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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
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Outsourcing Policy-Related Functions in Australia: Health and Equity Impacts.

Julia Anaf1, Toby Freeman1, Fran Baum1

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International Journal of Social Determinants of Health and Health Services
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Summary
This summary is machine-generated.

Australian public sector outsourcing to consultants has prioritized private interests over public health and equity. Rebuilding public sector capacity is crucial for better outcomes.

Keywords:
democracyequityhealthoutsourcingprivatization

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Area of Science:

  • Public Administration
  • Health Policy
  • Socioeconomics

Background:

  • Australian public sector reforms driven by neoliberal policies and New Public Management since the 1990s.
  • Significant increase in privatization and outsourcing of government services, policy, and decision-making to private sector firms.
  • Limited understanding of the health and equity impacts of this extensive outsourcing.

Purpose of the Study:

  • To investigate the health and equity impacts of private sector involvement in the Australian public sector.
  • To analyze the consequences of outsourcing government functions to external consultants.
  • To identify strategies for mitigating negative impacts and promoting public interests.

Main Methods:

  • Qualitative research approach.
  • Data collection via documents, website searches, Hansard transcripts, media items, and semi-structured interviews (n=11).
  • Thematic analysis to identify key trends and issues.

Main Results:

  • Six key themes emerged: scope of outsourcing, consultants' strategies, conflicts of interest, undermining public sector capacity, poor public outcomes, and equity implications.
  • Outsourcing has led to the prioritization of private interests over public good.
  • Instances of conflicts of interest and negative impacts on public service delivery were identified.

Conclusions:

  • Extensive use of consultants in the Australian public sector has compromised public interests, health, and equity.
  • While specialized expertise may necessitate external engagement, current levels are excessive.
  • Rebuilding internal public sector capacity is essential to safeguard public interests and promote health and equity.