CiteULike | Further Information

• {"link"=>{"url"=>"http://www.citeulike.org/user/alexhakkinen/article/11835857"}, "post_time"=>"2012-12-08 16:57:43", "tag"=>"no-tag", "linkout"=>{"type"=>"DOI", "url"=>"http://dx.doi.org/10.1371/journal.pmed.1001244"}, "username"=>"alexhakkinen", "article_id"=>"11835857"}

Mendeley | Further Information

{"title"=>"Comparative performance of private and public healthcare systems in low- and middle-income countries: A systematic review", "type"=>"journal", "authors"=>[{"first_name"=>"Sanjay", "last_name"=>"Basu", "scopus_author_id"=>"9335409500"}, {"first_name"=>"Jason", "last_name"=>"Andrews", "scopus_author_id"=>"15058787200"}, {"first_name"=>"Sandeep", "last_name"=>"Kishore", "scopus_author_id"=>"35612967500"}, {"first_name"=>"Rajesh", "last_name"=>"Panjabi", "scopus_author_id"=>"24723048100"}, {"first_name"=>"David", "last_name"=>"Stuckler", "scopus_author_id"=>"23568944000"}], "year"=>2012, "source"=>"PLoS Medicine", "identifiers"=>{"scopus"=>"2-s2.0-84864690981", "doi"=>"10.1371/journal.pmed.1001244", "sgr"=>"84864690981", "arxiv"=>"e1001244", "isbn"=>"1549-1676 (Electronic)\\r1549-1277 (Linking)", "pmid"=>"22723748", "issn"=>"15491277", "pui"=>"365397530"}, "id"=>"268fa3e3-60bc-3bfa-919f-12aa71530a5e", "abstract"=>"INTRODUCTION: Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries.\\n\\nMETHODS AND FINDINGS: Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of \"private sector\" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. \"Competitive dynamics\" for funding appeared between the two sectors, such that public funds and personnel were redirected to private sector development, followed by reductions in public sector service budgets and staff.\\n\\nCONCLUSIONS: Studies evaluated in this systematic review do not support the claim that the private sector is usually more efficient, accountable, or medically effective than the public sector; however, the public sector appears frequently to lack timeliness and hospitality towards patients.", "link"=>"http://www.mendeley.com/research/comparative-performance-private-public-healthcare-systems-low-middleincome-countries-systematic-revi-5", "reader_count"=>650, "reader_count_by_academic_status"=>{"Unspecified"=>20, "Professor > Associate Professor"=>20, "Librarian"=>1, "Researcher"=>90, "Student > Doctoral Student"=>46, "Student > Ph. D. Student"=>87, "Student > Postgraduate"=>52, "Student > Master"=>193, "Other"=>34, "Student > Bachelor"=>62, "Lecturer"=>18, "Lecturer > Senior Lecturer"=>15, "Professor"=>12}, "reader_count_by_user_role"=>{"Unspecified"=>20, "Professor > Associate Professor"=>20, "Librarian"=>1, "Researcher"=>90, "Student > Doctoral Student"=>46, "Student > Ph. D. Student"=>87, "Student > Postgraduate"=>52, "Student > Master"=>193, "Other"=>34, "Student > Bachelor"=>62, "Lecturer"=>18, "Lecturer > Senior Lecturer"=>15, "Professor"=>12}, "reader_count_by_subject_area"=>{"Unspecified"=>34, "Agricultural and Biological Sciences"=>24, "Arts and Humanities"=>7, "Philosophy"=>3, "Business, Management and Accounting"=>81, "Chemistry"=>1, "Computer Science"=>9, "Decision Sciences"=>2, "Economics, Econometrics and Finance"=>41, "Engineering"=>11, "Environmental Science"=>6, "Nursing and Health Professions"=>52, "Biochemistry, Genetics and Molecular Biology"=>4, "Materials Science"=>1, "Mathematics"=>3, "Medicine and Dentistry"=>247, "Pharmacology, Toxicology and Pharmaceutical Science"=>5, "Physics and Astronomy"=>1, "Psychology"=>10, "Social Sciences"=>103, "Immunology and Microbiology"=>4, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>247}, "Social Sciences"=>{"Social Sciences"=>103}, "Decision Sciences"=>{"Decision Sciences"=>2}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>10}, "Mathematics"=>{"Mathematics"=>3}, "Unspecified"=>{"Unspecified"=>34}, "Environmental Science"=>{"Environmental Science"=>6}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>5}, "Arts and Humanities"=>{"Arts and Humanities"=>7}, "Engineering"=>{"Engineering"=>11}, "Chemistry"=>{"Chemistry"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>41}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>24}, "Computer Science"=>{"Computer Science"=>9}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>81}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>52}, "Linguistics"=>{"Linguistics"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}, "Philosophy"=>{"Philosophy"=>3}}, "reader_count_by_country"=>{"United States"=>7, "Malaysia"=>1, "Portugal"=>1, "Saudi Arabia"=>1, "Netherlands"=>2, "Brazil"=>2, "Slovenia"=>1, "Nigeria"=>5, "France"=>2, "Colombia"=>2, "Tanzania"=>2, "United Kingdom"=>7, "Ghana"=>2, "Kenya"=>1, "Spain"=>6, "India"=>3, "Canada"=>1, "Bangladesh"=>1, "Turkey"=>1, "South Africa"=>4, "Uganda"=>1, "Mexico"=>1, "Peru"=>1, "Germany"=>1, "Indonesia"=>5, "Estonia"=>1}, "group_count"=>23}

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• {"url"=>"http%3A%2F%2Fjournals.plos.org%2Fplosmedicine%2Farticle%3Fid%3D10.1371%252Fjournal.pmed.1001244", "share_count"=>14, "like_count"=>26, "comment_count"=>11, "click_count"=>0, "total_count"=>51}

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• {"type"=>"COMMENT", "annotationUri"=>"info:doi/10.1371/annotation/4a4bcb73-1dda-4607-8556-72c31ff3cb1f", "title"=>"Lack of Clarity over Review of the Private Sector ", "body"=>"In their recent article (Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review. PLoS Medicine, 2012 9(6) e1001244) Basu et al. acknowledge the highly contentious debate that exists regarding the appropriate scale of public and private health sectors in low- and middle-income countries, and set out to review the evidence on the relative performance of these sectors on each essential health system element identified by the World Health Organization. \n\nThe evidence presented in their review draws attention to the complexity of such a comparison across countries, health areas, and types of private healthcare provider. For example, how to disaggregate information on formal vs. informal private providers in a useful way? They find wide variety in the relative quality and performance of public and private providers. Not surprisingly, the authors highlight the need for more rigorous comparative research prior to making determinations about the proper role of public or private sector health services. Given the lack of strong data, the authors conclude that there is insufficient evidence to support assertions of greater efficiency and effectiveness in the private sector. \n\nThis conclusion is broadly in line with prior reviews of healthcare delivery systems that show distinct strengths and weaknesses within both public and private sectors (Berendes et al. 2011; Montagu et al. 2011). However despite the good intentions of their work, the review conclusions are of limited utility due to a number of methodological weaknesses. The authors’ lack of transparency regarding their review process – particularly the methods used for including papers and assessing data – call into question the validity of the findings and strength of the conclusions.\n\nOf greatest concern is the authors’ approach to selecting studies for inclusion in the review. The accurate assessment of the relative performance by private and public healthcare delivery systems requires analysis of only those studies that directly compare these two sectors. This would seem obvious, and is a stated intention of the paper, however the study inclusion criteria do not limit the review to comparative studies, and the authors include many studies that evaluate the performance of a single sector on dimensions of quality of care, patient outcomes, fairness and equity, and efficiency.\n\nThe resulting narrative summary is therefore misleading. To demonstrate that the private sector has poorer patient outcomes, the authors point to a study in Botswana on the impact of out-of-pocket costs for HAART (Bisson et al. 2006). However, this study was conducted exclusively within a private clinic and its conclusions cannot support the relative cost or outcomes of private vs. public facilities. Similarly, the authors use a study on infertility treatment services in Brazil to demonstrate lower service availability in the public sector; despite the fact that the study does not evaluate private service availability (Makuch et al. 2010). Over-reaching conclusions such as these, and the inclusion of both comparative and, selectively we presume, non-comparative studies, suggests biases in the review, a perspective which is supported in other areas of the paper. What can we make of a statement such as: “nine retrospective chart reviews and survey-based studies found that diagnostic accuracy and adherence to medical management standards were worse among private than public sector care providers”, when the papers referenced include studies which show no such comparison (Auer et al. 2006, Udwadia et al. 2010)?\n\nGiven the low quality of health care in low- and middle-income countries, it is clear that interventions to improve the equity and efficacy of healthcare delivery systems are needed. The contentious political debate about the role of private and public healthcare sectors in strengthening overall healthcare delivery requires impartial research on the relative performance of these sectors. The paper by Basu et al. is a commendable effort to add to what is a thin body of knowledge. We do not disagree with the conclusions, but we are dismayed that they are reached on the basis of insufficient and non-transparent data, weakening them significantly. Because the inclusion criteria used by Basu et al. are not clear, and their mixing of both comparative and single-sector data appears to be agenda-driven, much of the value of this paper is lost when read by an informed audience. This is a great shame, but effectively puts the challenge to researchers around the world to conduct a more rigorous version of this analysis to usefully inform policy makers, funders, and other academics. \n\nSincerely,\nDominic Montagu and Naomi Beyeler\nPrivate Sector Healthcare Initiative, Global Health Group, University of California, San Francisco\n\n\nReferences: \nAuer C et al. (2006). Diagnosis and Management of Tuberculosis by Private Practitioners in Manila, Philippines. Health Policy, 77:172 – 181.\n\nBasu J et al. (2012). Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review. PLoS Medicine, 9(6) e1001244\n\nBerndes S. et al. (2011) Quality of Private and Public Ambulatory Health Care in Low and Middle Income Countries: Systematic Review of Comparative Studies. PLoS Med 8(4): e1000433. \nBisson, GP et al. (2006). Out-of-Pocket Costs of HAART Limit HIV Treatment Responses in Botswana’s Private Sector. AIDS, 20(9):1333 – 1336.\n\nMakuch, MY et al. (2010). Low Priority Level for Infertility Services Within the Public Health Sector: A Brazilian Case Study. Human Reproduction, 25(2):430 – 435.\n\nMontagu D et al. (2011) Private versus public strategies for health service provision for improving health outcomes in resource-limited settings. San Francisco, CA: Global Health Sciences, University of California, San Francisco, ISBN: 978-1-907345-18-0\nUdwadia ZF et al. (2010). Tuberculosis Management by Private Practitioners in Mumbai, India: Has Anything Changed in Two Decades? PLoSONE 5(8): e12023.\n", "isRemoved"=>false, "created"=>"2012-08-29T23:19:42Z", "lastModified"=>"2012-08-29T23:19:42Z", "creator"=>{"userId"=>"137777"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>true, "body"=>"We are both researchers with an explicit focus on analysis of practices, use, and policy issues related to private provision of care in Low- and Middle-Income Countries. In this capacity we collaborate with donors, governments, NGOs, and occasionally with private provider associations. DM has written on this topic in the past, and is cited in the current paper. DM also teaches on policy issues related to private primary and tertiary care."}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001244", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>1, "mostRecentActivity"=>"2012-09-07T22:36:38Z", "replies"=>[{"type"=>"REPLY", "parentID"=>53719, "annotationUri"=>"info:doi/10.1371/reply/a112f0e9-ee28-44d2-a75c-f3c81c9d5488", "title"=>"RE: Lack of Clarity over Review of the Private Sector ", "body"=>"We appreciate the commentary from our colleagues and actually agree with their conclusions concerning data quality, which was a major conclusion from our article. However, we'd like to clarify misunderstandings of the study's methods and respond to their comments, which are at times inaccurate.\n\nFirst, we were struck by the undertone of their commentary, and specifically wondered why these commentators appeared so vexed by our results as to curiously alter the nature of our review when making their claims. When we investigated further, it appears that these commentators have not disclosed notable conflicts of interest—for example, they have been funded by Exxon and related groups to focus on, and apparently promote, the private sector delivery of healthcare in developing countries [1,2,3,4]. \n\nSecond, the authors’ claim that a review should be isolated to studies which directly compare public and private sectors; they took several citations out of context to claim that we inaccurately cited them, without noting that we compared data between studies, not just data within studies. We specifically noted in the introduction to our manuscript that a parallel review published in this journal was incorporating only internally comparative studies [5], and our review would focus on a broader field of studies. Indeed, private-sector proponents had previously criticized academic scientists for excluding documents from private sector and development institutions, which often only contain information on the private sector. A peer reviewer of our study noted that the study “included a wider range of articles, which is perhaps a better representation of what is currently known about this area. “ Simply isolating a review to only documents with internal comparison of two systems would of course obviate some of the utility of systematic reviews, which is to provide comparisons among multiple data sources. For instance, if two hospitals serve a similar catchment population or are supposed to follow a standard international protocol, we would expect similar outcomes from them for a given healthcare metric, or to be able to compare them against an international goal. In their response to our article, the commentators take references out of context when we performed such comparisons, and instead presented citations inappropriately to claim inaccuracy in the analysis.\n\nNext, the commentators suggest the study lacks clarity and transparency, but in fact our manuscript fulfills all PRISMA systematic review criteria (the highest international standard for systematic reviews [6]) and includes a replicated protocol and full inclusion and exclusion criteria as well as complete review process details. It was peer-reviewed by four reviewers who noted “the authors appear to have made great efforts to perform an objective review through both the use of rigorous and standardized methods, a data extraction auditing process, transparency of reporting, and carefully developed and worded conclusions.”\n\nWe do, however, agree with the commentators when they suggest that contentious debate seems to derail data-driven discussions about the private and public sectors. We found that these commentators appear to make similar commentaries in other journals when study results disagree with their agenda; for instance, these commentators previously attacked a report in the BMJ, making claims that were later found to be grossly distorted [7]. The commentators’ recent reports about private versus public sector outcomes also seems to include marked misuse of data and failure to report conflicts of interest [8]. \n\nFor example, the authors cite two studies and claim that they demonstrate “the higher cost of health services provision in the public sector.” The first was a study by Eggleston and colleagues [9], which contained no data, much less comparative data, on the costs of care in public versus private sector. Montagu and colleagues base their inference of higher costs on the comment in the paper that government hospitals, which are substantially larger and had more beds occupied, have more expensive medical equipment and physicians. A per capita cost is impossible to deduce, particularly as no cost data was presented in the referenced article. For the authors to claim that costs are shown to be higher based on such reports is incredible and betrays profound bias.\n\nThe second paper cited for this conclusion presented virtually no information at all about costs and resource use, unless the 65% default rate from treatment in the private sector was inferred to somehow represent cost-savings [10]. The authors went on to summarize this study has having “equal outcomes” despite, as the title suggests, statistically worse outcomes in private compared with public clinics (35% treatment success compared with 82% treatment success for smear positive TB patients, 55% versus 95% for smear negative TB patients).\n\nComparative studies indeed are valuable but not when their results are imagined or reversed. These are but two examples of what we find to be a troubling broader agenda of these commentators. The commentators should shed light on their own biases, and truthfully divulge their financial and political conflicts of interest when making their commentaries.\n\nReferences\n[1] http://globalhealthsciences.ucsf.edu/about-us/who-we-are/dominic-montagu\n[2] http://globalhealthsciences.ucsf.edu/global-health-group/about-ghg/funding\n[3] http://www.sf4health.org/\n[4] http://www.ps4h.org\n[5] Berendes S, Heywood P, Oliver S, Garner P (2011) Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies. PLoS Med. 8. doi:10.1371/journal.pmed.1000433.\n[6] http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000100\n[7] http://www.bmj.com/rapid-response/2011/11/02/critique-oxfam-paper-inaccurate-unconstructive-and-ideologically-biased\n[8] Montagu D et al. (2011) Private versus public strategies for health service provision for improving health outcomes in resource-limited settings. San Francisco, CA: Global Health Sciences, University of California, San Francisco, ISBN: 978-1-907345-18-0.\n[9] Eggleston K et al. (2010) Comparing public and private hospitals in China: Evidence from Guandong. BMC Health Serv Res; 10: 76.\n[10] Lonnroth K et al. (2003) Private tuberculosis care provision associated with poor treatment outcome: comparative study of a semi-private lung clinic and the NTP in two urban districts in Ho Chi Minh City, Vietnam. Int J Tuberc Lung Dis 7(2): 165-71.\n\n\n", "isRemoved"=>false, "created"=>"2012-09-07T22:36:38Z", "lastModified"=>"2012-09-07T22:36:38Z", "creator"=>{"userId"=>"279593"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>true, "body"=>"The authors have no competing financial interests. SB, JA, SK and RP are employed at academic medical centers, which receive public sector research finances but also receive revenue through private sector fee-for-service medical transactions and private foundation grants. RP serves on the board of a nonprofit organization (Tiyatien Health) that provides health services in Liberia with approval from and in collaboration with the government and through receipt of private foundation funding, but has received no compensation for this role. SB and JA serve on the board of a nonprofit organization (Nyaya Health) that provides health services in rural Nepal using funds received from both private foundations and the Nepali government; they have also not received compensation for these roles."}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001244", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2012-09-07T22:36:38Z", "replies"=>[]}]}

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• {"id"=>"1303847544263290881", "text"=>"(Andrews, Kishore, Panjabi, Stuckler) https://t.co/mCQLgOOoZv", "created_at"=>"2020-09-10T00:07:33Z", "user"=>"Trevorsocial", "user_name"=>"Trevor Delker", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1227405972471083008/qmDTYItE_normal.jpg"}
• {"id"=>"215198858223943680", "text"=>"Gestion privada < publica #PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/Coh8cRn5", "created_at"=>"2012-06-19T21:46:20Z", "user"=>"bmassutis", "user_name"=>"Bartomeu Massuti", "user_profile_image"=>"http://a0.twimg.com/profile_images/1986762336/B.Massuti_normal.jpg"}
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• {"id"=>"215208815245799425", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: Systematic Review http://t.co/o50xdbLn", "created_at"=>"2012-06-19T22:25:54Z", "user"=>"peterjgill", "user_name"=>"Peter Gill", "user_profile_image"=>"http://a0.twimg.com/profile_images/2215716937/Stethoscope_cropped_normal.jpg"}
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• {"id"=>"215239824498630656", "text"=>"RT @eqpaho: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries PloS http://t.co/qrHXb3yU", "created_at"=>"2012-06-20T00:29:07Z", "user"=>"mferna", "user_name"=>"Mariano Fernández S", "user_profile_image"=>"http://a0.twimg.com/profile_images/138051320/mariano_normal.jpg"}
• {"id"=>"215252733148663808", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/txKxpxbt", "created_at"=>"2012-06-20T01:20:25Z", "user"=>"V_Bachelet", "user_name"=>"Vivienne Bachelet", "user_profile_image"=>"http://a0.twimg.com/profile_images/2111230368/amaya2_normal.jpg"}
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• {"id"=>"215260965980217345", "text"=>"Interesting private vs public healthcare paper from @PLoSMedicine We need more stuff like this #healthcare #health http://t.co/Q9VOud2o", "created_at"=>"2012-06-20T01:53:08Z", "user"=>"philipcrobinson", "user_name"=>"Philip Robinson", "user_profile_image"=>"http://a0.twimg.com/profile_images/2090834223/largehansa-3084-kiwi-bird_normal.jpg"}
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• {"id"=>"215332811396231169", "text"=>"(PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/KEqfkYSL Rev Sist", "created_at"=>"2012-06-20T06:38:37Z", "user"=>"rincondesisifo", "user_name"=>"Carlos F. Oropesa", "user_profile_image"=>"http://a0.twimg.com/profile_images/2271975739/qmgtpe65e2juev81yaot_normal.jpeg"}
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• {"id"=>"215351739010916353", "text"=>"RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/KEqfkYSL Rev Sist", "created_at"=>"2012-06-20T07:53:50Z", "user"=>"evidpediatria", "user_name"=>"Evid Pediatría", "user_profile_image"=>"http://a0.twimg.com/profile_images/802270934/logosquare-EVP-color__1__normal.jpg"}
• {"id"=>"215353072938000385", "text"=>"RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/KEqfkYSL Rev Sist", "created_at"=>"2012-06-20T07:59:08Z", "user"=>"caxiito", "user_name"=>"♪ TRISHA.", "user_profile_image"=>"http://a0.twimg.com/profile_images/2234248071/instagr.am_normal.jpg"}
• {"id"=>"215353916114747394", "text"=>"RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/BlwIJzf8 Rev Sist", "created_at"=>"2012-06-20T08:02:29Z", "user"=>"JoseLuisQ", "user_name"=>"Jose Luis Quintana", "user_profile_image"=>"http://a0.twimg.com/profile_images/2203671788/Ojo_normal.png"}
• {"id"=>"215355944194945024", "text"=>"RT @JoseLuisQ: RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/BlwIJ ...", "created_at"=>"2012-06-20T08:10:32Z", "user"=>"enriquegavilan", "user_name"=>"Enrique Gavilán", "user_profile_image"=>"http://a0.twimg.com/profile_images/1444561907/yo_normal.jpg"}
• {"id"=>"215358817955876864", "text"=>"RT @JoseLuisQ: RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/BlwIJ ...", "created_at"=>"2012-06-20T08:21:58Z", "user"=>"SaludHuelva", "user_name"=>"Salud Huelva", "user_profile_image"=>"http://a0.twimg.com/profile_images/2108610393/logo_huelva_normal.png"}
• {"id"=>"215360445966598144", "text"=>"RT @rosermarquet: RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/64 ...", "created_at"=>"2012-06-20T08:28:26Z", "user"=>"RocaAna", "user_name"=>"Ana Roca ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1602390030/P1000125_normal.JPG"}
• {"id"=>"215360488316477440", "text"=>"Private sector healthcare 'no more efficient' than public #NHS http://t.co/GBkLcyDv", "created_at"=>"2012-06-20T08:28:36Z", "user"=>"nigelpraities", "user_name"=>"Nigel Praities", "user_profile_image"=>"http://a0.twimg.com/profile_images/1026492673/mug_shot_crop_normal.jpg"}
• {"id"=>"215365333438042112", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countr... http://t.co/9HKrFiEZ", "created_at"=>"2012-06-20T08:47:51Z", "user"=>"SDHIresearch", "user_name"=>"SDHI ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1511527737/FinalLogo2_edited-1_normal.jpg"}
• {"id"=>"215381063172759553", "text"=>"RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/KEqfkYSL Rev Sist", "created_at"=>"2012-06-20T09:50:21Z", "user"=>"mihmarti", "user_name"=>"Mihmartí", "user_profile_image"=>"http://a0.twimg.com/profile_images/1868154806/IMG_2120_normal.JPG"}
• {"id"=>"215386330149036033", "text"=>"@atm0spheric @UpperGISurg worse on outcomes, and unnecessary tests, better on patient experience - here is a tiny URL http://t.co/sxASzzhv", "created_at"=>"2012-06-20T10:11:17Z", "user"=>"nigelpraities", "user_name"=>"Nigel Praities", "user_profile_image"=>"http://a0.twimg.com/profile_images/1026492673/mug_shot_crop_normal.jpg"}
• {"id"=>"215400359202537472", "text"=>"RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/KEqfkYSL Rev Sist", "created_at"=>"2012-06-20T11:07:02Z", "user"=>"Nichieza", "user_name"=>"Marisa Nicieza", "user_profile_image"=>"http://a0.twimg.com/profile_images/2233080097/foto0002_normal.JPG"}
• {"id"=>"215443426152415232", "text"=>"#Research: Private health care may make u FEEL better treated but you are not + it is less efficient than public sector http://t.co/fcsFJvod", "created_at"=>"2012-06-20T13:58:10Z", "user"=>"DrAminaAitsi", "user_name"=>"Amina Aitsi-Selmi", "user_profile_image"=>"http://a0.twimg.com/profile_images/1266894182/Me_normal.jpg"}
• {"id"=>"215445472624656384", "text"=>"RT @DrAminaAitsi: #Research: Private health care may make u FEEL better treated but you are not + it is less efficient than public sector http://t.co/fcsFJvod", "created_at"=>"2012-06-20T14:06:18Z", "user"=>"COPDdoc", "user_name"=>"Nick Hopkinson", "user_profile_image"=>"http://a0.twimg.com/profile_images/2145124215/16e03101-bd60-4e6c-969c-88448844fd45_normal.png"}
• {"id"=>"215448019632529409", "text"=>"RT @DrAminaAitsi: #Research: Private health care may make u FEEL better treated but you are not + it is less efficient than public sector http://t.co/fcsFJvod", "created_at"=>"2012-06-20T14:16:25Z", "user"=>"jjaimemiranda", "user_name"=>"Jaime Miranda", "user_profile_image"=>"http://a0.twimg.com/profile_images/1207198992/jaime_miranda48_normal.jpg"}
• {"id"=>"215448149941174272", "text"=>"RT @eqpaho: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries PloS http://t.co/CM3o6H3h", "created_at"=>"2012-06-20T14:16:56Z", "user"=>"jjaimemiranda", "user_name"=>"Jaime Miranda", "user_profile_image"=>"http://a0.twimg.com/profile_images/1207198992/jaime_miranda48_normal.jpg"}
• {"id"=>"215448263657140224", "text"=>"RT @davidstuckler: Is public or private healthcare better for developing countries? New PLoSMed systematic review w @sanjayb493: http://t.co/6pOWpwAa", "created_at"=>"2012-06-20T14:17:23Z", "user"=>"jjaimemiranda", "user_name"=>"Jaime Miranda", "user_profile_image"=>"http://a0.twimg.com/profile_images/1207198992/jaime_miranda48_normal.jpg"}
• {"id"=>"215448319797891072", "text"=>"RT @DrAminaAitsi: #Research: Private health care may make u FEEL better treated but you are not + it is less efficient than public sector http://t.co/fcsFJvod", "created_at"=>"2012-06-20T14:17:36Z", "user"=>"tobyornot_", "user_name"=>"toby ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2253949821/image_normal.jpg"}
• {"id"=>"215474945562656770", "text"=>"RT @eqpaho: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries PloS http://t.co/CM3o6H3h", "created_at"=>"2012-06-20T16:03:25Z", "user"=>"lilyeac", "user_name"=>"Lily Alvarez", "user_profile_image"=>"http://a0.twimg.com/profile_images/2174699959/con_ayudantos_y_menzo_normal.jpg"}
• {"id"=>"215479309626916865", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/UZThXlFw /@scottlgreer @martinmckee", "created_at"=>"2012-06-20T16:20:45Z", "user"=>"claudiomendez", "user_name"=>"Claudio A. Méndez", "user_profile_image"=>"http://a0.twimg.com/profile_images/807647191/1047_normal.bmp"}
• {"id"=>"215482191264743424", "text"=>"RT @claudiomendez: #PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/UZThXlFw /@s ...", "created_at"=>"2012-06-20T16:32:12Z", "user"=>"eszmulewicz", "user_name"=>"Esteban Szmulewicz", "user_profile_image"=>"http://a0.twimg.com/profile_images/1592801440/imagen_perfil_normal.jpg"}
• {"id"=>"215496574074232835", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries. http://t.co/MTY5YIcf", "created_at"=>"2012-06-20T17:29:21Z", "user"=>"clanchildhealth", "user_name"=>"CLAN CHILD HEALTH", "user_profile_image"=>"http://a0.twimg.com/profile_images/1022371358/CLAN_Logo_symbol_only_normal.jpg"}
• {"id"=>"215497060051456001", "text"=>"Private healthcare no more efficient, accountable or effective than public sector in low and middle-income countries: http://t.co/ARTiMS7N", "created_at"=>"2012-06-20T17:31:17Z", "user"=>"PLoSMedicine", "user_name"=>"PLoS Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/523318587/plos_medicine_normal.png"}
• {"id"=>"215498690176106496", "text"=>"Comparative Performance of Private & Public Healthcare Systems in LMICs: A Systematic Review http://t.co/6EIyluOP #globalhealth", "created_at"=>"2012-06-20T17:37:46Z", "user"=>"CHMInnovations", "user_name"=>"CHMI", "user_profile_image"=>"http://a0.twimg.com/profile_images/1042965263/chmi_logo_final_h_crop_normal.png"}
• {"id"=>"215499155907420161", "text"=>"Private #healthcare not better than public in #LMIC settings http://t.co/mZPyeYge @PLoSMedicine - maybe lesson for elsewhere too?", "created_at"=>"2012-06-20T17:39:37Z", "user"=>"UCGHR", "user_name"=>"Umeå Global Health", "user_profile_image"=>"http://a0.twimg.com/profile_images/1395754416/UmU_Logo_normal.jpg"}
• {"id"=>"215501124994740225", "text"=>"\"the private sector more frequently violated medical standards of practice and had poorer patient outcomes\" http://t.co/0eTbUw77", "created_at"=>"2012-06-20T17:47:26Z", "user"=>"IrfanDhalla", "user_name"=>"Irfan Dhalla", "user_profile_image"=>"http://a0.twimg.com/profile_images/1799013237/Irfan_Dhalla_2010_normal.jpg"}
• {"id"=>"215502299202732033", "text"=>"RT @claudiomendez: #PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/UZThXlFw /@s ...", "created_at"=>"2012-06-20T17:52:06Z", "user"=>"scottlgreer", "user_name"=>"Scott Greer", "user_profile_image"=>"http://a0.twimg.com/profile_images/1832934322/image_normal.jpg"}
• {"id"=>"215504317707337729", "text"=>"Comparing Private and Public #Healthcare Systems in Low- and Middle-Income Countries @PLoSMedicine http://t.co/dO16GZlv", "created_at"=>"2012-06-20T18:00:07Z", "user"=>"GSSHealth", "user_name"=>"GSS Health", "user_profile_image"=>"http://a0.twimg.com/profile_images/1802486658/lab_tech_w_mic_in_window_normal.jpg"}
• {"id"=>"215504443611942912", "text"=>"Private health care in low and middle income countries is no more efficient or effective than public sector http://t.co/ETh5ly5T", "created_at"=>"2012-06-20T18:00:37Z", "user"=>"trishgreenhalgh", "user_name"=>"Trisha Greenhalgh", "user_profile_image"=>"http://a0.twimg.com/profile_images/1749978296/TRISH_2010_cropped_normal.jpg"}
• {"id"=>"215508777892458497", "text"=>"@rmapalacios mira: Is public or private healthcare better for developing countries? New @PLoSMedicine systematic review http://t.co/f4oYkCsb", "created_at"=>"2012-06-20T18:17:51Z", "user"=>"jjaimemiranda", "user_name"=>"Jaime Miranda", "user_profile_image"=>"http://a0.twimg.com/profile_images/1207198992/jaime_miranda48_normal.jpg"}
• {"id"=>"215509180012961792", "text"=>"Private healthcare no more efficient, accountable or effective than public sector in low and middle-income countries. http://t.co/rqarrWbZ", "created_at"=>"2012-06-20T18:19:27Z", "user"=>"Galindes", "user_name"=>"Carlos Rivera", "user_profile_image"=>"http://a0.twimg.com/profile_images/2126233449/377605_10150385163283746_593993745_8412176_1806921325_n_normal.jpeg"}
• {"id"=>"215511591377043458", "text"=>"En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:29:02Z", "user"=>"DGalleguillos", "user_name"=>"Danny Galleguillos", "user_profile_image"=>"http://a0.twimg.com/profile_images/2207559293/4ca70122-f090-4d34-8b00-4bbe95f35cdd_normal.png"}
• {"id"=>"215511806599368704", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/RzteCfMn", "created_at"=>"2012-06-20T18:29:53Z", "user"=>"macavivent", "user_name"=>"macarena vivent", "user_profile_image"=>"http://a0.twimg.com/profile_images/2160549419/mujer_maravilla_normal.jpg"}
• {"id"=>"215512470293463040", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:32:31Z", "user"=>"matasanos", "user_name"=>"Matasanos", "user_profile_image"=>"http://a0.twimg.com/profile_images/511040345/apple-touch-icon_normal.png"}
• {"id"=>"215512620722171905", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:33:07Z", "user"=>"joseperaltac", "user_name"=>"Jose Peralta", "user_profile_image"=>"http://a0.twimg.com/profile_images/2322599932/21a7c5e0-884d-4bd7-82e1-5beddd961ec1_normal.png"}
• {"id"=>"215512672047874048", "text"=>"En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @Salud1DerechO http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:33:19Z", "user"=>"DGalleguillos", "user_name"=>"Danny Galleguillos", "user_profile_image"=>"http://a0.twimg.com/profile_images/2207559293/4ca70122-f090-4d34-8b00-4bbe95f35cdd_normal.png"}
• {"id"=>"215513310152503296", "text"=>"Proveedores de salud privados frecuentemente violan estándares médicos aceptados y tienen menor eficiencia reportada http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:35:51Z", "user"=>"DGalleguillos", "user_name"=>"Danny Galleguillos", "user_profile_image"=>"http://a0.twimg.com/profile_images/2207559293/4ca70122-f090-4d34-8b00-4bbe95f35cdd_normal.png"}
• {"id"=>"215517578532102144", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:52:49Z", "user"=>"sergiue", "user_name"=>"sergigodi@", "user_profile_image"=>"http://a0.twimg.com/profile_images/2168541822/image_normal.jpg"}
• {"id"=>"215518353320718336", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:55:54Z", "user"=>"IARETUSA", "user_name"=>"IARETUSA", "user_profile_image"=>"http://a0.twimg.com/profile_images/1267071425/NEW_YORK_2010_061_-_copia_normal.JPG"}
• {"id"=>"215518356734877698", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:55:55Z", "user"=>"Laura_Asta", "user_name"=>"Laura Asta", "user_profile_image"=>"http://a0.twimg.com/profile_images/1704109520/anticonceptivos_normal.jpg"}
• {"id"=>"215518475169447939", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:56:23Z", "user"=>"CamiloErazoL", "user_name"=>"Camilo Erazo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2184725425/f00d5ddb-8791-49a8-946e-b53281e8ddc5_normal.png"}
• {"id"=>"215518513375358978", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T18:56:32Z", "user"=>"Sary_M", "user_name"=>"Sary Montenegro", "user_profile_image"=>"http://a0.twimg.com/profile_images/2284416969/IMG-20120531-00835_normal.jpg"}
• {"id"=>"215523002325024768", "text"=>"En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-20T19:14:22Z", "user"=>"matasanos", "user_name"=>"Matasanos", "user_profile_image"=>"http://a0.twimg.com/profile_images/511040345/apple-touch-icon_normal.png"}
• {"id"=>"215523778023792641", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-20T19:17:27Z", "user"=>"tamisancy", "user_name"=>"Tamara Sancy", "user_profile_image"=>"http://a0.twimg.com/profile_images/2318356322/aybs44uw4c5jcnb74se2_normal.jpeg"}
• {"id"=>"215524778872803328", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-20T19:21:26Z", "user"=>"feliPtohme", "user_name"=>"Felipe Tohme", "user_profile_image"=>"http://a0.twimg.com/profile_images/2282917239/goki98vrunrzgigrk0v7_normal.jpeg"}
• {"id"=>"215528355120951297", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-20T19:35:38Z", "user"=>"flopetegui7", "user_name"=>"Fernando Lopetegui", "user_profile_image"=>"http://a0.twimg.com/profile_images/2318174928/X7EM6HiX_normal"}
• {"id"=>"215537166141505537", "text"=>"RT @DGalleguillos: En Salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público cc. @matasanos http://t.co/nuUGu9ik", "created_at"=>"2012-06-20T20:10:39Z", "user"=>"salvadorbegur", "user_name"=>"Salvador Garcia ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1322846312/a8_normal.jpg"}
• {"id"=>"215555644831449088", "text"=>"“@matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/R2VTzKb2”", "created_at"=>"2012-06-20T21:24:05Z", "user"=>"apintosanchez", "user_name"=>"Andrés Pinto S.", "user_profile_image"=>"http://a0.twimg.com/profile_images/1416773808/confio_normal.jpg"}
• {"id"=>"215565929080291328", "text"=>"\"@mikibrd http://t.co/shEhzkMD\" | lo dije yo primero", "created_at"=>"2012-06-20T22:04:57Z", "user"=>"trblnyx", "user_name"=>"'Aztec Eagle' Turbo", "user_profile_image"=>"http://a0.twimg.com/profile_images/20654412/turbo-redhat-square_normal.jpg"}
• {"id"=>"215573766728720385", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/vMMhAGal", "created_at"=>"2012-06-20T22:36:05Z", "user"=>"docfromtheblock", "user_name"=>"slim slama", "user_profile_image"=>"http://a0.twimg.com/profile_images/283668465/Brighton_May_2009_compressed_normal.jpg"}
• {"id"=>"215677417879113728", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-21T05:27:58Z", "user"=>"DulceDeveraux", "user_name"=>" Dulce ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1897557438/image_normal.jpg"}
• {"id"=>"215719121202057216", "text"=>"공공의료시스템과 민간의료시스템의 비교연구 #PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/yZmFDCWI", "created_at"=>"2012-06-21T08:13:41Z", "user"=>"mirrahlee", "user_name"=>"연분홍치마", "user_profile_image"=>"http://a0.twimg.com/profile_images/2253412032/P120426005_normal.jpg"}
• {"id"=>"215740981604134913", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle countries #PLoS http://t.co/8armeEAb #healthcare #readit", "created_at"=>"2012-06-21T09:40:32Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215741922982105088", "text"=>"Worse health system performance associated w/rapid and extensive healthcare privatization initiatives. http://t.co/PShfCyWJ", "created_at"=>"2012-06-21T09:44:17Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215742110698180608", "text"=>"Several reports observed higher prescription drug costs in the private sector for equivalent clinical diagnoses. http://t.co/PShfCyWJ", "created_at"=>"2012-06-21T09:45:02Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215742585141071872", "text"=>"Private #healthcare systems tended to lack data to evaluate their performance & greater risks of low-quality care http://t.co/PShfCyWJ", "created_at"=>"2012-06-21T09:46:55Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215743386781626368", "text"=>"Many public–private initiatives involve public funding dedicated to monitor/preventing corruption in private sector http://t.co/PShfCyWJ", "created_at"=>"2012-06-21T09:50:06Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215743568122363904", "text"=>"In sum, read it: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries http://t.co/PShfCyWJ", "created_at"=>"2012-06-21T09:50:49Z", "user"=>"bacigalupe", "user_name"=>"bacigalupe", "user_profile_image"=>"http://a0.twimg.com/profile_images/2227407803/oie_1803418iNLktD6S_normal.jpg"}
• {"id"=>"215779648028680192", "text"=>"Ny studie visar bl a att privata sjukvårdssektorn i låg- och medelinkomstländer inte är effektivare än den... http://t.co/El6ka3uq", "created_at"=>"2012-06-21T12:14:11Z", "user"=>"SocLakare", "user_name"=>"Socialistiska läkare", "user_profile_image"=>"http://a0.twimg.com/profile_images/1404321781/soclak_normal.jpg"}
• {"id"=>"215782175113621504", "text"=>"RT @SocLakare: Ny studie visar bl a att privata sjukvårdssektorn i låg- och medelinkomstländer inte är effektivare än den... http://t.co/El6ka3uq", "created_at"=>"2012-06-21T12:24:14Z", "user"=>"BergstromJonas", "user_name"=>"Jonas Bergström", "user_profile_image"=>"http://a0.twimg.com/profile_images/1394430997/Bra_bild_till_twitter_normal.jpg"}
• {"id"=>"215784370512998400", "text"=>"RT @SocLakare: Ny studie visar bl a att privata sjukvårdssektorn i låg- och medelinkomstländer inte är effektivare än den... http://t.co/El6ka3uq", "created_at"=>"2012-06-21T12:32:57Z", "user"=>"klasskamp", "user_name"=>"Jenny Bengtsson", "user_profile_image"=>"http://a0.twimg.com/profile_images/2204702883/534830_10150924370779993_649684992_11759404_1945742680_n_normal.jpg"}
• {"id"=>"215791791759294464", "text"=>"Performance of Private and Public #Healthcare Systems: A Systematic Review http://t.co/Vz59Sa3r #policy #health #bioethics #healthpolicy", "created_at"=>"2012-06-21T13:02:27Z", "user"=>"christianmunthe", "user_name"=>"Christian Munthe", "user_profile_image"=>"http://a0.twimg.com/profile_images/1537288468/large_christian.munthe_normal.jpg"}
• {"id"=>"215795172745805825", "text"=>"Comparative Performance of Private & Public Healthcare Systems in Low- & Middle-Income Countries: A Systematic Review http://t.co/ViQFZfgo", "created_at"=>"2012-06-21T13:15:53Z", "user"=>"AnantBhan", "user_name"=>"Anant Bhan", "user_profile_image"=>"http://a0.twimg.com/profile_images/2167762080/Bharatpur_Jan2012_Sit_hotel_normal.JPG"}
• {"id"=>"215810592026533889", "text"=>"RT @christianmunthe: Performance of Private and Public #Healthcare Systems: A Systematic Review http://t.co/Vz59Sa3r #policy #health #bioethics #healthpolicy", "created_at"=>"2012-06-21T14:17:09Z", "user"=>"thebestsophist", "user_name"=>"Bernard Yu", "user_profile_image"=>"http://a0.twimg.com/profile_images/1668917148/038_lzn_normal.jpg"}
• {"id"=>"215825961009160193", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries, Systematic Review http://t.co/riK7cLd9", "created_at"=>"2012-06-21T15:18:13Z", "user"=>"mgoyenechea", "user_name"=>"Matías Goyenechea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1366363503/DSC09812_normal.JPG"}
• {"id"=>"215910206520041472", "text"=>"@Pajarobere acá esta el pdf http://t.co/sCw40lB3", "created_at"=>"2012-06-21T20:52:59Z", "user"=>"mgoyenechea", "user_name"=>"Matías Goyenechea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1366363503/DSC09812_normal.JPG"}
• {"id"=>"216048238913003523", "text"=>"Private vs.public health care? Public care is more efficient,has better patient outcomes @hpsa_africa @HealthSystems http://t.co/N5K72XaV", "created_at"=>"2012-06-22T06:01:28Z", "user"=>"edwinebarasa", "user_name"=>"edwine barasa", "user_profile_image"=>"http://a0.twimg.com/profile_images/2125188285/edited_normal.jpg"}
• {"id"=>"216133347506786304", "text"=>"RT @rosermarquet: RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/64 ...", "created_at"=>"2012-06-22T11:39:40Z", "user"=>"Joan_gene", "user_name"=>"Joan Gené Badia", "user_profile_image"=>"http://a0.twimg.com/profile_images/2162388297/image_normal.jpg"}
• {"id"=>"216200539392851968", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-22T16:06:40Z", "user"=>"UnIPSS", "user_name"=>"UnIPSS", "user_profile_image"=>"http://a0.twimg.com/profile_images/2164699303/f5606b42-2c37-47a6-9c20-acbb0edb8bfa_normal.png"}
• {"id"=>"216200842674573312", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-22T16:07:52Z", "user"=>"mgoyenechea", "user_name"=>"Matías Goyenechea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1366363503/DSC09812_normal.JPG"}
• {"id"=>"216201243167703046", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/ThGTyM7X", "created_at"=>"2012-06-22T16:09:27Z", "user"=>"KineCaroca", "user_name"=>"Rodrigo Muñoz Caroca", "user_profile_image"=>"http://a0.twimg.com/profile_images/2179269329/5388557756_651e6ef5f7_b_normal.jpg"}
• {"id"=>"216211405295190019", "text"=>"RT @rosermarquet: RT @rincondesisifo: (PLoS Med) El sector sanitario privado no es mejor que el público, ni más eficiente http://t.co/64 ...", "created_at"=>"2012-06-22T16:49:50Z", "user"=>"salvadorbegur", "user_name"=>"Salvador Garcia ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1322846312/a8_normal.jpg"}
• {"id"=>"216279267401674752", "text"=>"“the private [health] sector is NOT usually more efficient, accountable, or… effective than the public sector” http://t.co/ZvbcQ5eO", "created_at"=>"2012-06-22T21:19:30Z", "user"=>"mellojonny", "user_name"=>"Jonathon Tomlinson", "user_profile_image"=>"http://a0.twimg.com/profile_images/361890051/support_nhs_normal.png"}
• {"id"=>"216279686211309569", "text"=>"RT@mellojonny “the private sector is NOT usually more efficient, accountable, or… effective than the public sector” http://t.co/YA1UwVsZ", "created_at"=>"2012-06-22T21:21:10Z", "user"=>"nhs_supporters", "user_name"=>"NHS Supporters", "user_profile_image"=>"http://a0.twimg.com/profile_images/1851346477/fed_logo-2_normal.png"}
• {"id"=>"216308750150152192", "text"=>"http://t.co/enTNAWvM\n\nمراجعة نظامية تفاضل بين القطاع الخاص و العام في تقديم الخدمة الصحية\n\nالقطاع الخاص ليس كله خير .. هاك الدليل.", "created_at"=>"2012-06-22T23:16:39Z", "user"=>"MazyadAlfadhli", "user_name"=>"Mazyad", "user_profile_image"=>"http://a0.twimg.com/profile_images/1764503574/image_normal.jpg"}
• {"id"=>"216396779216842752", "text"=>"Comparative performance of public & private sector healthcare systems in Low- and Middle-Income Countries. S Basu & al. http://t.co/K6XfYVfq", "created_at"=>"2012-06-23T05:06:27Z", "user"=>"mmi_updates", "user_name"=>"MMI global health", "user_profile_image"=>"http://a0.twimg.com/profile_images/1180649728/MMI-Updates-t2c_normal.gif"}
• {"id"=>"216421980482707456", "text"=>"RT @edwinebarasa: Private vs.public health care? Public care is more efficient,has better patient outcomes http://t.co/NMT9pjfC #hpsr", "created_at"=>"2012-06-23T06:46:35Z", "user"=>"lucy2908", "user_name"=>"lucy gilson", "user_profile_image"=>"http://a0.twimg.com/sticky/default_profile_images/default_profile_1_normal.png"}
• {"id"=>"216479691559800833", "text"=>"And more props to the Stuckist getting stuck into private v public healthcare http://t.co/O3chWYb8", "created_at"=>"2012-06-23T10:35:55Z", "user"=>"Davidbhai", "user_name"=>"David Osrin", "user_profile_image"=>"http://a0.twimg.com/profile_images/264445620/DSCN2126_normal.JPG"}
• {"id"=>"216533594250809344", "text"=>"do not support the claim that the private sector is more efficient, or medically effective than the public sector. http://t.co/p6TnIvQe", "created_at"=>"2012-06-23T14:10:06Z", "user"=>"smsag", "user_name"=>"smsag", "user_profile_image"=>"http://a0.twimg.com/profile_images/248130723/17873785_normal.jpg"}
• {"id"=>"216551519837888512", "text"=>"\"studies do not support the claim that private sector is more efficient, accountable, or effective than public sector\" http://t.co/bQ1vb7Q8", "created_at"=>"2012-06-23T15:21:20Z", "user"=>"askbal", "user_name"=>"Amal Ekbal", "user_profile_image"=>"http://a0.twimg.com/profile_images/256987469/kut2_normal.jpg"}
• {"id"=>"216639565107175424", "text"=>"Comparative performance of private and public healthcare systems http://t.co/rpcbpIWm", "created_at"=>"2012-06-23T21:11:11Z", "user"=>"FloatPath", "user_name"=>"Floating Path", "user_profile_image"=>"http://a0.twimg.com/profile_images/2003476101/Logo_White_normal.png"}
• {"id"=>"216646063761793024", "text"=>"Comparative Performance of Private & Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review http://t.co/oXCFpXHu", "created_at"=>"2012-06-23T21:37:01Z", "user"=>"cacecar", "user_name"=>"Luis Caceres", "user_profile_image"=>"http://a0.twimg.com/profile_images/2321536549/blw9z6s70psrfr0gmsed_normal.jpeg"}
• {"id"=>"216679074943352833", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/9vtePBJI", "created_at"=>"2012-06-23T23:48:11Z", "user"=>"linarzairov", "user_name"=>"Linar Zairov", "user_profile_image"=>"http://a0.twimg.com/sticky/default_profile_images/default_profile_4_normal.png"}
• {"id"=>"216753319706755072", "text"=>"\"the private sector is [not] usually more efficient, accountable, or medically effective than the public sector\" - http://t.co/ldH4toiu", "created_at"=>"2012-06-24T04:43:13Z", "user"=>"MrPABruno", "user_name"=>"Paul Bruno", "user_profile_image"=>"http://a0.twimg.com/profile_images/1687116334/mypictr_last.fm_normal.jpg"}
• {"id"=>"216755018785759232", "text"=>"RT @matasanos: En salud, el sector privado no es más eficiente o médicamente más efectivo que el sector público. http://t.co/RRFT9ar5", "created_at"=>"2012-06-24T04:49:58Z", "user"=>"vlaleo", "user_name"=>"vladimir", "user_profile_image"=>"http://a0.twimg.com/profile_images/2177079734/image_normal.jpg"}
• {"id"=>"216857642566553601", "text"=>"No evidence that the private sector is usually more efficient accountable or medically effective than the public sector http://t.co/GIdH5Hzi", "created_at"=>"2012-06-24T11:37:45Z", "user"=>"davidjvaughan", "user_name"=>"David Vaughan", "user_profile_image"=>"http://a0.twimg.com/profile_images/2243293751/Hannah_Dave_2__1__normal.jpg"}
• {"id"=>"216917029192609792", "text"=>"Le privé n'est pas plus efficace que le public dans le domaine de la santé, idée préconçue à revoir http://t.co/DmleRoWk", "created_at"=>"2012-06-24T15:33:44Z", "user"=>"PUautomne", "user_name"=>"Perruche automnale", "user_profile_image"=>"http://a0.twimg.com/profile_images/1593313252/tag_maribor_normal.jpg"}
• {"id"=>"216938974655164416", "text"=>"RT @PUautomne: Le privé n'est pas plus efficace que le public dans le domaine de la santé, idée préconçue à revoir http://t.co/DmleRoWk", "created_at"=>"2012-06-24T17:00:56Z", "user"=>"mrousiere", "user_name"=>"Mickael R", "user_profile_image"=>"http://a0.twimg.com/profile_images/2284577729/image_normal.jpg"}
• {"id"=>"217189022169182208", "text"=>"PLoS Medicine: Private vs. Public healthcare - interesting review :) http://t.co/D3VZeoSk", "created_at"=>"2012-06-25T09:34:32Z", "user"=>"ijhodgson", "user_name"=>"Ian Hodgson", "user_profile_image"=>"http://a0.twimg.com/profile_images/52884914/IH_for_iCard_2_normal.jpg"}
• {"id"=>"217236943220654080", "text"=>"THIS---> http://t.co/bIeNB0Do", "created_at"=>"2012-06-25T12:44:57Z", "user"=>"Jabunde", "user_name"=>"Asum™", "user_profile_image"=>"http://a0.twimg.com/profile_images/1897086378/IMG_20120310_182026-1_normal.jpg"}
• {"id"=>"217729067322056704", "text"=>"No evidence the private sector is more efficient than the public sector in health care systems in LMIC PLoS Medicine: http://t.co/dlLVL0W7", "created_at"=>"2012-06-26T21:20:29Z", "user"=>"biszh", "user_name"=>"Bistra Zheleva", "user_profile_image"=>"http://a0.twimg.com/profile_images/672097304/bistravintage_normal.jpg"}
• {"id"=>"217963466630242305", "text"=>"Sector privado: ni más eficiente ni más efectivo que sector público http://t.co/eIBSR9ZD vía @CamiloErazoL |RS PLoS http://t.co/OVJuqVyp", "created_at"=>"2012-06-27T12:51:54Z", "user"=>"pornuestrasalud", "user_name"=>"Por nuestra Salud", "user_profile_image"=>"http://a0.twimg.com/profile_images/2322607638/r2jbqjz1cqmsat0lth7d_normal.jpeg"}
• {"id"=>"217965180741615617", "text"=>"RT @pornuestrasalud: Sector privado: ni más eficiente ni más efectivo que sector público http://t.co/eIBSR9ZD vía @CamiloErazoL |RS PLoS ...", "created_at"=>"2012-06-27T12:58:43Z", "user"=>"joseperaltac", "user_name"=>"Jose Peralta", "user_profile_image"=>"http://a0.twimg.com/profile_images/2322599932/21a7c5e0-884d-4bd7-82e1-5beddd961ec1_normal.png"}
• {"id"=>"217966518338732032", "text"=>"Paper comparing public and private sector healthcare performance in developing countries. http://t.co/2voV0DJY @agirvie", "created_at"=>"2012-06-27T13:04:02Z", "user"=>"elrob", "user_name"=>"Robert Martinez", "user_profile_image"=>"http://a0.twimg.com/profile_images/2218218507/68219_1658391507116_1456982691_1637798_1327162_n_normal.jpeg"}
• {"id"=>"217971251199754240", "text"=>"RT @pornuestrasalud: Sector privado: ni más eficiente ni más efectivo que sector público http://t.co/eIBSR9ZD vía @CamiloErazoL |RS PLoS ...", "created_at"=>"2012-06-27T13:22:50Z", "user"=>"pibitaterrible", "user_name"=>"Silvana Borquez", "user_profile_image"=>"http://a0.twimg.com/profile_images/2122688472/image_normal.jpg"}
• {"id"=>"218433971678224385", "text"=>"Public vs private healthcare in low/middle income countries. http://t.co/uf9PZ749 #globalhealth /via @ijhodgson", "created_at"=>"2012-06-28T20:01:31Z", "user"=>"Michael_Keizer", "user_name"=>"Michael Keizer", "user_profile_image"=>"http://a0.twimg.com/profile_images/2337205668/lxut9rmi4k143i2man2c_normal.jpeg"}
• {"id"=>"218475929956126721", "text"=>"RT @Michael_Keizer: Public vs private healthcare in low/middle income countries. http://t.co/uf9PZ749 #globalhealth /via @ijhodgson", "created_at"=>"2012-06-28T22:48:15Z", "user"=>"jcravens42", "user_name"=>"Jayne Cravens", "user_profile_image"=>"http://a0.twimg.com/profile_images/460063493/coyote1_normal.gif"}
• {"id"=>"218548451410051074", "text"=>"Rendimiento comparativo de servicios públicos y privados de salud en países de mediano y bajo ingreso-Rev.Sistemática http://t.co/f3DEKjP5", "created_at"=>"2012-06-29T03:36:25Z", "user"=>"FavioVegaGaldos", "user_name"=>"Favio Vega Galdós", "user_profile_image"=>"http://a0.twimg.com/profile_images/2291588045/tranquilidad-del-rio_normal.jpg"}
• {"id"=>"218606744841101312", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/CL8dQ7kw", "created_at"=>"2012-06-29T07:28:04Z", "user"=>"Nono649", "user_name"=>"Novel Chegou", "user_profile_image"=>"http://a0.twimg.com/profile_images/1820600934/mandm_normal.jpg"}
• {"id"=>"218709398208512000", "text"=>"Public sector healthcare is better than private sector healthcare ... http://t.co/OqK2PnuP", "created_at"=>"2012-06-29T14:15:58Z", "user"=>"sachi_bbsr", "user_name"=>"Sachi Mohanty", "user_profile_image"=>"http://a0.twimg.com/profile_images/2333112070/rclt1mgi9eeupxuaqzt1_normal.jpeg"}
• {"id"=>"219031162931265536", "text"=>"A severe indictment of private sec healthcare vs. public sec healthcare ... http://t.co/OqK2PnuP \nthat we in India can easily identify with.", "created_at"=>"2012-06-30T11:34:33Z", "user"=>"sachi_bbsr", "user_name"=>"Sachi Mohanty", "user_profile_image"=>"http://a0.twimg.com/profile_images/2333112070/rclt1mgi9eeupxuaqzt1_normal.jpeg"}
• {"id"=>"219844131718053888", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/wAfMWsDg", "created_at"=>"2012-07-02T17:25:00Z", "user"=>"MScGlobMentHeal", "user_name"=>"GlobalMentalHealth", "user_profile_image"=>"http://a0.twimg.com/profile_images/1918089543/GMH_Picture_normal.png"}
• {"id"=>"220139150379188224", "text"=>"A Landmark paper- Comparative Performance of Private & Public Healthcare in Low & Middle-Income Countries: http://t.co/wNRVGf0h", "created_at"=>"2012-07-03T12:57:18Z", "user"=>"Uberschizo", "user_name"=>"Uberschizo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2286513218/2tdgkngce8mgfgr9gmtb_normal.jpeg"}
• {"id"=>"220139312723927041", "text"=>"RT @Uberschizo: A Landmark paper- Comparative Performance of Private & Public Healthcare in Low & Middle-Income Countries: http://t.co/wNRVGf0h", "created_at"=>"2012-07-03T12:57:56Z", "user"=>"Notorious_QRG", "user_name"=>"Quiet Riot Girl", "user_profile_image"=>"http://a0.twimg.com/profile_images/2319696765/t2w6r4xudfjaej2jj7z5_normal.jpeg"}
• {"id"=>"220141054429638656", "text"=>"RT @Uberschizo: A Landmark paper- Comparative Performance of Private & Public Healthcare in Low & Middle-Income Countries: http://t.co/wNRVGf0h", "created_at"=>"2012-07-03T13:04:52Z", "user"=>"sanhelmet", "user_name"=>"Sanjeev Vaidyanathan", "user_profile_image"=>"http://a0.twimg.com/profile_images/2027234277/DSC04828_normal.JPG"}
• {"id"=>"220141470680748033", "text"=>"\"...do not support claim that private sector is more efficient, accountable, or medically effective...\" http://t.co/tNCcJWNI via @Uberschizo", "created_at"=>"2012-07-03T13:06:31Z", "user"=>"sanhelmet", "user_name"=>"Sanjeev Vaidyanathan", "user_profile_image"=>"http://a0.twimg.com/profile_images/2027234277/DSC04828_normal.JPG"}
• {"id"=>"220141745172774913", "text"=>"RT @Uberschizo: A Landmark paper- Comparative Performance of Private & Public Healthcare in Low & Middle-Income Countries: http://t.co/wNRVGf0h", "created_at"=>"2012-07-03T13:07:36Z", "user"=>"shashiw", "user_name"=>"CrowingCocktale", "user_profile_image"=>"http://a0.twimg.com/profile_images/1579981522/shasha_with_dolphins_normal.jpg"}
• {"id"=>"220766714718195712", "text"=>"Interesante revisión sistemática: Performance of Private and Public Healthcare Systems in Low-Middle-Income Countries http://t.co/EWXc57sR", "created_at"=>"2012-07-05T06:31:01Z", "user"=>"emiliomonteb", "user_name"=>"Emilio Monte", "user_profile_image"=>"http://a0.twimg.com/profile_images/1624013771/image_normal.jpg"}
• {"id"=>"220900017748189184", "text"=>"Agree w/ @edwinebarasa? \"Private vs.public health care? Public care is more efficient, has better patient outcomes\" http://t.co/TnUGFN7I", "created_at"=>"2012-07-05T15:20:43Z", "user"=>"HealthSystems", "user_name"=>"Health Systems 20/20", "user_profile_image"=>"http://a0.twimg.com/profile_images/1891902509/BlueGreenLOGO2_normal.jpg"}
• {"id"=>"220926091223777282", "text"=>"RT @HealthSystems: Agree w/ @edwinebarasa? \"Private vs.public health care? Public care is more efficient, has better patient outcomes\" http://t.co/TnUGFN7I", "created_at"=>"2012-07-05T17:04:19Z", "user"=>"sahainstitute", "user_name"=>"SAHA Institute", "user_profile_image"=>"http://a0.twimg.com/profile_images/2355447485/pd9b2x15jw8cxpdb7o11_normal.jpeg"}
• {"id"=>"220928941383364609", "text"=>"RT @HealthSystems: Agree w/ @edwinebarasa? \"Private vs.public health care? Public care is more efficient, has better patient outcomes\" http://t.co/TnUGFN7I", "created_at"=>"2012-07-05T17:15:38Z", "user"=>"nadoum", "user_name"=>"Nadeem Al-Duaij", "user_profile_image"=>"http://a0.twimg.com/profile_images/1298599432/nadoum_normal.JPG"}
• {"id"=>"221711586010738689", "text"=>"muy atractivo artículo sobre veleidades de la #sanidadprivada respecto a la #sanidadpública. todo el monte es oregano? http://t.co/bC0SvkBY", "created_at"=>"2012-07-07T21:05:35Z", "user"=>"evidenciasmfyc", "user_name"=>"Miguel Angel María ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2275765452/3vnsb5jm1xyxmc3sts3q_normal.jpeg"}
• {"id"=>"222604849815109632", "text"=>"RT @davidstuckler: Is public or private healthcare better for developing countries? New PLoSMed systematic review w @sanjayb493: http://t.co/6pOWpwAa", "created_at"=>"2012-07-10T08:15:06Z", "user"=>"MPH_Adapt", "user_name"=>"E. Arthur Phillips", "user_profile_image"=>"http://a0.twimg.com/profile_images/1773156092/Sea_View_Pic_normal.jpg"}
• {"id"=>"222636372714991616", "text"=>"Interesting! RT @davidstuckler: Is public or private healthcare better for developing countries? New PLoSMed syst r/v: http://t.co/2HifXMMT", "created_at"=>"2012-07-10T10:20:22Z", "user"=>"vitualis", "user_name"=>"Michael Tam", "user_profile_image"=>"http://a0.twimg.com/profile_images/1537861913/tesy_normal.jpg"}
• {"id"=>"223527106854928386", "text"=>"#PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/ihRJow3S @rasneuro Derivando mitos", "created_at"=>"2012-07-12T21:19:49Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2334632317/1f964cf5-c4e2-4a6e-a3fc-15b51b313e70_normal.png"}
• {"id"=>"223528953682477057", "text"=>"RT @ASlachevsky: #PLoS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/ihRJow3S @rasn ...", "created_at"=>"2012-07-12T21:27:10Z", "user"=>"Delcarion", "user_name"=>"Chalo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2211041622/azzl_normal.jpg"}
• {"id"=>"223987746790850560", "text"=>"PLoS Medicine: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-I http://t.co/8LRGa1wp", "created_at"=>"2012-07-14T03:50:14Z", "user"=>"victorzamora", "user_name"=>"Victor Zamora", "user_profile_image"=>"http://a0.twimg.com/profile_images/1445997403/peru_campeon__normal.jpg"}
• {"id"=>"223988173729054721", "text"=>"PLoS Medicine: Comparative Performance of Private and Public Healthcare Systems in LMICs A Systematic Review http://t.co/wH4Btt5Y", "created_at"=>"2012-07-14T03:51:56Z", "user"=>"victorzamora", "user_name"=>"Victor Zamora", "user_profile_image"=>"http://a0.twimg.com/profile_images/1445997403/peru_campeon__normal.jpg"}
• {"id"=>"226726169565868032", "text"=>"In healthcare \"Reported efficiency tended to be lower in the private than in the public sector\" http://t.co/5WPOwx1J", "created_at"=>"2012-07-21T17:11:45Z", "user"=>"richardblogger", "user_name"=>"Richard Blogger", "user_profile_image"=>"http://a0.twimg.com/profile_images/625158609/eye_normal.jpg"}
• {"id"=>"226726801991405569", "text"=>"RT @richardblogger: In healthcare \"Reported efficiency tended to be lower in the private than in the public sector\" http://t.co/5WPOwx1J", "created_at"=>"2012-07-21T17:14:16Z", "user"=>"C4544S", "user_name"=>"Stephen Crabtree", "user_profile_image"=>"http://a0.twimg.com/profile_images/2419124792/IMG00089-20111106-0525_normal.jpg"}
• {"id"=>"226729408378048512", "text"=>"RT @richardblogger: In healthcare \"Reported efficiency tended to be lower in the private than in the public sector\" http://t.co/5WPOwx1J", "created_at"=>"2012-07-21T17:24:38Z", "user"=>"CAS_madrid", "user_name"=>"CAS_madrid", "user_profile_image"=>"http://a0.twimg.com/profile_images/1418553635/logo_cas_normal.png"}
• {"id"=>"226747760592949248", "text"=>"RT @richardblogger: In healthcare \"Reported efficiency tended to be lower in the private than in the public sector\" http://t.co/5WPOwx1J", "created_at"=>"2012-07-21T18:37:33Z", "user"=>"gerineldo", "user_name"=>"Gerineldo", "user_profile_image"=>"http://a0.twimg.com/profile_images/1855350304/dani_normal.jpg"}
• {"id"=>"226785777386942464", "text"=>"RT @richardblogger In healthcare \"Reported efficiency tended to be lower in the private than in the public sector\" http://t.co/wSepRDjE", "created_at"=>"2012-07-21T21:08:37Z", "user"=>"NHS_Analyst", "user_name"=>"Tom Dewar", "user_profile_image"=>"http://a0.twimg.com/profile_images/1416171197/NHS_Analyst_normal.jpg"}
• {"id"=>"227309626675302401", "text"=>"RT @SocLakare: Ny studie visar bl a att privata sjukvårdssektorn i låg- och medelinkomstländer inte är effektivare än den... http://t.co/El6ka3uq", "created_at"=>"2012-07-23T07:50:12Z", "user"=>"Annoula64", "user_name"=>"Ann Markström", "user_profile_image"=>"http://a0.twimg.com/profile_images/1765864833/frihetligt_piratparti2_normal.png"}
• {"id"=>"227611350426320897", "text"=>"@mgoyenechea http://t.co/RsYcoJvD", "created_at"=>"2012-07-24T03:49:09Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2334632317/1f964cf5-c4e2-4a6e-a3fc-15b51b313e70_normal.png"}
• {"id"=>"227612257243246592", "text"=>"#PLOS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/sTxa5QRr", "created_at"=>"2012-07-24T03:52:45Z", "user"=>"mgoyenechea", "user_name"=>"Matías Goyenechea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1366363503/DSC09812_normal.JPG"}
• {"id"=>"227612662752768000", "text"=>"RT @mgoyenechea: #PLOS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/sTxa5QRr", "created_at"=>"2012-07-24T03:54:22Z", "user"=>"SrtaNauru", "user_name"=>"Valentina ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2360007585/kia90d7ueaug72dzdnad_normal.jpeg"}
• {"id"=>"227613319123574784", "text"=>"RT @mgoyenechea: #PLOS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/sTxa5QRr", "created_at"=>"2012-07-24T03:56:58Z", "user"=>"historylessens", "user_name"=>"Nicolás Ramírez", "user_profile_image"=>"http://a0.twimg.com/profile_images/1809483209/Sin_t_tulo_normal.png"}
• {"id"=>"228481891110621184", "text"=>"Difundimos un meta-análisis sobre 102 artículos publicados en la literatura médica que compara la performance de... http://t.co/JOBPwaxl", "created_at"=>"2012-07-26T13:28:22Z", "user"=>"BiblioCEMMdP", "user_name"=>"BiblioCEMMdP", "user_profile_image"=>"http://a0.twimg.com/profile_images/1864936317/biblio_normal.jpg"}
• {"id"=>"230052513246744576", "text"=>"Público vs privado ¿ahorra lo privado? interesante opinión de Sergio Minué http://t.co/XtyrvGAA con bibliografía http://t.co/ocobHZJy", "created_at"=>"2012-07-30T21:29:27Z", "user"=>"cselgreco", "user_name"=>"CS El Greco", "user_profile_image"=>"http://a0.twimg.com/profile_images/142630461/cselgreco_normal.jpg"}
• {"id"=>"233454550902775809", "text"=>"#PLOS: Comparative Performance of Private and Public Healthcare Systems in Low- and Middl... http://t.co/0RdJ9heo a traves @sminue", "created_at"=>"2012-08-09T06:47:56Z", "user"=>"nonobf", "user_name"=>"Jose Antonio Baeyens", "user_profile_image"=>"http://a0.twimg.com/profile_images/2084028519/foto_perfil_1_normal.jpg"}
• {"id"=>"248843084358627328", "text"=>"Un estudio compara sistemas sanitarios publicos y privados en varios paises. Privados no son mas eficientes. http://t.co/KpfwsrBb", "created_at"=>"2012-09-20T17:56:29Z", "user"=>"enekoibarruri", "user_name"=>"Eneko Ibarruri", "user_profile_image"=>"http://a0.twimg.com/profile_images/1377167117/151_normal.PNG"}
• {"id"=>"258525066608918528", "text"=>"Y cuando salen artículos como éste http://t.co/dFuM5bzx o éste http://t.co/oPvzXO0G ellos sacan noticias de prensa y memorias corporativas", "created_at"=>"2012-10-17T11:09:13Z", "user"=>"javierpadillab", "user_name"=>"Javier Padilla", "user_profile_image"=>"http://a0.twimg.com/profile_images/1149354421/foto_twitter_normal.jpg"}
• {"id"=>"258526220965249024", "text"=>"RT @javierpadillab: Y cuando salen artículos como éste http://t.co/dFuM5bzx o éste http://t.co/oPvzXO0G ellos sacan noticias de prensa y ...", "created_at"=>"2012-10-17T11:13:48Z", "user"=>"doctorojete", "user_name"=>"Ojete Moreno", "user_profile_image"=>"http://a0.twimg.com/profile_images/2726821149/23e09aad416393dc93af6544f063149a_normal.png"}
• {"id"=>"258533627460206593", "text"=>"RT @javierpadillab: Y cuando salen artículos como éste http://t.co/dFuM5bzx o éste http://t.co/oPvzXO0G ellos sacan noticias de prensa y ...", "created_at"=>"2012-10-17T11:43:14Z", "user"=>"evaluAES", "user_name"=>"EvaluAES", "user_profile_image"=>"http://a0.twimg.com/sticky/default_profile_images/default_profile_0_normal.png"}
• {"id"=>"258535442364915712", "text"=>"RT @javierpadillab: Y cuando salen artículos como éste http://t.co/dFuM5bzx o éste http://t.co/oPvzXO0G ellos sacan noticias de prensa y ...", "created_at"=>"2012-10-17T11:50:27Z", "user"=>"ProyectoFresned", "user_name"=>"Proyecto Fresneda", "user_profile_image"=>"http://a0.twimg.com/profile_images/2317291826/anjzhitwqqpbrw0dghtq_normal.jpeg"}
• {"id"=>"259262309338337280", "text"=>"Una revisión sobre la cuestionable superioridad de la sanidad privada frente la pública http://t.co/ZA81vnda vía \"sombrerosdecolores\"", "created_at"=>"2012-10-19T11:58:46Z", "user"=>"Fucolusco", "user_name"=>"Mateo Balado Rico", "user_profile_image"=>"http://a0.twimg.com/profile_images/1488082053/Twitter_foto_normal.jpg"}
• {"id"=>"259267553803788289", "text"=>"RT @Fucolusco: Una revisión sobre la cuestionable superioridad de la sanidad privada frente la pública http://t.co/ZA81vnda vía \"sombrerosdecolores\"", "created_at"=>"2012-10-19T12:19:36Z", "user"=>"myrnafly", "user_name"=>"Myrnafly", "user_profile_image"=>"http://a0.twimg.com/profile_images/2402432694/pv2b8roug076rp2n1o55_normal.jpeg"}
• {"id"=>"261166776589623296", "text"=>"Studies do not support the claim that private sector is more efficient, accountable, or effective http://t.co/biBaY18V #kuntavaalit", "created_at"=>"2012-10-24T18:06:26Z", "user"=>"joonasl", "user_name"=>"Joonas Lyytinen", "user_profile_image"=>"http://a0.twimg.com/profile_images/2728299802/99d9449a3280c86fbb4771dab68c029d_normal.jpeg"}
• {"id"=>"261167965939052545", "text"=>".@timomj Study do not support the claim that private sector is more efficient, accountable, or effective http://t.co/fzeRzeOQ via @joonasl", "created_at"=>"2012-10-24T18:11:10Z", "user"=>"tlaturi", "user_name"=>"tlaturi", "user_profile_image"=>"http://a0.twimg.com/profile_images/1137798146/toni_normal.jpg"}
• {"id"=>"261190065500332033", "text"=>"Onko yksityinen tehokkaampi kuin julkinen sektori? Tämänkään tutkimuksen mukaan ei ole. #herätys #kuntavaalit http://t.co/fF2diwFu", "created_at"=>"2012-10-24T19:38:58Z", "user"=>"DimitriQvintus", "user_name"=>"Dimitri Qvintus", "user_profile_image"=>"http://a0.twimg.com/profile_images/2720626520/331d39949ae2741d532e7c25ef8e2b9a_normal.jpeg"}
• {"id"=>"261190328554504192", "text"=>"Onko yksityinen tehokkaampi kuin julkinen terveydenhuolto? Tämänkään tutkimuksen mukaan ei ole. #herätys #kuntavaalit http://t.co/fF2diwFu …", "created_at"=>"2012-10-24T19:40:01Z", "user"=>"DimitriQvintus", "user_name"=>"Dimitri Qvintus", "user_profile_image"=>"http://a0.twimg.com/profile_images/2720626520/331d39949ae2741d532e7c25ef8e2b9a_normal.jpeg"}
• {"id"=>"261513779001581568", "text"=>"RT @joonasl: Studies do not support the claim that private sector is more efficient, accountable, or effective http://t.co/biBaY18V #kuntavaalit", "created_at"=>"2012-10-25T17:05:18Z", "user"=>"LeaKor", "user_name"=>"Lea Korhonen", "user_profile_image"=>"http://a0.twimg.com/profile_images/2434951014/0cyh49v9stz4m9cwzegx_normal.jpeg"}
• {"id"=>"261524444206465024", "text"=>"Tässä (jälleen) tutkimus, jonka mukaan ulkoistaminen ei tehosta tai takaa laatua terveyspalveluissa. #kuntavaalit http://t.co/fF2diwFu", "created_at"=>"2012-10-25T17:47:41Z", "user"=>"DimitriQvintus", "user_name"=>"Dimitri Qvintus", "user_profile_image"=>"http://a0.twimg.com/profile_images/2720626520/331d39949ae2741d532e7c25ef8e2b9a_normal.jpeg"}
• {"id"=>"261524838756270081", "text"=>"Kokoomuksen halu ulkoistaa todistaa, että se ei joko piittaa tutkimuksista tai kansalaisten mielipiteestä. #kuntavaalit http://t.co/fF2diwFu", "created_at"=>"2012-10-25T17:49:15Z", "user"=>"DimitriQvintus", "user_name"=>"Dimitri Qvintus", "user_profile_image"=>"http://a0.twimg.com/profile_images/2720626520/331d39949ae2741d532e7c25ef8e2b9a_normal.jpeg"}
• {"id"=>"261538997556375552", "text"=>"\"Yksityinen sektori ei ole tehokkaampi.\" En ymmärrä kokoomuksen ideologista halua ulkoistaa palveluja. #kuntavaalit http://t.co/fF2diwFu", "created_at"=>"2012-10-25T18:45:30Z", "user"=>"DimitriQvintus", "user_name"=>"Dimitri Qvintus", "user_profile_image"=>"http://a0.twimg.com/profile_images/2720626520/331d39949ae2741d532e7c25ef8e2b9a_normal.jpeg"}
• {"id"=>"262453006388314113", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low and Middle Countries: A Systematic Review http://t.co/13QnMV4l", "created_at"=>"2012-10-28T07:17:27Z", "user"=>"CAS_madrid", "user_name"=>"CAS_madrid", "user_profile_image"=>"http://a0.twimg.com/profile_images/2771761291/261a971677fe40ae5b46090fe77f2754_normal.jpeg"}
• {"id"=>"262620220051566592", "text"=>"RT @joonasl: Studies do not support the claim that private sector is more efficient, accountable, or effective http://t.co/biBaY18V #kuntavaalit", "created_at"=>"2012-10-28T18:21:54Z", "user"=>"Minnicita", "user_name"=>"Minna Vehviläinen", "user_profile_image"=>"http://a0.twimg.com/profile_images/574015115/Minna_Vehvil_inen_83x124_normal.jpg"}
• {"id"=>"270623601890308096", "text"=>"@orotava13 @RoberRimbaud por cierto, sobre el tema de eficiencias públicas y privadas este es básico: http://t.co/5G8CCxsN", "created_at"=>"2012-11-19T20:24:29Z", "user"=>"javierpadillab", "user_name"=>"Javier Padilla", "user_profile_image"=>"http://a0.twimg.com/profile_images/1149354421/foto_twitter_normal.jpg"}
• {"id"=>"270936491423854592", "text"=>"Still in @plosmedicine top viewed, http://t.co/I0bqWbdk, performance public/private healthcare in LAMIC. Nudging 25k views - worth a read", "created_at"=>"2012-11-20T17:07:47Z", "user"=>"PLOSMedicine", "user_name"=>"PLOS Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/2436335697/k93oob5au2gllc775hk5_normal.jpeg"}
• {"id"=>"270944168690458624", "text"=>"RT @PLOSMedicine: Still in @plosmedicine top viewed, http://t.co/I0bqWbdk, performance public/private healthcare in LAMIC. Nudging 25k v ...", "created_at"=>"2012-11-20T17:38:18Z", "user"=>"Vince1905", "user_name"=>"Vince", "user_profile_image"=>"http://a0.twimg.com/profile_images/1239741649/16122010110_normal.jpg"}
• {"id"=>"270944763853828096", "text"=>"@PLOSMedicine: No support that Private HC Systems are more efficient, accountable or effective - a systematic review http://t.co/zlDt77Vv", "created_at"=>"2012-11-20T17:40:40Z", "user"=>"ErinYiranLiu", "user_name"=>"Erin Liu", "user_profile_image"=>"http://a0.twimg.com/profile_images/2723435596/84ad6e16e36d16b30b33e09a3516c729_normal.png"}
• {"id"=>"271006458194296832", "text"=>"RT @PLOSMedicine: Still in @plosmedicine top viewed, http://t.co/I0bqWbdk, performance public/private healthcare in LAMIC. Nudging 25k v ...", "created_at"=>"2012-11-20T21:45:49Z", "user"=>"in2mh", "user_name"=>"in2mentalhealth", "user_profile_image"=>"http://a0.twimg.com/profile_images/867009577/AfbeeldingRh_normal.GIF"}
• {"id"=>"271425793702363137", "text"=>"“@GiorgioJackson: @santiagoried @GiorgioJackson @Aji_Verde : evidencia internacional http://t.co/RsYcoJvD", "created_at"=>"2012-11-22T01:32:06Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"271590522391506944", "text"=>"“@ximenaguilera: @pornuestrasalud #isapres_deben_morir” / #porlasaludpublica evidencia: http://t.co/jIw5zsgT", "created_at"=>"2012-11-22T12:26:41Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"271592329117323264", "text"=>"RT @ASlachevsky: “@ximenaguilera: @pornuestrasalud #isapres_deben_morir” / #porlasaludpublica evidencia: http://t.co/jIw5zsgT", "created_at"=>"2012-11-22T12:33:51Z", "user"=>"ximenaguilera", "user_name"=>"ximena aguilera", "user_profile_image"=>"http://a0.twimg.com/profile_images/2838487147/b614b0b314c3d82a7ac6b4717aebada3_normal.jpeg"}
• {"id"=>"273471792130179072", "text"=>"http://t.co/bdYMLQUs", "created_at"=>"2012-11-27T17:02:10Z", "user"=>"abiguay73", "user_name"=>"Abigail", "user_profile_image"=>"http://a0.twimg.com/profile_images/2837723355/298757c8a154d5331ff6d67796e3d1b1_normal.jpeg"}
• {"id"=>"274469669040189442", "text"=>"Un millon de firmas, miles de profesionales de la salud, articulos científicos. ¿Cuando dejarán el Plan y negociarán? http://t.co/EZyMILvt", "created_at"=>"2012-11-30T11:07:23Z", "user"=>"avicenteluelmo", "user_name"=>"Alberto Vicente ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2411516721/avatar_no_normal.jpg"}
• {"id"=>"274472620278292482", "text"=>"RT @avicenteluelmo: Millón firmas, miles profesionales salud, articulos científicos.¿Cuando dejarán Plan y negociarán? http://t.co/hsrElAvc", "created_at"=>"2012-11-30T11:19:06Z", "user"=>"carmencarazo", "user_name"=>"Carmen SánchezCarazo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2814733527/22916fa92dca336f4ed6684b54067f35_normal.jpeg"}
• {"id"=>"275691522140303360", "text"=>"@pacificjulio @AsclepioMadrid Entero: http://t.co/P8KpdBZd @IntermonOxfam @CAS_madrid @SanidadEnLucha Nuestros \"amigos\" del BM Y FMNI...", "created_at"=>"2012-12-03T20:02:35Z", "user"=>"_Andecha", "user_name"=>"Doc #SábanasBlancas", "user_profile_image"=>"http://a0.twimg.com/profile_images/2829453690/7889ce8a32bc741c6098df5272565dc5_normal.jpeg"}
• {"id"=>"275720412070043648", "text"=>"http://t.co/P8KpdBZd", "created_at"=>"2012-12-03T21:57:23Z", "user"=>"_Andecha", "user_name"=>"Doc #SábanasBlancas", "user_profile_image"=>"http://a0.twimg.com/profile_images/2829453690/7889ce8a32bc741c6098df5272565dc5_normal.jpeg"}
• {"id"=>"275721114141982721", "text"=>"RT @_Andecha: http://t.co/P8KpdBZd", "created_at"=>"2012-12-03T22:00:10Z", "user"=>"AsclepioMadrid", "user_name"=>"Asclepio ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2832845439/3136693f2691c75ab96edfa7d32464fe_normal.jpeg"}
• {"id"=>"275721950528163840", "text"=>"Estos rojos de PLOS Medicine qué cosas tienen...La sanidad privada no es más eficiente que la pública: http://t.co/wNP4c3Wr vía @_Andecha", "created_at"=>"2012-12-03T22:03:30Z", "user"=>"jramonfernandez", "user_name"=>"José Ramón", "user_profile_image"=>"http://a0.twimg.com/profile_images/2485098963/ln0d588jq8lm0d0otdwr_normal.jpeg"}
• {"id"=>"275730687343083520", "text"=>"“@PLOSMedicine La sanidad privada no es más eficiente que la pública: http://t.co/RWqfLZoX\" vía @_Andecha @jramonfernandez", "created_at"=>"2012-12-03T22:38:13Z", "user"=>"Alfons_Valencia", "user_name"=>"AlfonsoValencia", "user_profile_image"=>"http://a0.twimg.com/profile_images/2539653657/charla_barna_redes_2_normal.jpg"}
• {"id"=>"277721686818840576", "text"=>"@AntonioRNaranjo quiza los que buscas es un estudio como este: http://t.co/TM8laRYF", "created_at"=>"2012-12-09T10:29:44Z", "user"=>"acg48", "user_name"=>"Capa", "user_profile_image"=>"http://a0.twimg.com/profile_images/2941210075/acbc196f7be05460fc4a059b73f92918_normal.jpeg"}
• {"id"=>"277759785783418882", "text"=>"Studies dont support that private health is + efficient, accountable or medically effective than public http://t.co/Rq2Y0322 #TsunamiBlanco3", "created_at"=>"2012-12-09T13:01:08Z", "user"=>"99_Agora", "user_name"=>"Agora 99", "user_profile_image"=>"http://a0.twimg.com/profile_images/2669692012/dc7f7f125387d1613d801cb6bc9f0788_normal.png"}
• {"id"=>"277760090759643136", "text"=>"RT @99_Agora: Studies dont support that private health is + efficient, accountable or medically effective than public http://t.co/Rq2Y0322 #TsunamiBlanco3", "created_at"=>"2012-12-09T13:02:20Z", "user"=>"occupyBB7", "user_name"=>"OccupyBB7", "user_profile_image"=>"http://a0.twimg.com/profile_images/2051005017/bb7twitterlogo_normal.png"}
• {"id"=>"277874115120091136", "text"=>"La referencia más solida: #PLOSMedicine: Comparative Performance of Private and Public Healthcare Systems in Low- a... http://t.co/Coh8cRn5", "created_at"=>"2012-12-09T20:35:26Z", "user"=>"bmassutis", "user_name"=>"Bartomeu Massuti", "user_profile_image"=>"http://a0.twimg.com/profile_images/1986762336/B.Massuti_normal.jpg"}
• {"id"=>"278008283418198016", "text"=>"#PLOSMedicine: Comparative Performance of Private and Public Healthcare Systems in Low- a... http://t.co/G3no9Srz", "created_at"=>"2012-12-10T05:28:34Z", "user"=>"nig_onco", "user_name"=>"Niguarda Oncologia", "user_profile_image"=>"http://a0.twimg.com/profile_images/2897934066/339a1cf348a10884f868bc1a1cd7cf5c_normal.jpeg"}
• {"id"=>"278008874634719232", "text"=>"RT @nig_onco: #PLOSMedicine: Comparative Performance of Private and Public Healthcare Systems in Low- a... http://t.co/G3no9Srz", "created_at"=>"2012-12-10T05:30:55Z", "user"=>"salvatore_siena", "user_name"=>"salvatore siena", "user_profile_image"=>"http://a0.twimg.com/profile_images/2894623726/4e8b1a1b7ae3b7c54748cf0269713c2a_normal.jpeg"}
• {"id"=>"278278574857920512", "text"=>"@la_tuerka @alvaroc93 Y aquí uno con evidencia científica. Aquí nos tenemos q fijar todos http://t.co/XBpalLmj", "created_at"=>"2012-12-10T23:22:37Z", "user"=>"LucyStories", "user_name"=>"Lucia Martín", "user_profile_image"=>"http://a0.twimg.com/profile_images/2841353177/70cbe92dc89b0770095827a0fc323b0e_normal.jpeg"}
• {"id"=>"278783019811237888", "text"=>"#PLOSMedicine: Comparative Performance of Private and Public Healthcare Systems in Low- a... http://t.co/aulLU2jz", "created_at"=>"2012-12-12T08:47:06Z", "user"=>"MIglesiasJulios", "user_name"=>"M.I.J", "user_profile_image"=>"http://a0.twimg.com/profile_images/2871161291/2de59fb04c1ec9bad04792b220be67d1_normal.jpeg"}
• {"id"=>"278876913093726208", "text"=>"@ihenriquezluna (...) (a pesar de reducir listas de espera). http://t.co/SZOKAdj1", "created_at"=>"2012-12-12T15:00:12Z", "user"=>"Moyo_85", "user_name"=>"José Antonio", "user_profile_image"=>"http://a0.twimg.com/profile_images/2208939021/image_normal.jpg"}
• {"id"=>"278883835922497536", "text"=>"@ihenriquezluna (...) aumenta la mortalidad (a pesar de reducir listas de espera). http://t.co/SZOKAdj1", "created_at"=>"2012-12-12T15:27:42Z", "user"=>"Moyo_85", "user_name"=>"José Antonio", "user_profile_image"=>"http://a0.twimg.com/profile_images/2208939021/image_normal.jpg"}
• {"id"=>"279331627019157505", "text"=>"Los hospitales públicos son mejores http://t.co/fy2PmjZP", "created_at"=>"2012-12-13T21:07:04Z", "user"=>"LuisPanos", "user_name"=>"Luis", "user_profile_image"=>"http://a0.twimg.com/profile_images/2802580707/fb465496996ebf9dc6b155df1a3d71b0_normal.jpeg"}
• {"id"=>"280053346067435522", "text"=>"http://t.co/ZBZTmlm0", "created_at"=>"2012-12-15T20:54:55Z", "user"=>"isameatsix", "user_name"=>"Isabel García", "user_profile_image"=>"http://a0.twimg.com/profile_images/2665881623/19f9424aaaebc012659094f49df27737_normal.jpeg"}
• {"id"=>"280980147203616770", "text"=>"Studies do not support the claim that the private sector is usually more efficient than the public sector http://t.co/mdUPdX89", "created_at"=>"2012-12-18T10:17:42Z", "user"=>"DrJmFBravo", "user_name"=>"JM Fernández-Bravo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2893445772/88d94619b383c631245949357884b92b_normal.jpeg"}
• {"id"=>"283955919786745858", "text"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Syste... http://t.co/sTxa5QRr", "created_at"=>"2012-12-26T15:22:21Z", "user"=>"mgoyenechea", "user_name"=>"Matías Goyenechea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1366363503/DSC09812_normal.JPG"}
• {"id"=>"285792116762877954", "text"=>"PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T16:58:45Z", "user"=>"PLOSMedicine", "user_name"=>"PLOS Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/2436335697/k93oob5au2gllc775hk5_normal.jpeg"}
• {"id"=>"285792403976228866", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T16:59:53Z", "user"=>"sciencemug", "user_name"=>"SM", "user_profile_image"=>"http://a0.twimg.com/profile_images/2732112003/92be57ca5dbeab4a1959bd4b2503a00e_normal.png"}
• {"id"=>"285792501619625984", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T17:00:16Z", "user"=>"Buco_Nero", "user_name"=>"Buco_Nero", "user_profile_image"=>"http://a0.twimg.com/profile_images/1898505949/BN-new-logo_FINAL_normal.jpg"}
• {"id"=>"285792555050889216", "text"=>"How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/3nQX7BJ3", "created_at"=>"2012-12-31T17:00:29Z", "user"=>"jdarsee", "user_name"=>"JR Hughes-Darsee MD", "user_profile_image"=>"http://a0.twimg.com/profile_images/272913406/headshot_normal.jpg"}
• {"id"=>"285793035856519169", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T17:02:24Z", "user"=>"AntGln43", "user_name"=>"Antonio Galán", "user_profile_image"=>"http://a0.twimg.com/profile_images/3007879404/89c957a38e604dea0a31415cb8963ad1_normal.jpeg"}
• {"id"=>"285793588971991041", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T17:04:36Z", "user"=>"munevarjuan", "user_name"=>"Juan Munevar", "user_profile_image"=>"http://a0.twimg.com/profile_images/3043498907/1b0733a565b18545797fe2b664baaa7d_normal.jpeg"}
• {"id"=>"285793677702488065", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T17:04:57Z", "user"=>"2MinuteMedicine", "user_name"=>"2 Minute Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/2663980247/c6762e09ab08af66fd5d6602f1f0808b_normal.png"}
• {"id"=>"285794079349026817", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T17:06:32Z", "user"=>"M_ViOL", "user_name"=>"Memito ", "user_profile_image"=>"http://a0.twimg.com/profile_images/1210687021/Bug_design_normal.jpg"}
• {"id"=>"285799664333230080", "text"=>"cuando se intenta acceder a este art \"Private vs Public Healthcare. ..\" http://t.co/Xx98I8wY dice que tiene un soft malicioso ¿sera la CAM?", "created_at"=>"2012-12-31T17:28:44Z", "user"=>"rafabravo", "user_name"=>"Rafael Bravo", "user_profile_image"=>"http://a0.twimg.com/profile_images/2775062368/332a0ec15cbe893892d69e891b45c2f0_normal.png"}
• {"id"=>"285831379558748160", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2012-12-31T19:34:46Z", "user"=>"PDelobelle", "user_name"=>"Peter Delobelle", "user_profile_image"=>"http://a0.twimg.com/profile_images/2546283817/e709dswybxccxzwf3zor_normal.jpeg"}
• {"id"=>"285885684265394176", "text"=>"“@PLOSMedicine:How Private vs Public Healthcare Systems Perform in LMIC \nhttp://t.co/wqklmPTw”Clarito @rasneu @sebapavlovic @GiorgioJackson", "created_at"=>"2012-12-31T23:10:33Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"286460009552941056", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2013-01-02T13:12:43Z", "user"=>"SocialistHealth", "user_name"=>"Socialist Health Asn", "user_profile_image"=>"http://a0.twimg.com/profile_images/1628853812/sha_header2_normal.jpg"}
• {"id"=>"286463462790545408", "text"=>"RT @PLOSMedicine: PM Top Ten 2012 Most Accessed: \n1. How Private vs Public Healthcare Systems Perform in Low and Middle-Income Countries \nhttp://t.co/iEtuYf9c", "created_at"=>"2013-01-02T13:26:26Z", "user"=>"GrahamScambler", "user_name"=>"Graham Scambler", "user_profile_image"=>"http://a0.twimg.com/profile_images/2868530205/758394a685643e3b9bfcf02c75dc7394_normal.jpeg"}
• {"id"=>"286484221588033536", "text"=>"PLOS Medicine: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income countries:http://t.co/iQf1wCFx", "created_at"=>"2013-01-02T14:48:55Z", "user"=>"Jayne942", "user_name"=>"Jayne McCubbin", "user_profile_image"=>"http://a0.twimg.com/profile_images/2282070871/8if4imzb2xmv9g71dfov_normal.jpeg"}
• {"id"=>"286836874851524608", "text"=>"“@rafaelgumucioa: @jschaulsohn no es mala idea” / la mejor idea del dia y con sustento“ Private vs Public in LMIC \nhttp://t.co/wqklmPTw", "created_at"=>"2013-01-03T14:10:14Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"286913246655549441", "text"=>"http://t.co/xi9GcNDJ", "created_at"=>"2013-01-03T19:13:43Z", "user"=>"nevitdilmen", "user_name"=>"Nevit Dilmen", "user_profile_image"=>"http://a0.twimg.com/profile_images/2890582779/609f1e3dbe73a28aea283aedd4f5002c_normal.jpeg"}
• {"id"=>"288350230703910912", "text"=>"@luissantigosa @beoxman ¿y lo que dice la ciencia y los estudios científicos? eso qué es? http://t.co/D19eWnhM", "created_at"=>"2013-01-07T18:23:46Z", "user"=>"SrBelizon", "user_name"=>"Salvador Belizón ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2592624383/uyzahwqaqnwi9lxqmwpx_normal.gif"}
• {"id"=>"288761539320750080", "text"=>"@mgoyenechea @VamosVelasco @AndresVelasco Y en nuestros países tambien http://t.co/RsYcoJvD", "created_at"=>"2013-01-08T21:38:10Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"288952897566294016", "text"=>"@bierzhoff Bah… no sigo. Se basa en ideas que los socialistas (el PSOE NO) ya han rebatido una y mil veces. Y toma: http://t.co/RMOOnSNu", "created_at"=>"2013-01-09T10:18:33Z", "user"=>"beoxman", "user_name"=>"Diego", "user_profile_image"=>"http://a0.twimg.com/profile_images/1615269482/dexter_normal.png"}
• {"id"=>"295490118767226880", "text"=>"Revisión sistemática de comparativa entre sistema sanitario público y privado http://t.co/rpYrOvuT", "created_at"=>"2013-01-27T11:15:08Z", "user"=>"IvndelosMozosHe", "user_name"=>"Iván de los Mozos He", "user_profile_image"=>"http://a0.twimg.com/profile_images/1342425207/MJ_facebook_normal.jpg"}
• {"id"=>"295580851092221952", "text"=>"“@AlbertoMayol: @mwaissbluth es la eficiencia del libremercado.” / aconsejo leer http://t.co/RsYcoJvD", "created_at"=>"2013-01-27T17:15:41Z", "user"=>"ASlachevsky", "user_name"=>"Andrea Slachevsky", "user_profile_image"=>"http://a0.twimg.com/profile_images/2634386319/7d4ae67e8e72e83a78e48faf33c647b2_normal.jpeg"}
• {"id"=>"297816054393102336", "text"=>"SANITÁ PUBBLICA VS PRIVATA Comparative Performance of Private and Public Healthcare Systems http://t.co/VmvC4zKz", "created_at"=>"2013-02-02T21:17:35Z", "user"=>"nig_onco", "user_name"=>"Niguarda Oncologia", "user_profile_image"=>"http://a0.twimg.com/profile_images/2897934066/339a1cf348a10884f868bc1a1cd7cf5c_normal.jpeg"}
• {"id"=>"298737738256089088", "text"=>"RT @nig_onco: SANITÁ PUBBLICA VS PRIVATA Comparative Performance of Private and Public Healthcare Systems http://t.co/VmvC4zKz", "created_at"=>"2013-02-05T10:20:01Z", "user"=>"paola_erba", "user_name"=>"Paola Erba", "user_profile_image"=>"http://a0.twimg.com/sticky/default_profile_images/default_profile_3_normal.png"}
• {"id"=>"300941089077092352", "text"=>"PLOS Medicine: Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries... http://t.co/0c8tImeg", "created_at"=>"2013-02-11T12:15:21Z", "user"=>"profesorluis", "user_name"=>"biyayo.port", "user_profile_image"=>"http://a0.twimg.com/profile_images/269496556/fotologo2texIRAN_normal.jpg"}
• {"id"=>"306164862998953985", "text"=>"@jappleby123 yes http://t.co/r1TFi17swi", "created_at"=>"2013-02-25T22:12:46Z", "user"=>"martinmckee", "user_name"=>"Martin McKee", "user_profile_image"=>"http://a0.twimg.com/profile_images/1316117812/McKee_Martin-22_s_normal.jpg"}
• {"id"=>"306165176812593152", "text"=>"RT @martinmckee: @jappleby123 yes http://t.co/r1TFi17swi", "created_at"=>"2013-02-25T22:14:01Z", "user"=>"jappleby123", "user_name"=>"John Appleby", "user_profile_image"=>"http://a0.twimg.com/profile_images/2035515882/2919_John_crop1_normal.jpg"}
• {"id"=>"306165435676639232", "text"=>"“@martinmckee: @jappleby123 yes http://t.co/MJqzk3AUzq” I wish I'd done public health!", "created_at"=>"2013-02-25T22:15:02Z", "user"=>"jhcoakley", "user_name"=>"John Coakley", "user_profile_image"=>"http://a0.twimg.com/profile_images/2871290222/5d36ffafd211d3bc3e2e73dae6a681d1_normal.png"}
• {"id"=>"306166229129904129", "text"=>"RT @martinmckee: @jappleby123 yes http://t.co/r1TFi17swi", "created_at"=>"2013-02-25T22:18:11Z", "user"=>"mdthemd", "user_name"=>"Martin Duffy", "user_profile_image"=>"http://a0.twimg.com/profile_images/1257096516/IMG_0094_normal.JPG"}
• {"id"=>"306171025597534209", "text"=>"@martinmckee @jappleby123 Apparently not, see this study: http://t.co/vyhiLhrjrK", "created_at"=>"2013-02-25T22:37:15Z", "user"=>"Mark_Harris_83", "user_name"=>"Mark Harris", "user_profile_image"=>"http://a0.twimg.com/profile_images/1781425683/Twitter_normal.jpg"}
• {"id"=>"308503488273457153", "text"=>"Once again: public sector health care better value, but private sector better customer service. Natch. #PLOSMedicine http://t.co/WwAP5ylsG4", "created_at"=>"2013-03-04T09:05:37Z", "user"=>"scottlgreer", "user_name"=>"Scott Greer", "user_profile_image"=>"http://a0.twimg.com/profile_images/1832934322/image_normal.jpg"}
• {"id"=>"317662936892071938", "text"=>"Comparative Performance of Private/Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review http://t.co/I15028HbZk", "created_at"=>"2013-03-29T15:42:00Z", "user"=>"legalaware_coys", "user_name"=>"legal aware ", "user_profile_image"=>"http://a0.twimg.com/profile_images/3447299944/d262726b383711c5de0f4aa4d43828d8_normal.jpeg"}
• {"id"=>"317780764643184640", "text"=>"@Sallyoo overall argument NOT consistent with http://t.co/I15028HbZk (Italy included)", "created_at"=>"2013-03-29T23:30:13Z", "user"=>"legalaware_coys", "user_name"=>"legal aware ", "user_profile_image"=>"http://a0.twimg.com/profile_images/3447299944/d262726b383711c5de0f4aa4d43828d8_normal.jpeg"}
• {"id"=>"318421710330269696", "text"=>"Interesting systematic review for low & middle income countries: \nPerformance of Private & Public Healthcare Systems \nhttp://t.co/FEU5HAoowM", "created_at"=>"2013-03-31T17:57:06Z", "user"=>"DanyaalRaza", "user_name"=>"Dan Raza", "user_profile_image"=>"http://a0.twimg.com/profile_images/2730505621/29757a8ae9f36c30fa6e59d0817d9e1f_normal.jpeg"}
• {"id"=>"324102878560137216", "text"=>"The private sector is not more efficient, accountable, or medically effective than the public sector in LMIC http://t.co/AeUzZxURW2", "created_at"=>"2013-04-16T10:12:02Z", "user"=>"TalladaJoan", "user_name"=>"Joan Tallada", "user_profile_image"=>"http://a0.twimg.com/profile_images/3396206507/806f93061d52ccbbdd7103f522f1db82_normal.png"}
• {"id"=>"428621991495864320", "text"=>"@RamonArandaS porque es más caro y pierde en calidad. Lea y aprenda: http://t.co/bSblhS6CfD @ilse0001", "created_at"=>"2014-01-29T20:13:40Z", "user"=>"muly_", "user_name"=>"Muly", "user_profile_image"=>"http://pbs.twimg.com/profile_images/412554804297084929/q9DBxT8I_normal.jpeg"}
• {"id"=>"431814849514176512", "text"=>"Comparative Performance of Private & Public Healthcare Systems in Low- & Middle-Income Countries | PLOS Med http://t.co/T08lSFgwRF", "created_at"=>"2014-02-07T15:40:57Z", "user"=>"gregjirving", "user_name"=>"Greg Irving", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1005640592/IMG_7108a_normal.jpg"}
• {"id"=>"451770472305143808", "text"=>"No hay evidencia científica de q el sector sanitario privado sea mejor ni en eficiencia ni en calidad q el público http://t.co/NwPkRKBIWj", "created_at"=>"2014-04-03T17:17:28Z", "user"=>"RosaCandidaMD", "user_name"=>"RosaCandidaMD", "user_profile_image"=>"http://pbs.twimg.com/profile_images/450603614709374977/SEXwTKz9_normal.jpeg"}
• {"id"=>"457176802663100416", "text"=>"Comparing private + public healthcare in low- + middle-income countries - Interesting piece in #PLOSMedicine: http://t.co/GsR9020PsH", "created_at"=>"2014-04-18T15:20:18Z", "user"=>"d_rev_org", "user_name"=>"D-Rev", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2413534605/v2ywi5n93fkpe4sleopf_normal.jpeg"}
• {"id"=>"457179493229019136", "text"=>"RT @d_rev_org: Comparing private + public healthcare in low- + middle-income countries - Interesting piece in #PLOSMedicine: http://t.co/Gs…", "created_at"=>"2014-04-18T15:30:59Z", "user"=>"wcheng24", "user_name"=>"William Cheng", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000489375042/27beaee28dfbb5b75173c7d65b2a64be_normal.jpeg"}
• {"id"=>"490787100187713536", "text"=>"#RepitaConmigoSñraAguirre la gestion privada de la sanidad es MAS CARA que la pública http://t.co/frQy1ztk0r", "created_at"=>"2014-07-20T09:15:37Z", "user"=>"pepelupi", "user_name"=>"pepelupi", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1746193303/images_normal.jpg"}
• {"id"=>"490787344078102528", "text"=>"RT @pepelupi: #RepitaConmigoSñraAguirre la gestion privada de la sanidad es MAS CARA que la pública http://t.co/frQy1ztk0r", "created_at"=>"2014-07-20T09:16:35Z", "user"=>"jacobgarcia31", "user_name"=>"jacob garcia", "user_profile_image"=>"http://pbs.twimg.com/profile_images/474188458844372994/SHzZZeEW_normal.jpeg"}
• {"id"=>"490788201314144257", "text"=>"RT @pepelupi: #RepitaConmigoSñraAguirre la gestion privada de la sanidad es MAS CARA que la pública http://t.co/frQy1ztk0r", "created_at"=>"2014-07-20T09:20:00Z", "user"=>"durademollera", "user_name"=>"Rosarillo illo illo", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2647917520/16d4b0e877fe40e3961e134dc18d7f7c_normal.jpeg"}
• {"id"=>"490788235623555072", "text"=>"RT @pepelupi: #RepitaConmigoSñraAguirre la gestion privada de la sanidad es MAS CARA que la pública http://t.co/frQy1ztk0r", "created_at"=>"2014-07-20T09:20:08Z", "user"=>"Jevirivas", "user_name"=>"Jevi Rivas", "user_profile_image"=>"http://pbs.twimg.com/profile_images/439529214945927168/IjQf-fpR_normal.jpeg"}
• {"id"=>"490801725151141888", "text"=>"RT @pepelupi: #RepitaConmigoSñraAguirre la gestion privada de la sanidad es MAS CARA que la pública http://t.co/frQy1ztk0r", "created_at"=>"2014-07-20T10:13:44Z", "user"=>"ancorlan", "user_name"=>"ancorlan", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000719898959/4a96614ab0d0cf5d140cb10fa65dc039_normal.jpeg"}
• {"id"=>"535144785750007808", "text"=>"@Pablo_Iglesias_ http://t.co/frQy1A1Yav", "created_at"=>"2014-11-19T18:57:14Z", "user"=>"pepelupi", "user_name"=>"pepelupi", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1746193303/images_normal.jpg"}
• {"id"=>"535144959184498690", "text"=>"@Pablo_Iglesias_ \nhttp://t.co/frQy1A1Yav", "created_at"=>"2014-11-19T18:57:55Z", "user"=>"pepelupi", "user_name"=>"pepelupi", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1746193303/images_normal.jpg"}
• {"id"=>"535147402345598977", "text"=>"RT @pepelupi: @Pablo_Iglesias_ http://t.co/frQy1A1Yav", "created_at"=>"2014-11-19T19:07:37Z", "user"=>"BorjaMancha", "user_name"=>"Borja Mancha García", "user_profile_image"=>"http://pbs.twimg.com/profile_images/533304902827536384/6ShfMx0q_normal.jpeg"}
• {"id"=>"536963478654050304", "text"=>"Comparative Performance of Private & Public Healthcare Systems in Low- and Middle-Income Countries: Systematic Review http://t.co/nzI7Y4uika", "created_at"=>"2014-11-24T19:24:04Z", "user"=>"craloia", "user_name"=>"Seeds of Longevity", "user_profile_image"=>"http://pbs.twimg.com/profile_images/520521135759192064/ZR-KnpF7_normal.jpeg"}
• {"id"=>"543193624566312960", "text"=>"Although that was only in context of low- & mid-income countries: http://t.co/zq9na0yVd6", "created_at"=>"2014-12-12T00:00:26Z", "user"=>"OwenSpottswoode", "user_name"=>"Owen Spottiswoode", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1432762721/Owen_spottiswoode_full_fact_twitter_normal.jpg"}
• {"id"=>"546146465660551168", "text"=>"RT @OwenSpottswoode: Although that was only in context of low- & mid-income countries: http://t.co/zq9na0yVd6", "created_at"=>"2014-12-20T03:33:58Z", "user"=>"LeafitNowTeam", "user_name"=>"Leafit Now Team", "user_profile_image"=>"http://pbs.twimg.com/profile_images/525098178027077632/VZzbnBXx_normal.png"}
• {"id"=>"610822319909535744", "text"=>"Interesante estudio ..@izkia @natho47 http://t.co/BWtAqhN5xN", "created_at"=>"2015-06-16T14:52:44Z", "user"=>"Juvoto", "user_name"=>"Juvenal M.D. M.Sc.", "user_profile_image"=>"http://pbs.twimg.com/profile_images/571007316615364608/3i9o20kb_normal.jpeg"}
• {"id"=>"695711376040452096", "text"=>"@willemwansink Bijv https://t.co/HDyTtvM3fh", "created_at"=>"2016-02-05T20:51:32Z", "user"=>"hans_koevoet", "user_name"=>"Hans Koevoet", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000744355520/06ad07c2c506030bf19ddccf1e42228a_normal.png"}
• {"id"=>"709675973990555648", "text"=>"@MaxEricThiel https://t.co/Pv1Z2MwvQ1; https://t.co/CJFWBuNoDI", "created_at"=>"2016-03-15T09:41:51Z", "user"=>"AliceGreschkow", "user_name"=>"Alice Greschkow", "user_profile_image"=>"http://pbs.twimg.com/profile_images/517220894289440768/Wyk4JaHE_normal.jpeg"}
• {"id"=>"829154797664235520", "text"=>"@jamesrtoy @BernieSanders this is just false. I would recommend checking out https://t.co/yZti63nrhb", "created_at"=>"2017-02-08T02:28:03Z", "user"=>"conarroe_", "user_name"=>"Matt Conarroe", "user_profile_image"=>"http://pbs.twimg.com/profile_images/794872525809483776/NMywVWi4_normal.jpg"}
• {"id"=>"860513973501874176", "text"=>"@gorskon @Livi_We_Trust https://t.co/JJurRlzyWC I'll just leave this here", "created_at"=>"2017-05-05T15:18:13Z", "user"=>"EDEZXP", "user_name"=>"Ed.E", "user_profile_image"=>"http://pbs.twimg.com/profile_images/836616142965747712/kR64bFdx_normal.jpg"}
• {"id"=>"880430096888344576", "text"=>"@merentie @pursiain @TuomasEnbuske https://t.co/3Q8J5qamjV", "created_at"=>"2017-06-29T14:17:47Z", "user"=>"joonasl", "user_name"=>"Joonas Lyytinen", "user_profile_image"=>"http://pbs.twimg.com/profile_images/851748389612130304/2KMP_YDP_normal.jpg"}

Wikipedia | Further Information

• {"title"=>"Healthcare in India", "url"=>"http://en.wikipedia.org/wiki/Healthcare_in_India", "timestamp"=>"2019-02-23T20:29:12Z"}

Wordpress.com | Further Information

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Figshare

• {"files"=>["https://ndownloader.figshare.com/files/323541", "https://ndownloader.figshare.com/files/323599"], "description"=>"<div><h3>Introduction</h3><p>Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries.</p> <h3>Methods and Findings</h3><p>Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of “private sector” included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. “Competitive dynamics” for funding appeared between the two sectors, such that public funds and personnel were redirected to private sector development, followed by reductions in public sector service budgets and staff.</p> <h3>Conclusions</h3><p>Studies evaluated in this systematic review do not support the claim that the private sector is usually more efficient, accountable, or medically effective than the public sector; however, the public sector appears frequently to lack timeliness and hospitality towards patients.</p> <h3></h3><p> <em>Please see later in the article for the Editors' Summary</em></p> </div>", "links"=>[], "tags"=>["comparative", "healthcare", "systems", "low-", "middle-income", "systematic"], "article_id"=>123855, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.s001", "https://dx.doi.org/10.1371/journal.pmed.1001244.s002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Comparative_Performance_of_Private_and_Public_Healthcare_Systems_in_Low_and_Middle_Income_Countries_A_Systematic_Review/123855", "title"=>"Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2012-06-19 01:04:15"}
• {"files"=>["https://ndownloader.figshare.com/files/620848"], "description"=>"<p><i>n</i> = 190 countries for which data are available. Source: <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001244#pmed.1001244-World8\" target=\"_blank\">[114]</a>.</p>", "links"=>[], "tags"=>["expenditure", "percent"], "article_id"=>291340, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_General_government_expenditure_on_health_as_percent_of_total_expenditure_on_health_2008_/291340", "title"=>"General government expenditure on health as percent of total expenditure on health, 2008.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-06-19 00:22:20"}
• {"files"=>["https://ndownloader.figshare.com/files/620927"], "description"=>"<p>Flow diagram of study selection.</p>", "links"=>[], "tags"=>["diagram"], "article_id"=>291424, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_diagram_of_study_selection_/291424", "title"=>"Flow diagram of study selection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-06-19 00:23:44"}
• {"files"=>["https://ndownloader.figshare.com/files/621026"], "description"=>"<p>CEA, cost-effectiveness analysis; QALYs, quality-adjusted life years.</p>", "links"=>[], "tags"=>["inclusion"], "article_id"=>291524, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Systematic_review_inclusion_criteria_/291524", "title"=>"Systematic review inclusion criteria.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-06-19 00:25:24"}
• {"files"=>["https://ndownloader.figshare.com/files/621060"], "description"=>"<p>CD, communicable disease; NCD, noncommunicable disease.</p>", "links"=>[], "tags"=>["included"], "article_id"=>291554, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_studies_/291554", "title"=>"Characteristics of included studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-06-19 00:25:54"}
• {"files"=>["https://ndownloader.figshare.com/files/621086"], "description"=>"<p>WHO health system themes: data organization categories, subcategories, and indicators used.</p>", "links"=>[], "tags"=>["indicators"], "article_id"=>291578, "categories"=>["Biotechnology"], "users"=>["Sanjay Basu", "Jason Andrews", "Sandeep Kishore", "Rajesh Panjabi", "David Stuckler"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001244.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_WHO_health_system_themes_data_organization_categories_subcategories_and_indicators_used_/291578", "title"=>"WHO health system themes: data organization categories, subcategories, and indicators used.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-06-19 00:26:18"}

PMC Usage Stats | Further Information

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Relative Metric

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F1000Prime | Further Information

• {"year"=>2014, "month"=>5, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-05-26T08:35:02Z"}
• {"year"=>2014, "month"=>6, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-06-30T08:34:56Z"}
• {"year"=>2014, "month"=>7, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-07-28T08:35:05Z"}
• {"year"=>2014, "month"=>8, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-08-25T08:35:03Z"}
• {"year"=>2014, "month"=>9, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-09-29T08:35:05Z"}
• {"year"=>2014, "month"=>10, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-10-27T08:34:50Z"}
• {"year"=>2014, "month"=>11, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-11-24T09:33:08Z"}
• {"year"=>2014, "month"=>12, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2014-12-29T09:42:56Z"}
• {"year"=>2015, "month"=>1, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-01-26T09:41:01Z"}
• {"year"=>2015, "month"=>2, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-02-23T09:41:01Z"}
• {"year"=>2015, "month"=>3, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-03-23T08:41:18Z"}
• {"year"=>2015, "month"=>4, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-04-27T08:41:08Z"}
• {"year"=>2015, "month"=>5, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-05-25T08:41:01Z"}
• {"year"=>2015, "month"=>6, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-06-29T08:41:04Z"}
• {"year"=>2015, "month"=>7, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-07-27T08:40:55Z"}
• {"year"=>2015, "month"=>8, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-08-31T08:41:07Z"}
• {"year"=>2015, "month"=>9, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-09-28T08:40:56Z"}
• {"year"=>2015, "month"=>10, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-10-26T08:41:12Z"}
• {"year"=>2015, "month"=>11, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-11-30T09:41:13Z"}
• {"year"=>2015, "month"=>12, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2015-12-28T09:41:16Z"}
• {"year"=>2016, "month"=>1, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-01-25T09:41:17Z"}
• {"year"=>2016, "month"=>2, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-02-29T09:40:52Z"}
• {"year"=>2016, "month"=>3, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-03-28T08:40:49Z"}
• {"year"=>2016, "month"=>4, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-04-25T08:40:58Z"}
• {"year"=>2016, "month"=>5, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-05-16T08:40:57Z"}
• {"year"=>2016, "month"=>6, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-06-27T08:40:54Z"}
• {"year"=>2016, "month"=>7, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-07-25T08:40:53Z"}
• {"year"=>2016, "month"=>8, "doi"=>"10.1371/journal.pmed.1001244", "f1000_id"=>"718000923", "url"=>"http://f1000.com/prime/718000923", "score"=>1, "classifications"=>["controversial", "good_for_teaching"], "updated_at"=>"2016-08-29T08:40:46Z"}
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