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100 _a Bali, Azad Singh and Ramesh, M.
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245 _aGoverning healthcare in India: A policy capacity perspective
260 _aInternational Review of Administrative Sciences
300 _a87(2), Jun, 2021: p.275-293
520 _aAfter decades of neglect, in 2008, the Indian government launched a national health insurance programme to address the needs of the bulk of the population that could not afford healthcare. This was followed by the launch of another national programme in 2018 that further expanded insurance coverage. These schemes envision a large single-payer, insurance-based system covering about 110 million families. The central objective of this article is to assess the government’s capacity to implement these ambitious programmes. We employ the policy capacity framework developed by Wu et al. to examine the types of capacities needed to achieve desired objectives in the health sector. The central argument of the article is that there are critical capacity deficits, especially along operational dimensions. Our conclusions are generalisable to other middle-income countries currently in the process of implementing similar prospective-payment health policy reforms. Reproduced
650 _aHealthcare governance, Health systems, Health policy, Health reform, India, Policy capacity, Universal coverage
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773 _aInternational Review of Administrative Sciences
906 _aHEALTH SERVICES - INDIA
942 _cAR