Journal article
Mark time: India's march to universal health care coverage
Social Policy & Administration, Vol.49(6), pp.718-737
2015
Abstract
This article evaluates the efforts underway in India to achieve universal health care coverage and the conditions that fostered its contemporary evolution. It finds that India's health system is characterized by private provision and financing, horizontal and vertical fragmentation, and weak governance arrangements. The article argues that these defining characteristics, which have solidified over time, account for poor health outcomes and make the system impervious to reforms as they deny the government levers to intervene and shape outcomes in the sector. While the government's recent efforts of increased public funding of national programmes have helped to reduce out of pocket spending, these are unlikely to work in the long run unless the government addresses the sources of the problems. The article argues that building health care governance, strengthening regulatory architecture, and stewardship over the system, in conjunction with increased public spending, are essential if the health care system is to provide affordable care to the entire population.
Details
- Title
- Mark time: India's march to universal health care coverage
- Authors/Creators
- A.S. Bali (Author/Creator)M. Ramesh (Author/Creator)
- Publication Details
- Social Policy & Administration, Vol.49(6), pp.718-737
- Publisher
- Wiley
- Identifiers
- 991005540480507891
- Copyright
- © 2015 John Wiley & Sons, Ltd.
- Murdoch Affiliation
- School of Management and Governance
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.156 Healthcare Policy
- 1.156.381 Maternal Health Equity
- Web Of Science research areas
- Development Studies
- Public Administration
- Social Issues
- Social Work
- ESI research areas
- Social Sciences, general