than their PNFP counterparts, but there are still important evidence gaps in the literature that needs to be covered, including the comparison between public and both PFP and PNFP providers. More research is needed in low and middle income countries to understand the impact on and development of healthcare delivery systems.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Comondore, Vr" uniqKey="Comondore V">VR Comondore</name></author><author><name sortKey="Devereaux, Pj" uniqKey="Devereaux P">PJ Devereaux</name></author><author><name sortKey="Zhou, Q" uniqKey="Zhou Q">Q Zhou</name></author><author><name sortKey="Stone, Sb" uniqKey="Stone S">SB Stone</name></author><author><name sortKey="Busse, Jw" uniqKey="Busse J">JW Busse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frank, As" uniqKey="Frank A">AS Frank</name></author><author><name sortKey="Anthony, J" uniqKey="Anthony J">J Anthony</name></author><author><name sortKey="Culyer" uniqKey="Culyer">Culyer</name></author><author><name sortKey="Joseph, P" uniqKey="Joseph P">P Joseph</name></author><author><name sortKey="Newhouse" uniqKey="Newhouse">Newhouse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenthal, G" uniqKey="Rosenthal G">G Rosenthal</name></author><author><name sortKey="Newbrander, W" uniqKey="Newbrander W">W Newbrander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jaspen, B" uniqKey="Jaspen B">B Jaspen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shen, Yc" uniqKey="Shen Y">YC Shen</name></author><author><name sortKey="Eggleston, K" uniqKey="Eggleston K">K Eggleston</name></author><author><name sortKey="Lau, J" uniqKey="Lau J">J Lau</name></author><author><name sortKey="Schmid, Ch" uniqKey="Schmid C">CH Schmid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Donovan, J" uniqKey="Donovan J">J Donovan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lawrence, D" uniqKey="Lawrence D">D Lawrence</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brugha, R" uniqKey="Brugha R">R Brugha</name></author><author><name sortKey="Zwi, A" uniqKey="Zwi A">A Zwi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, S" uniqKey="Lewis S">S Lewis</name></author><author><name sortKey="Donaldson, C" uniqKey="Donaldson C">C Donaldson</name></author><author><name sortKey="Mitton, C" uniqKey="Mitton C">C Mitton</name></author><author><name sortKey="Currie, G" uniqKey="Currie G">G Currie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hassan, Mm" uniqKey="Hassan M">MM Hassan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Forsberg, Bc" uniqKey="Forsberg B">BC Forsberg</name></author><author><name sortKey="Montagu, D" uniqKey="Montagu D">D Montagu</name></author><author><name sortKey="Sundewall, J" uniqKey="Sundewall J">J Sundewall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patouillard, E" uniqKey="Patouillard E">E Patouillard</name></author><author><name sortKey="Goodman, Ca" uniqKey="Goodman C">CA Goodman</name></author><author><name sortKey="Hanson, Kg" uniqKey="Hanson K">KG Hanson</name></author><author><name sortKey="Mills, Aj" uniqKey="Mills A">AJ Mills</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sulzbach, S" uniqKey="Sulzbach S">S Sulzbach</name></author><author><name sortKey="De, S" uniqKey="De S">S De</name></author><author><name sortKey="Wang, W" uniqKey="Wang W">W Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waters, H" uniqKey="Waters H">H Waters</name></author><author><name sortKey="Hatt, L" uniqKey="Hatt L">L Hatt</name></author><author><name sortKey="Peters, D" uniqKey="Peters D">D Peters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levin, A" uniqKey="Levin A">A Levin</name></author><author><name sortKey="Kaddar, M" uniqKey="Kaddar M">M Kaddar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hanson, K" uniqKey="Hanson K">K Hanson</name></author><author><name sortKey="Berman, P" uniqKey="Berman P">P Berman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saksena, P" uniqKey="Saksena P">P Saksena</name></author><author><name sortKey="Xu, K" uniqKey="Xu K">K Xu</name></author><author><name sortKey="Elovainio, R" uniqKey="Elovainio R">R Elovainio</name></author><author><name sortKey="Perrot, J" uniqKey="Perrot J">J Perrot</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Smith, V" uniqKey="Smith V">V Smith</name></author><author><name sortKey="Devane, D" uniqKey="Devane D">D Devane</name></author><author><name sortKey="Begley, Cm" uniqKey="Begley C">CM Begley</name></author><author><name sortKey="Clarke, M" uniqKey="Clarke M">M Clarke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Basu, S" uniqKey="Basu S">S Basu</name></author><author><name sortKey="Andrews, J" uniqKey="Andrews J">J Andrews</name></author><author><name sortKey="Kishore, S" uniqKey="Kishore S">S Kishore</name></author><author><name sortKey="Panjabi, R" uniqKey="Panjabi R">R Panjabi</name></author><author><name sortKey="Stuckler, D" uniqKey="Stuckler D">D Stuckler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hillmer, Mp" uniqKey="Hillmer M">MP Hillmer</name></author><author><name sortKey="Wodchis, Wp" uniqKey="Wodchis W">WP Wodchis</name></author><author><name sortKey="Gill, Ss" uniqKey="Gill S">SS Gill</name></author><author><name sortKey="Anderson, Gm" uniqKey="Anderson G">GM Anderson</name></author><author><name sortKey="Rochon, Pa" uniqKey="Rochon P">PA Rochon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mogyor Sy, Z" uniqKey="Mogyor Sy Z">Z Mogyorósy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenau, Pv" uniqKey="Rosenau P">PV Rosenau</name></author><author><name sortKey="Linder, Sh" uniqKey="Linder S">SH Linder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenau, Pv" uniqKey="Rosenau P">PV Rosenau</name></author><author><name sortKey="Linder, Sh" uniqKey="Linder S">SH Linder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tiemann, O" uniqKey="Tiemann O">O Tiemann</name></author><author><name sortKey="Schreyogg, J" uniqKey="Schreyogg J">J Schreyögg</name></author><author><name sortKey="Busse, R" uniqKey="Busse R">R Busse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Devereaux, Pj" uniqKey="Devereaux P">PJ Devereaux</name></author><author><name sortKey="Choi, Pt" uniqKey="Choi P">PT Choi</name></author><author><name sortKey="Lacchetti, C" uniqKey="Lacchetti C">C Lacchetti</name></author><author><name sortKey="Weaver, B" uniqKey="Weaver B">B Weaver</name></author><author><name sortKey="Schunemann, Hj" uniqKey="Schunemann H">HJ Schünemann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Devereaux, Pj" uniqKey="Devereaux P">PJ Devereaux</name></author><author><name sortKey="Schunemann, Hg" uniqKey="Schunemann H">HG Schünemann</name></author><author><name sortKey="Ravindran, N" uniqKey="Ravindran N">N Ravindran</name></author><author><name sortKey="Bhandari, M" uniqKey="Bhandari M">M Bhandari</name></author><author><name sortKey="Garg, Ax" uniqKey="Garg A">AX Garg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Devereaux, Pj" uniqKey="Devereaux P">PJ Devereaux</name></author><author><name sortKey="Heels Ansdell, D" uniqKey="Heels Ansdell D">D Heels-Ansdell</name></author><author><name sortKey="Lacchetti, C" uniqKey="Lacchetti C">C Lacchetti</name></author><author><name sortKey="Haines, T" uniqKey="Haines T">T Haines</name></author><author><name sortKey="Burns, Kea" uniqKey="Burns K">KEA Burns</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eggleston, K" uniqKey="Eggleston K">K Eggleston</name></author><author><name sortKey="Shen, Yc" uniqKey="Shen Y">YC Shen</name></author><author><name sortKey="Lau, J" uniqKey="Lau J">J Lau</name></author><author><name sortKey="Schmid, Ch" uniqKey="Schmid C">CH Schmid</name></author><author><name sortKey="Chan, J" uniqKey="Chan J">J Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sibbel, R" uniqKey="Sibbel R">R Sibbel</name></author><author><name sortKey="Nagarajah, B" uniqKey="Nagarajah B">B Nagarajah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berendes, S" uniqKey="Berendes S">S Berendes</name></author><author><name sortKey="Heywood, P" uniqKey="Heywood P">P Heywood</name></author><author><name sortKey="Oliver, S" uniqKey="Oliver S">S Oliver</name></author><author><name sortKey="Garner, P" uniqKey="Garner P">P Garner</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lavis, Jn" uniqKey="Lavis J">JN Lavis</name></author><author><name sortKey="Davies, Hto" uniqKey="Davies H">HTO Davies</name></author><author><name sortKey="Oxman, Ad" uniqKey="Oxman A">AD Oxman</name></author><author><name sortKey="Denis, Jl" uniqKey="Denis J">JL Denis</name></author><author><name sortKey="Golden Biddle, K" uniqKey="Golden Biddle K">K Golden-Biddle</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25437212</article-id><article-id pub-id-type="pmc">4249790</article-id><article-id pub-id-type="publisher-id">PONE-D-14-08300</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0093456</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Health Care</subject><subj-group><subject>Health Economics</subject><subj-group><subject>Health Care Sector</subject></subj-group></subj-group><subj-group><subject>Socioeconomic Aspects of Health</subject></subj-group></subj-group><subj-group><subject>Public and Occupational Health</subject><subj-group><subject>Global Health</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Social Sciences</subject><subj-group><subject>Economics</subject><subj-group><subject>Economic Analysis</subject><subj-group><subject>Cost-Effectiveness Analysis</subject></subj-group></subj-group><subj-group><subject>Industrial Organization</subject><subj-group><subject>Regulation of Public Utilities</subject><subject>Structure of Markets</subject></subj-group></subj-group><subj-group><subject>Economic Models</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Does Ownership Matter? An Overview of Systematic Reviews of the Performance of Private For-Profit, Private Not-For-Profit and Public Healthcare Providers</article-title><alt-title alt-title-type="running-head">Type of Ownership and the Performance of Healthcare Providers</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Herrera</surname><given-names>Cristian A.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rada</surname><given-names>Gabriel</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kuhn-Barrientos</surname><given-names>Lucy</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Barrios</surname><given-names>Ximena</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Evidence Based Health Care Program, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></aff><aff id="aff3"><label>3</label><addr-line>Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile</addr-line></aff><aff id="aff4"><label>4</label><addr-line>National Health Technology Assessment Commission, Ministry of Health Chile, Santiago, Chile</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Hempel</surname><given-names>Susanne</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>RAND Corporation, United States of America</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>crherrer@uc.cl</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: CAH GR. Performed the experiments: CAH GR LK-B XB. Analyzed the data: CAH GR LK-B XB. Contributed reagents/materials/analysis tools: CAH GR LK-B XB. Wrote the paper: CAH LK-B XB.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>1</day><month>12</month><year>2014</year></pub-date><volume>9</volume><issue>12</issue><elocation-id>e93456</elocation-id><history><date date-type="received"><day>21</day><month>2</month><year>2014</year></date><date date-type="accepted"><day>19</day><month>9</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Herrera et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Introduction</title><p>Ownership of healthcare providers has been considered as one factor that might influence their health and healthcare related performance. The aim of this article was to provide an overview of what is known about the effects on economic, administrative and health related outcomes of different types of ownership of healthcare providers -namely public, private non-for-profit (PNFP) and private for-profit (PFP)- based on the findings of systematic reviews (SR).</p></sec><sec><title>Methods and Findings</title><p>An overview of systematic reviews was performed. Different databases were searched in order to select SRs according to an explicit comprehensive criterion. Included SRs were assessed to determine their methodological quality. Of the 5918 references reviewed, fifteen SR were included, but six of them were rated as having major limitations, so they weren't incorporated in the analyses. According to the nine analyzed SR, ownership does seem to have an effect on health and healthcare related outcomes. In the comparison of PFP and PNFP providers, significant differences in terms of mortality of patients and payments to facilities have been found, both being higher in PFP facilities. In terms of quality and economic indicators such as efficiency, there are no concluding results. When comparing PNFP and public providers, as well as for PFP and public providers, no clear differences were found.</p></sec><sec><title>Conclusion</title><p>PFP providers seem to have worst results than their PNFP counterparts, but there are still important evidence gaps in the literature that needs to be covered, including the comparison between public and both PFP and PNFP providers. More research is needed in low and middle income countries to understand the impact on and development of healthcare delivery systems.</p></sec></abstract><funding-group><funding-statement>The authors have no funding or support to report.</funding-statement></funding-group><counts><page-count count="18"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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