Competition between hospitals : does it affect quality of care ?

Résumé

Alors qu'une convergence des méthodes de paiement des hôpitaux publics et privés de France est annoncée pour 2018, l'ampleur et les causes des écarts de performance entre les deux secteurs sont interrogées. Les critères de comparaison sont la productivité, l'efficacité ou encore les caractéristiques des patients. ©Electre 2018

Contributeur(s)
- Dormont, Brigitte. Éditeur scientifique
- Milcent, Carine. Éditeur scientifique
Éditeur(s)
- Éditions Rue d'Ulm
- Impr. Maury
Date
- DL 2018
Notes
- Notes bibliogr. Glossaire. Résumés
Langues
- Anglais
Description matérielle
- 1 vol. (230 p.) : ill. ; 18 cm
Collections
- Collection du CEPREMAP
Sujet(s)
ISBN
- 978-2-7288-0602-7
Indice
- 336.5 Secteur public
Quatrième de couverture
- Competition between hospitals
  Following the example of the United States, most European countries reformed their hospital regulations in the early 2000s, with the introduction of a new payment system aimed at encouraging efficiency in care delivery. Because they put strong pressure on hospitals to lower their costs, wide implementation of these reforms raised concerns for some about quality of care. One solution has been to encourage quality competition among hospitals.
  The purpose of this volume is to bring together relevant theoretical and empirical results regarding the impact of hospital competition on the quality of care. Contributions come from academic economists recognized as the best specialists of the topic worldwide. They address the following questions: Does more intense competition among hospitals operating under fixed price systems always result in improved quality of care? Do hospital objectives and/or ownership matter ? Is the impact identical for different diseases ? Is it appropriate to introduce competition among hospitals with different mandates ?
Tables des matières
- - Competition between hospitals
  - Does it Affect Quality of Care ?
  - Brigitte Dormont and Carine Milcent
  - Rue d'ULM
  - Introduction9
  - 1. Hospital Quality Competition : A Review of the Theoretical Literature 25
  - Introduction 25
  - A model of Hospital Behaviour 28
  - Intrinsic Motivation and Altruism 33
  - Comptetition 35
  - Conclusions 59
  - Appendix 61
  - 2. Ownership and Hospital Productivity 69
  - Introduction 71
  - Ownership and Hospital Performances 74
  - The French Regulation of Hospital Care 76
  - The Data 80
  - Results 93
  - Conclusion 104
  - Appendix 106
  - 3. Hospital Competition, Quality, and Expenditures in the US Medicare Population 115
  - Introduction 116
  - The Model 119
  - Data 127
  - Empirical Specification 132
  - Results 135
  - Discussion 149
  - Appendix - Methematical Derivations 153
  - 4. The Competition Effect of a French Reform on Hospital Quality 161
  - Introduction 162
  - Context 165
  - Empirical Strategy 172
  - Data and Preliminary Statistics 176
  - Results 180
  - Robustness Checks 184
  - Conclusion 191
  - Appendix A. Details on the Logit Concentration index 193
  - Comments199
  - Introduction 199
  - Hospital Quality Competition : Review fo the Theoretical Literature 200
  - Ownership and Hospital Productivity 205
  - Hospital Competition, Quality, and Expenditures in the US Medicare Population 206
  - The Competition Effect of a French Reform on Hospital Quality 213
  - Final Remarks 216
  - Glossary219
  - Authors225
Origine de la notice:
- FR-751131015