Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/76487
Título: | Investment and quality competition in healthcare markets |
Autor(es): | Ghandour, Ziad Siciliani, Luigi Straume, Odd Rune |
Palavras-chave: | Hospital payment Investment Quality competition |
Data: | 14-Jan-2022 |
Editora: | Elsevier |
Revista: | Journal of Health Economics |
Resumo(s): | We study the strategic relationship between hospital investment and provision of service quality. We use a spatial competition framework and allow investment and quality to be complements or substitutes in patient benefit and provider cost. We assume that each hospital commits to a certain investment before deciding on service quality, and that investment is observable and contractible while quality is observable but not contractible. We show that, under a fixed DRG-pricing system, providers’ lack of ability to commit to quality leads to under- or overinvestment, relative to the first-best solution. Underinvestment arises when the price-cost margin is positive, and quality and investments are strategic complements, which has implications for optimal contracting. Differently from the simultaneous-move case, the regulator must complement the payment with one more instrument to address under/overinvestment. We also analyse the welfare effects of different policy options (separate payment for investment, higher per-treatment prices, or DRG-refinement policies). |
Tipo: | Artigo |
Descrição: | "Online ahead of print" |
URI: | https://hdl.handle.net/1822/76487 |
DOI: | 10.1016/j.jhealeco.2022.102588 |
ISSN: | 0167-6296 |
Versão da editora: | https://www.sciencedirect.com/science/article/pii/S016762962200008X?via%3Dihub |
Arbitragem científica: | yes |
Acesso: | Acesso embargado (2 Anos) |
Aparece nas coleções: | EEG - Artigos em revistas de circulação internacional com arbitragem científica |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
---|---|---|---|---|
RepUM_JHE2022.pdf | 465,15 kB | Adobe PDF | Ver/Abrir |