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Trade in health services.

Rupa Chanda1

  • 1Indian Institute of Management, Bangalore, India. rupa@iimb.ernet.in

Bulletin of the World Health Organization
|April 16, 2002
PubMed
Summary

Globalization in health services trade offers mixed benefits. Policy interventions are crucial to mitigate risks like "brain drain" and enhance equitable access, efficiency, and quality in healthcare delivery.

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Trade in health-related services.

Lancet (London, England)·2009

Area of Science:

  • Global Health
  • Health Economics
  • International Trade Law

Background:

  • The health sector is increasingly globalized, necessitating an understanding of international health services trade.
  • The General Agreement on Trade in Services (GATS) provides a framework for characterizing trade in health services across different modes.

Purpose of the Study:

  • To examine the various modes of health services trade.
  • To analyze the implications of health services trade on healthcare equity, efficiency, quality, and access.
  • To identify policy measures for mitigating adverse consequences and maximizing benefits of health services trade.

Main Methods:

  • Analysis of trade modes as defined by the General Agreement on Trade in Services (GATS).
  • Examination of cross-border service delivery (physical and electronic), consumer and professional mobility, and capital flows.
  • Assessment of positive and negative impacts on healthcare equity, efficiency, quality, and access.

Main Results:

  • Health services trade yields mixed benefits, with both positive and negative implications.
  • The impact of trade is contingent upon existing health sector structures, regulations, policies, and infrastructure.
  • Specific policy areas include addressing "brain drain," enhancing health sector investment, and fostering public-private linkages for equity.

Conclusions:

  • Policy measures are essential to manage the complexities of health services trade and ensure equitable outcomes.
  • Improved data collection and research are needed to better understand the magnitude and implications of health services trade.
  • Strategic policies and safeguards are necessary to harness the advantages of globalization in the health sector.

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