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Structural Adjustment and the Health Care Sector in India: some policy issues in financing


  • Dr B C Purohit


The paper examines different strategies for the financing of health care in India, where the effect of structural adjustment has been to undermine the traditional resource base. The relative merits of user fees, insurance schemes, administrative decentralisation and partial privatisation are discussed. The main policy conclusion is the need for better regulation of the various modalities of health care delivery.

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  • Dr B C Purohit, "undated". "Structural Adjustment and the Health Care Sector in India: some policy issues in financing," QEH Working Papers qehwps02, Queen Elizabeth House, University of Oxford.
  • Handle: RePEc:qeh:qehwps:qehwps02

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    1. McPake, Barbara & Hanson, Kara & Mills, Anne, 1993. "Community financing of health care in Africa: An evaluation of the Bamako initiative," Social Science & Medicine, Elsevier, vol. 36(11), pages 1383-1395, June.
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    8. Le Grand, Julian, 1991. "Quasi-markets and Social Policy," Economic Journal, Royal Economic Society, vol. 101(408), pages 1256-1267, September.
    9. Yoder, Richard A., 1989. "Are people willing and able to pay for health services?," Social Science & Medicine, Elsevier, vol. 29(1), pages 35-42, January.
    10. Randall P. Elllis & D. Keith McInnes & Elizabeth H. Stephenson, 1994. "Inpatient and outpatient Health Care Demand in Cairo, Egypt," Boston University - Institute for Economic Development 38, Boston University, Institute for Economic Development.
    11. Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
    12. Arhin, Dyna C., 1994. "The health card insurance scheme in Burundi: A social asset or a non-viable venture?," Social Science & Medicine, Elsevier, vol. 39(6), pages 861-870, September.
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