Bulletin of the World Health Organization
Print version ISSN 0042-9686
PERROT, Jean. Is contracting a form of privatization?. Bull World Health Organ [online]. 2006, vol.84, n.11, pp.910-911. ISSN 0042-9686. http://dx.doi.org/10.1590/S0042-96862006001100017.
Contracting is often seen as a form of privatization, with contracts functioning as the tool that makes privatization possible. But contracting is also viewed by some as a means for the private sector to expand in a covert way its presence within the health sector. This article discusses the wider meaning of the term privatization in the health sector and the ways in which it is achieved. Privatization is seen here not simply as an action that leads to a new situation but also as one that leads to a change in behaviour. It is proposed that privatization may be assessed by looking at the ownership, management, and mission or objectives of the entity being privatized. Discussed also is the use of contracting by the state as a tool for state interventionism that is not based on authoritarian regulation.