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Access to emergency care in Egypt: Tiered health care and manifestations of inequity

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  • Shokr, Hisham
  • Rishworth, Andrea
  • Wilson, Kathi

Abstract

Market-driven health care reforms and development strategies continue to drive the privatization of health care services across the world. When these measures are implemented, large disparities emerge and are maintained. Using a modified version of the access to care framework developed by Penchansky and Thomas, this paper examines the manifestations of inequity between private for-profit and public emergency care in the Greater Cairo Region and Asyut, Egypt. In-depth interviews with physicians working in both sectors reveals stark disparities in access between these two health care sectors in Egypt. Access issues identified include unaffordable care in the private sector, unavailable medical supplies and overcrowding in public hospitals, as well as a salary gap that drives health care workers from public to private practice, creating staffing shortages in public hospitals. The manifestations of these inequities are often severe, usually tangible, and according to health care providers, embodied in the experiences of service users.

Suggested Citation

  • Shokr, Hisham & Rishworth, Andrea & Wilson, Kathi, 2023. "Access to emergency care in Egypt: Tiered health care and manifestations of inequity," Social Science & Medicine, Elsevier, vol. 336(C).
    • Handle: RePEc:eee:socmed:v:336:y:2023:i:c:s0277953623005695
    DOI: 10.1016/j.socscimed.2023.116212
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    1. Yount, Kathryn M. & Agree, Emily M. & Rebellon, Cesar, 2004. "Gender and use of health care among older adults in Egypt and Tunisia," Social Science & Medicine, Elsevier, vol. 59(12), pages 2479-2497, December.
    2. Lane, Sandra D. & Madut Jok, Jok & El-Mouelhy, Mawaheb T., 1998. "Buying safety: The economics of reproductive risk and abortion in Egypt," Social Science & Medicine, Elsevier, vol. 47(8), pages 1089-1099, October.
    3. Randa Alami, 2017. "Health Financing Systems, Health Equity and Universal Health Coverage in Arab Countries," Development and Change, International Institute of Social Studies, vol. 48(1), pages 146-179, January.
    4. Ahmed Rashad & Mesbah Sharaf, 2015. "Catastrophic and Impoverishing Effects of Out-Of-Pocket Health Expenditure: New Evidence from Egypt," Working Papers 974, Economic Research Forum, revised Nov 2015.
    5. Satinsky, Emily & Fuhr, Daniela C. & Woodward, Aniek & Sondorp, Egbert & Roberts, Bayard, 2019. "Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review," Health Policy, Elsevier, vol. 123(9), pages 851-863.
    6. Mariz Tadros, 2006. "State welfare in Egypt since adjustment: Hegemonic control with a minimalist role," Review of African Political Economy, Taylor & Francis Journals, vol. 33(108), pages 237-254, June.
    7. Lenka Benova & Oona M R Campbell & George B Ploubidis, 2014. "Socio-Economic Gradients in Maternal and Child Health-Seeking Behaviours in Egypt: Systematic Literature Review and Evidence Synthesis," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-12, March.
    8. Ziad Koussa, 2023. "Revolution, Change, and Democratic Transition in Egypt Since 2011: A Critical Political Economy Approach," Contemporary Review of the Middle East, , vol. 10(2), pages 165-187, June.
    9. Flood, Colleen M. & Thomas, Bryan, 2018. "A successful Charter challenge to medicare? Policy options for Canadian provincial governments," Health Economics, Policy and Law, Cambridge University Press, vol. 13(3-4), pages 433-449, July.
    10. Ahmed Yehia Khalifa & Jean Yacoub Jabbour & Awad Mataria & Magdy Bakr & Mai Farid & Inke Mathauer, 2022. "Purchasing health services under the Egypt's new Universal Health Insurance law: What are the implications for universal health coverage?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(2), pages 619-631, March.
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