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Harding- Montagu- Preker Framework: Overview

Harding- Montagu- Preker Framework: Overview. Assessment. Strategy. Focus. Goal. PHSA Gather available information Identify additional needs In-depth studies. Distribution (equity) Efficiency Quality of Care. Private Sector. Grow. Harness. Activities Hospitals PHC

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Harding- Montagu- Preker Framework: Overview

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  1. Harding-Montagu-PrekerFramework: Overview Assessment Strategy Focus Goal • PHSA • Gather available information • Identify additional needs • In-depth studies • Distribution (equity) • Efficiency • Quality of Care Private Sector Grow Harness Activities • Hospitals • PHC • Diagnostic labs • Producers / Distributors Ownership • For-profit corporate • For-profit small business • Non-profit charitable Formal/ Informal Convert Restrict PublicSector Source: Adapted from Harding & Preker, Private Participation in Health Services, 2003.

  2. HMP-Framework: Strategies Grow Harness Convert Private Health Sector Situation • A well-functioning part of the private sector • could contribute more by expansion, e.g.: • NGOs? • ORS producers? • Corporate hospitals? • Diagnostic labs • Pharmacies • Midwives • A large existing private sectorwith problems • Not participating in disease surveillance • Quality failings • Monopolistic behavior • could be leveraged to • Serve targeted population • Provide critical services • could be improved by active management • Assure geographic distribution & coverage • Government shifting from funding to purchasing • From “NHS” to social health insurance system • could leverage private resources to expand / improve services currently provide by goverment • Public-Private-Partnerships in investment, delivery, or management Source: Adapted from Harding & Preker, Private Participation in Health Services, 2003.

  3. HMP-Framework: Instruments Grow Harness Convert • A well-functioning part of the private sector • could contribute more by expansion, e.g.: • NGOs? • ORS producers? • Corporate hospitals? • Diagnostic labs • Pharmacies • Midwives • A large existing private sectorwith problems • Not participating in disease surveillance • Quality failings • Monopolistic behavior • could be leveraged to • Serve targeted population • Provide critical services • could be improved by active management • Assure geographic distribution & coverage • Government shifting from funding to purchasing • From “NHS” to social health insurance system • could leverage private resources to expand / improve services currently provide by goverment • Public-Private-Partnerships in investment, delivery, or management Policy and Programmatic Instruments • Regulation • Contracting • Training/Information • Social marketing • Social franchising • Info. to patients • Demand-side (incl. Vouchers) • EQA / Accreditation • PPP transactions • Enable environment improvement Source: Adapted from Harding & Preker, Private Participation in Health Services, 2003.

  4. 1: PHSA (evaluate) 2: Match Goal to PHS Situation 3: SelectInstrument 4: Apply Instrument HMP-Framework: Process Grow Harness Convert Source: Adapted from Harding & Preker, Private Participation in Health Services, 2003.

  5. 1: PHSA (evaluate) 2: Match Goal to PHS Situation 3: SelectInstrument 4: Apply Instrument HMP-Framework: This Course Grow Harness Convert Source: Adapted from Harding & Preker, Private Participation in Health Services, 2003.

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