Participation of delivering private hospital services in universal health coverage: A systematic scoping review of the developing countries’ evidence
نویسندگان
1 Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2
doi
چکیده
There is a lack of conceptual clarity about the role of delivering private hospital services(DPHS) accompanied by major gaps in evidence. The purpose of this systematic scopingreview was to identify and map the available evidence regarding the developing countriesto scrutinize the participation of DPHS exclusively in the universal health coverage (UHC)through providing graphical/tabular classifications of the bibliometric information, sourcesof the records, frequent location, contribution of the private hospital services in the healthsystem, and roles of DPHS in UHC. This study was performed following the publishedmethodological guidance of the Joanna Briggs Institute for the conduct of scoping review,applying some major databases and search engines. In addition, a narrative-thematicsynthesis integrated with the systematic analysis using the policy framework of the WorldHealth Organization was employed. The 28 included records in English which met theinclusion criteria were found between 2014 and January 2020. The chronological trend ofrecords was progressive until 2019. India was the most frequent location (12%). China andSri Lanka on the one end of the spectrum and Somalia along with South Korea from theother end were, respectively, the least and the most contributed countries in terms of DPHS.Overall, 90% of the roles were concerned with UHC goals. Although evidence has revealedinconsistency in the identified roles, a continuous chain of positive or negative effects in theUHC objectives and goals was observed. Some knowledge gaps about the roles, causes ofthe increasing and decreasing DPHS contribution, and its behaviors around the privatizationtypes and circumstances of the delivery were recommended as prioritized research agendasfor evidence-based policymaking in future.