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 SDPH Executive Summary ...
    

Materials and methods.

To understand the structure and dynamics of the private health sector in AP, we studied a sample of 256 health care institutions (HCIs) consisting of 150 HCIs from the private sector and 106 HCIs from the public sector. Three types of HCIs were sampled from both the sectors. These are clinics, small hospitals of 30 to 100 beds and big hospitals with 100 or more beds. The clinics sample included solo clinics, nursing homes with less than 10 beds, primary health centres (PHC), dispensaries etc. The sample of HCIs from private sector consisted of 76 clinics, 69 small hospitals and 10 big hospitals. The public sector sample had 53 PHCs, 41 small hospitals and 12 big hospitals. Six questionnaires were used to collect information. These include (a) a questionnaire to collect basic information of all HCIs in the sample, (b) a questionnaire for private HCI owner-managers, (c) the diagnostic facility questionnaire, (d) the health care professionals (HCPs) questionnaire to assess job satisfaction of HCPs working in private and public sector, (e) a patient exit interview form to assess levels of patient satisfaction in private and public sector, and (f) an instrument to survey alternate private practitioners (APP). The diagnostic facilities and APPs were located through the HCIs in the primary sample. For the exit interview around 10 patients were sampled from each HCI in the primary sample. Primary data collected in this do not allow us to examine evidence about all relevant policy issues and research questions about private health sector. Hence we supplement by analysis of secondary data collected from other sources in India. In addition we review the literature, particularly from a some what similarly placed mixed economy like the United States.


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