Table 3.

The AAAQ and the role of the private sector in health care

Availability
Is the availability of goods, services, and personnel ensured in the health system, despite the involvement of private actors?
Accessibility
Non-discrimination	Are sufficient health services available to secure the needs of vulnerable populations? Do private actors provide the services in such a manner that they are equally accessible, taking into account the needs of vulnerable populations?
Physical accessibility	Does the involvement of private actors affect the geographic accessibility of health care services?
Affordability	Does private sector involvement make the health care more expensive, either when paid with public funding or by citizens? Does private sector involvement lead to increased out-of-pocket expenditures?
Informational accessibility	Does private actor involvement affect patients’ ability to make informed choices? Are patients sufficiently informed about the quality and conditions of their private care?
Acceptability
Is the private care respectful of medical ethics and culturally appropriate (respectful of the cultures of individuals, minorities, peoples, and communities)? Is the private care sensitive to gender and life-cycle requirements, as well as designed to respect confidentiality and improve the health status of those concerned? Does the private health insurance accept all patients, or does it select them on the basis of their health or financial status?
Quality
Do private health facilities guarantee a certain quality of care? Do practitioners who work in private health clinics receive proper training?