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Competition between Hospitals : Does it Affect Quality of Care ?
Livre numérique Competition between Hospitals : Does it Affect Quality of Care ?

par Dormont, Brigitte

Editions Rue d'ULM

Résultat de Bibliovox

  • Consultable à la Bpi

Livre numérique

Competition between Hospitals : Does it Affect Quality of Care ?

Auteur(s) : Dormont, Brigitte
  • Éditeur(s)
  • Date
    • 2018
  • Notes
    • Á la suite des États-Unis, la plupart des pays européens ont réformé leurs hôpitaux au début des années 2000 avec un nouveau système de tarification visant à accroitre l’efficience dans la délivrance des soins. Ces réformes ont introduit une forte pression sur les hôpitaux afin qu’ils réduisent leurs coûts. C’est pourquoi leur mise en œuvre peut susciter soulever des inquiétudes sur la qualité des soins. Une solution est d’encourager une concurrence en qualité entre les hôpitaux. Le but de cet ouvrage est de présenter les résultats théoriques et empiriques concernant l’impact de la concurrence sur la qualité des soins hospitaliers. Les contributions ici rassemblées émanent d’économistes universitaires qui sont les meilleurs spécialistes du sujet au niveau international. Ils s’intéressent aux questions suivantes : intensifier la concurrence à prix fixe entre les hôpitaux conduit-il à une meilleure qualité des soins ? Les objectifs ou le statut – public ou privé – des hôpitaux peuvent-ils modifier l’impact de la concurrence ? Doit-on attendre un impact identique quel que soit le cas ou la maladie traités ? Est-il pertinent d’introduire de la concurrence entre des hôpitaux qui ont des cahiers des charges différents ? Competition between Hospitals: Does it Affect Quality of Care? 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?
  • Langues
    • Anglais
  • ISBN
    • 9782728806027
  • Droits
    • copyrighted
  • Résultat de :
  • 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

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