Executive summary :
Health care can be provided through public and private providers. Public health care is usually provided by the government through national healthcare systems. Private health care can be provided through “for profit” hospitals and self-employed practitioners, and “not for profit” non-government providers, including faith-based organizations. There is considerable ideological debate around whether low- and middle-income countries should strengthen public versus private healthcare services, but in reality, most low- and middle-income countries use both types of healthcare provision. Recently, as the global economic recession has put major constraints on government budgets—the major funding source for healthcare expenditures in most countries—disputes between the proponents of private and public systems have escalated, further fuelled by the recommendation of International Monetary Fund (an international finance institution) that countries increase the scope of private sector provision in health care as part of loan conditions to reduce government debt. However, critics of the private health sector believe that public healthcare provision is of most benefit to poor people and is the only way to achieve universal and equitable access to health care. Concern over the quality of health care services in Bangladesh has led to loss of faith in public and private hospitals, low utilization of public health facilities, and increasing outflow of Bangladeshi patients to hospitals in neighboring countries. Under the circumstances, assessment of the country's quality of health care service has become imperative, in which the patient's voice must begin to play a greater role. This study attempts to identify the determinants of patient satisfaction with public, private. A survey was conducted involving inpatients in public and private hospitals in Dhaka City. Introduction:
Every nation in the world faces healthcare challenges. For poor countries like South Asia, Africa, and many others developing countries the issues are about improving access to basic health services, and tackling poverty-related problems such as contagious disease and infant mortality, working against a backdrop of major financing constraints, given low-income levels. In between the rich and poor extremes lie middle-income countries that are facing a double burden: the diseases of development and ageing are arriving before the problems of poverty have been fully addressed, and before incomes have risen to match the resources available in the developed world. Given that much of countries people still has low incomes, the healthcare challenges are greatest in improving the availability and quality of health services for the poor. The pressures placed on national healthcare systems by the recent demographic and epidemiological transitions are amplified by the growing demands of an increasingly educated and affluent population for high-quality healthcare. Many traditional health practices persist alongside the use of new medical technologies and pharmaceutical products, presenting regulatory problems in terms of safety and quality. Poor , lower middle class peoples in the world and their health system reforms can thus be categorized according to the stages of development of their healthcare systems. A typology of common issues, challenges and priorities are generated for the diverse mix of health systems at different stages of socioeconomic development. PROBLEM STATEMENT :
Concern over the quality of health care services in Bangladesh has led to loss of faith in public and private hospitals, low utilization of public health facilities, and increasing outflow of Bangladeshi patients to hospitals in neighboring countries. Under the circumstances, assessment of the country's quality of health care service has become imperative, in which the patient's voice must begin to play a greater role. This study attempts to identify the determinants of patient...
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