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This paper examines privatization as a multidimensional phenom enon that has broad ramifications for the planning, funding, and provision of human services. Historical changes in the balance of public and private services and the current expansion of the private sector's role are reviewed. A conceptual framework illustrates dynam ics brought on by privatization that may lead to increased inter- agency competition for contract-eligible and fee-for-service clients. The paper concludes with a discussion of the potential effect of these dynamics on clients who cannot pay.
Netting et al. (Thu,) studied this question.