Brokerage


Picture credit: Benjamin Hunter

People face difficult decisions when they try to access healthcare, yet they often lack reliable information with which to make those decisions. This provides commercial opportunities for intermediaries to facilitate – or ‘broker’ – access to healthcare.

We examine how these systems of brokerage emerge in the healthcare sector and their implications for healthcare access. An initial framework for the approach was set out in Dr Ben Hunter’s article on informal systems of brokerage that emerged during a development aid-funded programme for urban slum communities in Uttar Pradesh, India. Recent work, funded by the Wellcome Trust, has extended this analysis to consider the more formalised systems of brokerage that exist to facilitate domestic and international access to healthcare in Delhi and London.

Publications

Hunter BM. Going for brokerage: strategies and strains in commercial healthcare facilitationGlobalization and Health 16, 49

Hunter BM, Bisht R & SF Murray. 2020. Neoliberalisation enacted through development aid: the case of health vouchers in India. Critical Public Health, DOI: 10.1080/09581596.2020.1770695

Hunter, BM. (2018) Brokerage in commercialised healthcare systems: A conceptual framework and empirical evidence from Uttar Pradesh. Social Science & Medicine, 202:128-135. [Open access version available here]

 

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