First, authors, referees, and funders provider valuable services that enhance the same final product, competing with the publishers' claim to exclusive rights....Second, a significant fraction of publisher revenue doesn't come from the value they add but from price increases made possible by monopoly power and market dysfunction.
Although these valuable initiatives have been used to generate research priorities, they have not been used to address the practical difficulties faced by services needing to achieve cost-effective and evidence-based improvements, which also address the priorities of a comprehensive range of stakeholders (including funders, providers and users).
They are supplemented with risk sharing between funder and provider, and with compensatory factors for structural differences.
Critics see medical tourism as an expression of health care commodification, highlighting the Malaysian state's multiple roles as funder and provider of public-sector health care, regulator, and pre-eminent investor in commercial health care.
Over the last two decades, Bulgaria has shared with many other countries in Central and Eastern Europe the challenge of moving from a Soviet-style health system, in which the state was the main funder and provider of health services, to a more pluralist system with a variety of funding sources, including a health insurance system, and a stronger role of the private sector.
Mixed methods research that imparts perspectives of policy makers and funders, service providers and patients in addition to objective health outcomes could provide a more comprehensive understanding of how PHC attributes may impact on health outcomes.
We conclude that the current status of health camps is ambiguous given the pressures of deinstitutionalisation philosophies and the regulatory environment of formal contracts between funders and providers.
These are the moments when patients and families crave a system where the funders and providers are working together to offer whole-person and whole-family care.
Nominet Trust's speedmatching event last week, facilitated by the Media Trust, brought together 60 social entrepreneurs, funders, commercial providers, academics and policy makers to explore the potential for collaboration around technology for social change.
