Manifestations Of Inequality In Cairo’s Public And Private Hospitals

Authors: Hisham Shokr*, University of Toronto - Mississauga, Daniel A Louis , Shamseya - Egyptian health-advocacy NGO
Topics: Medical and Health Geography, Middle East, Political Geography
Keywords: Health geography, privatization, access to care, quality of care
Session Type: Paper
Day: 4/12/2018
Start / End Time: 10:00 AM / 11:40 AM
Room: Estherwood, Sheraton, 4th Floor
Presentation File: No File Uploaded

Healthcare is one of many social services that have faced extensive privatization over the past several decades, specifically in the neoliberal configuration of global capitalism. Focusing on the case of Cairo, Egypt, my core research question is the following: how are inequalities with respect to access to care and quality of care manifested in publicly versus privately managed hospitals? Academic literature, on inequalities related to healthcare and well-being in Egypt, seems to be lacking a geographic perspective. In this gap, I centralize the places and infrastructure where care is sought, notably public and private hospitals. Furthermore, a political economy approach will allow for multi-scalar connections to be made between disparities in healthcare provisioning and broader processes that drive privatization of public services, such as the neoliberal project as it has unfolded in Egypt and abroad. During four months of fieldwork from October 2017 to February 2018, I plan to collect data through: 1) in-depth interviews with health personnel who work in the public and/or private sector, and 2) site observations while shadowing doctors throughout their workdays. To conduct a more comprehensive investigation of the research question, qualitative data that is collected during fieldwork will be complemented by quantitative data collected by the Cairo-based health advocacy NGO Shamseya. This NGO has conducted “Patient-Centred Performance Appraisals” in several hundred hospitals across Cairo, providing each assessed hospital with an overall “Appraisal Score” that is based on more than one hundred individual criteria.

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