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Research Article

Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review

  • Sanjay Basu mail,

    sanjay.basu@ucsf.edu

    Affiliations: Department of Medicine, University of California, San Francisco, California, United States of America, Division of General Internal Medicine, San Francisco General Hospital, San Francisco, California, United States of America, Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom

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  • Jason Andrews,

    Affiliation: Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, United States of America

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  • Sandeep Kishore,

    Affiliation: Tri-Institutional MD-PhD Program, Weill Cornell Medical College/Rockefeller University/Sloan-Kettering Institute, New York, New York, United States of America

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  • Rajesh Panjabi,

    Affiliation: Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America

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  • David Stuckler

    Affiliations: Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom, Department of Sociology, Cambridge University, Cambridge, United Kingdom

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  • Published: June 19, 2012
  • DOI: 10.1371/journal.pmed.1001244

About the Authors

Sanjay Basu
Department of Medicine, University of California, San Francisco, California, United States of America
Sanjay Basu
Division of General Internal Medicine, San Francisco General Hospital, San Francisco, California, United States of America
Sanjay Basu, David Stuckler
Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
Jason Andrews
Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts, United States of America
Sandeep Kishore
Tri-Institutional MD-PhD Program, Weill Cornell Medical College/Rockefeller University/Sloan-Kettering Institute, New York, New York, United States of America
Rajesh Panjabi
Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
David Stuckler
Department of Sociology, Cambridge University, Cambridge, United Kingdom

Corresponding Author

Email: sanjay.basu@ucsf.edu

Competing Interests

The authors have no competing financial interests. SB, JA, SK and RP are employed at academic medical centers, which receive public sector research finances but also receive revenue through private sector fee-for-service medical transactions and private foundation grants. RP serves on the board of a nonprofit organization (Tiyatien Health) that provides health services in Liberia with approval from and in collaboration with the government and through receipt of private foundation funding, but has received no compensation for this role. SB and JA serve on the board of a nonprofit organization (Nyaya Health) that provides health services in rural Nepal using funds received from both private foundations and the Nepali government; they have also not received compensation for these roles.

Author Contributions

Conceived and designed the experiments: SB JA DS RP. Performed the experiments: SB JA. Analyzed the data: SB JA. Wrote the first draft of the manuscript: SB JA DS. Contributed to the writing of the manuscript: SB JA DS SK RP. ICMJE criteria for authorship read and met: SB JA DS SK RP. Agree with manuscript results and conclusions: SB JA DS SK RP.