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Transforming Health Markets in Asia and Africa : Improving quality and access for the poor.

There has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. T...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Bloom, Gerald
Otros Autores: Kanjilal, Barun, Lucas, Henry, Peters, David H.
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Hoboken : Taylor and Francis, 2012.
Colección:Pathways to sustainability series.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Cover
  • Transforming Health Markets in Asia and Africa
  • Title Page
  • Copyright Page
  • Table of Contents
  • Illustrations
  • Contributors
  • Acknowledgements
  • Abbreviations
  • Chapter 1: Introduction
  • Introduction
  • Markets, institutions and health systems
  • The limits of markets
  • 'Path dependency' and institutional change
  • Health systems in low- and middle-income countries
  • Implications for markets and states
  • Markets and the health knowledge economy
  • Understanding market systems
  • Types of markets in health-related goods and services
  • Chapter 4: Drug detailers and the pharmaceutical market in Bangladesh
  • Background
  • Objectives of the review
  • Background to the pharmaceutical sector in Bangladesh
  • The specific role of drug detailers in the informal healthcare market
  • Education and training
  • Income and other incentives
  • Perceived job responsibilities
  • Interactions with healthcare providers
  • Interaction with pharmacists
  • Job satisfaction
  • Professional associations
  • Proposed framework for identifying key stakeholders in the drug supply chain
  • Steps forward
  • References
  • Different types of service transaction and degree of complexity
  • Segmented health systems
  • Ownership, mission and accountability of different market players
  • Interconnected markets
  • Local, national and international market systems
  • What do institutional arrangements in health market systems do?
  • Creating institutional arrangements for more orderly health-related markets
  • Understanding and theorizing from local realities
  • References
  • Chapter 2: Transition in the Indian healthcare market
  • Background
  • Inpatient care: corporatization of health care
  • Introduction
  • The ShasthyaSena intervention
  • ShasthyaSena training
  • Measuring the impact of the intervention
  • Analysing the level of impact
  • Positive attitude of village doctors
  • Lack of information about drug appropriateness
  • Local demand for inappropriate medicines
  • Difficulties in introducing fees beyond charging for drugs
  • Commission paid by pharmaceutical companies
  • Failure to refer complicated cases to public facilities
  • Views of the elected representatives
  • Views of the community members
  • Discussion
  • References
  • Transition in structure and spread
  • Linkages, responses and impacts
  • Institutional arrangements
  • Outpatient care: rapid spread of the underground market
  • Transition in structure and spread
  • Linkages, responses and impacts
  • Institutional arrangements
  • Pharmaceutical products and services: a derived-growth market
  • Transition in structure and spread
  • Linkage, responses and impacts
  • Institutional arrangements
  • Conclusion
  • Notes
  • References
  • Chapter 3: Lessons from an intervention programme to make informal healthcare providers effective in a rural area of Bangladesh