Recognizing and mediating bureaucratic barriers: increasing access to care through small and medium-sized private providers in Kenya.

ABSTRACT: Background: Equitable access to health services can be constrained in countries where private practitioners make up a large portion of primary care providers. Expanding purchasing arrangements has helped many countries integrate private providers into government-supported payment schemes, reducing financial barriers to care. However, private providers often must go through an onerous accreditation process to enroll in these schemes. The difficulties of this process are exacerbated where health policy is changed often and low-level bureaucrats must navigate these shifts at their own discretion. This paper analyzes one initiative to increase private provider accreditation with social health insurance (SHI) in Kenya by creating an intermediary between providers and "street-level" SHI bureaucr

SUBMITTER: Suchman L 

PROVIDER: S-EPMC8649627 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature