Exploring a Public/Private Nexus of Health Care Provision: Ideas, Regulatory Frameworks, and Adaptability
This paper consists of two parts. First it analyzes why the government introduced the concept “pseudo-public” by considering historical development of the health system. This question will be analyzed with the following the two accompanied questions: why those private and “pseudo-public” providers were not absorbed into the government sector; and why local and national government did not expanded their provision to the extent that “pseudo-public” providers would not be necessary. In answering them, the paper considers ideas of “public” and “private”, historical development of regulatory frameworks on healthcare, and adaptability of healthcare markets.
Second, the paper analyzes recent transformation in which public/private distinction has become clearer, where local and national governments’ ownership of providers decrease and regulatory frameworks on the healthcare markets are modified. What external pressures, e.g. pressures for cost containments, have changed ideas, regulatory frameworks, and adaptability will be examined.
Finally, the paper critically considers the three concepts used in analysis and gives perspectives for future research.