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The purpose of this paper is to examine the perceived Bangladesh privatized healthcare sector accountability gap.

Data were collected from 533 patients using services in 45 Dhaka city privatized hospitals. A questionnaire was designed based on 60 patient focus study group and the literature.

Structural equation modeling provides a comprehensive picture that allows healthcare constructs and accountability to be tested. The goodness‐of‐fit statistics supported the four factors of professionals, administration and management, legal enforcement, ethics and government, which were significantly associated with accountability. Despite Bangladeshi privatized healthcare growth, the study revealed that accountability mainly depends on government initiatives and effectively implementing existing laws.

The study covered one Bangladesh city (Dhaka) owing to resource constraints. Qualitative methods may have enriched the findings.

The accountability dimensions may be applicable to other countries to examine the perceived accountability gap. The study looked at the current Bangladesh privatized healthcare sector. Major issues of Bangladesh privatized healthcare accountability are discussed and recommendations for policymakers are suggested to improve the current circumstances.

The study is the first of its kind to examine accountability among privatized healthcare providers in developing countries. Patients’ accountability views require urgent attention from policy makers.

The purpose of this paper is to explore, 14 years since the introduction of market reforms, the extent to which changes have altered the nature of Sweden's health care financing, examine how these changes have affected the views of Sweden's physicians, and to judge the impact of these reforms on the delivery and quality of care.

Swedish physicians', Federation of County Council members' and health economists' views, were explored. The data were obtained from in‐depth interviews with 31 respondents in the summer of 2005. The sample was drawn from Stockholm County and the Skane Region.

The respondents generally believed that the Swedish health care system basic structure had remained intact and that several early 1990s reforms, to introduce financial incentives into health care system, had worked well. The diagnostic‐related groups system, though not popular among some health care providers, seemed to have worked for the purposes intended. The majority of Swedish physicians interviewed expressed general satisfaction with their work. Several praised the internal reforms as contributing to more stable health care expenditures, which are low compared with other countries. A majority of respondents supported the care guarantee provisions.

This paper points out that Sweden is showing what governments can do in a global society where access to health care is paramount. All Swedes can feel proud of a well‐planned health care system.

Health care has become one of the paramount issues of the 21st century as governments and individuals grapple the complex problems associated with contemporary medical care such as cost, affordability, and shifting demographic trends. One response has been the growth of medical tourism (sometimes called health tourism or global healthcare). Medical tourism is an example of how the forces of globalization are re-shaping what has previously been a relatively stable localized service, medical treatment, in the face of changes to health care. While traveling to distant locations in search of health restoring locations is not new as the affluent have long traveled to spas or exotic locales to derive health benefits. What has changed is who is doing it and why they are doing it as insurers and patients alike become eager participants in the outsourcing of medical care. The rising number of uninsured and underinsured Americans, particularly in the middle class, has been coupled with effective marketing by medical tourism companies to produce growing numbers of Americans traveling to foreign countries for healthcare. China, India, Korea, Malaysia, the Philippines, South Africa, and Thailand are only a few of the competitors for overseas patients as a source for economic development. Using analytic frameworks of Immanuel Wallerstein and Anthony Giddens to provide a social analysis of this phenomenon yields an exploration of this trend.

Competition is now widely used as the means of choosing the providers of essential public services in the USA and the UK. Many different approaches are found in the USA and there are useful lessons for the UK. With particular reference to mental health and substance abuse services, describes the effects of using competitive tendering on users, providers, purchasers and citizens and examines the problems of specification, transaction costs, the use of consultants, supply, the level playing field, trust, innovation, local accessibility and accountability. Ends with discussion of co‐operation and collaboration and the emergence of monopolies and integrated delivery systems in the USA and concludes by finding politics and political decision making of overriding importance.

Health care systems all over the world are undergoing rapid and profound transformations. These changes are the result of a broad array of economic and social trends including neo-liberal economic policies that are contributing to the trend toward privatization, the commodification of health services and products, institutional restructuring (e.g., managed care) to contain costs in the context of technological advances, globalization and demographic changes such as population aging in post-industrial societies. Questions about the accessibility and quality of health care delivery in the face of persistent health disparities, growing numbers of medical errors, and new and uncertain risks posed by emerging infectious diseases, some of them drug-resistant, have also contributed to rethinking about health policy.

Recent invasions, coups, civil wars, and ethnic crusades have caused many individuals and families around the world to flee their homelands for fear of their own safety. The exodus of refugees to foreign nations causes a strain on those nations’ health care systems and resources. With the assistance of outside organizations, these countries can develop a health care management system for refugees that provides for both their immediate survival and long-term health stability, while preserving critical national resources. This chapter reviews the refugee problem and presents the short-term tactics and long-term strategies undertaken by seven very different national governments to care for the refugees that cross their borders. A model of a sound health care management system is used to incorporate the best practices of each country into a framework for approaching this multi-billion dollar issue.

As both concept and process, privatization possesses ambiguous connotations and multiple meanings. Webster's Dictionary (1981) defines one related noun, privatism, as “an attitude of uncommitment or uninvolvement in anything beyond one's immediate interests,” while another associated noun, privacy, denotes a state of “withdrawal from society or the public interest” (Oxford English Dictionary, 1972). If government is a means of providing a wide range of collective goods, which do not necessarily lend themselves to market exchange, the public sector is naturally a highly visible target.⁴ At the same time, unrestrained public-sector expansion inevitably leads to public policy failure, as problems of communication, coordination, effective cost–benefit control, and revenue satiation accumulate.⁵ Privatization represents a logical reaction.

This paper aims to summarize significant changes in Medicaid, a safety net health insurance program on which one in five Americans depend.

The paper takes the form of a narrative review.

During the same period that a downturn in its economy increased the number of uninsured and under‐insured Americans, falling government revenues led to decreases in Medicaid coverage and a shift from administration by non‐profit government to for‐profit health maintenance organization entities. Hospitals in the USA scored as better managed than those of other countries in one study, but wide variation in local health service performance between and within its states also has been documented, and too many American families are foregoing needed care because of insurance and affordability problems. Whether shifting a public safety net healthcare system from public to private administration will make the situation better or worse has become the subject of political debate and court cases.

Perhaps masked by political party rhetoric focusing news attention on the future of the Patient Protection and Affordable Care Act (“ObamaCare”), America's public Medicaid system is increasingly being given over to control by private sector health maintenance organizations. This viewpoint article attempts to put that trend into perspective.

Many Canadians presume their universal health care system provides equitable opportunity and access to health, yet this is not necessarily the case, especially for marginalized populations. The purpose of this paper is to conceptualize how marginalized, yet resilient, communities are able to build capacity and contribute to their own learning about health.

Environmental scan, state of the field review and community consultations on a national scale.

For adults living in rural and remote areas that fall below health norms, health knowledge and care is often not enough to build capacity and support resilient communities. More learning needs to be done by all members of community and government.

Consultations with selected members of marginalized populations and their service providers reveal a cross‐community, cross‐sector and cross‐government focus on addressing the social determinants of health is needed to increase individual capacity.

Consultations with community members and their service providers reveal rich information about the state of health and learning in selected areas across Canada. Using literature on health and learning as a framework, this paper discusses challenges and promising practices in terms of participants' abilities to sustain their own and their communities' health and learning.

This chapter considers how mental health care is done in and by digital culture in the UK. The author examines how treatments for anxiety and depression operate in today’s technosocial age of smartphone hegemony. Smartphones, the author argues, offer valuable insight into contemporary health and wellbeing precisely because they are emblematic of the neoliberal production logics, knowledge claims and modes of address that structure this moment in digital culture history. The author also shows how this moment is the outcome of key shifts in computing hardware, software, and content. Empirically, this research focusses on mapping Britain’s terrain of smartphone interventions for anxiety and depression. Working from a dataset of 635 apps, the author develops a four-part framework for understanding products and services in this crowded marketplace relative to an app’s (1) intended audience; (2) communicative affordances; (3) business model; and (4) therapeutic approach. Through this framework, the author proposes the notion of me apps to codify the individualised, commercialised, and desocialised mode of address enacted by most of the apps in the dataset. The author shows that the ideology of me apps, and the modes of address they employ, frame mental illness as an individual problem and regard treatment as an individual endeavour. The end of the chapter considers the possibility of an alternative vision for designing technologies of mental wellbeing.