Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/13636
Título: | Patient mobility, health care quality and welfare |
Autor(es): | Brekke, Kurt R. Levaggi, Rosella Siciliani, Luigi Straume, Odd Rune |
Palavras-chave: | Patient mobility Health care quality Regional an global welfare |
Data: | Set-2011 |
Editora: | Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE) |
Resumo(s): | Patient mobility is a key issue in the EU who recently pased a new law on patients`right to EU-wide provider choice. In this paper we use a hotelling model with txo regions that differ in technology to study the impact of patient mobility leads to too low (higt) quality and two few (many) patients being treated in the high-skill (low-skill) region. A centralised solution with patient mobility implements the first best, but the low - skill region would not be willing to trnsfer authority as its welfare is lower than without mobility. In a decentralised solution, the effects of pacient mobility depend on the transfer payment. If the payment is below marginal cost, mobility leads to a "race-to-the-bottom" in quality and lower welfare in both regions. In the payment is equal to marginal cost, quality and welfare remain unchanged in the high-skill region, but the low-skill region benefits. For a socially optimal payment, wich is higher than marginal cost, quality levels in the two regions are closer to (but not at) the first best, but welfare is lower in the low-skill region. Thus, patient mobility can have adverse effects on quality provision and welfare unles an appropriate transfer payment scheme is implemented. |
Tipo: | Documento de trabalho |
URI: | https://hdl.handle.net/1822/13636 |
Arbitragem científica: | no |
Acesso: | Acesso aberto |
Aparece nas coleções: | NIPE - Documentos de Trabalho |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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Mobility15aug2011.pdf | Documento principal | 273,51 kB | Adobe PDF | Ver/Abrir |