Investment and quality competition in healthcare markets

Detalhes bibliográficos
Autor(a) principal: Ghandour, Ziad
Data de Publicação: 2022
Outros Autores: Siciliani, Luigi, Straume, Odd Rune
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://hdl.handle.net/1822/76487
Resumo: "Online ahead of print"
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spelling Investment and quality competition in healthcare marketsHospital paymentInvestmentQuality competitionSocial SciencesScience & Technology"Online ahead of print"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).FCT - Fundação para a Ciência e a Tecnologia(UID/ECO/03182/2019)ElsevierUniversidade do MinhoGhandour, ZiadSiciliani, LuigiStraume, Odd Rune2022-01-142022-01-14T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/76487eng0167-629610.1016/j.jhealeco.2022.10258835065851https://www.sciencedirect.com/science/article/pii/S016762962200008X?via%3Dihubinfo:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-20T01:19:41Zoai:repositorium.sdum.uminho.pt:1822/76487Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:06:00.825293Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Investment and quality competition in healthcare markets
title Investment and quality competition in healthcare markets
spellingShingle Investment and quality competition in healthcare markets
Ghandour, Ziad
Hospital payment
Investment
Quality competition
Social Sciences
Science & Technology
title_short Investment and quality competition in healthcare markets
title_full Investment and quality competition in healthcare markets
title_fullStr Investment and quality competition in healthcare markets
title_full_unstemmed Investment and quality competition in healthcare markets
title_sort Investment and quality competition in healthcare markets
author Ghandour, Ziad
author_facet Ghandour, Ziad
Siciliani, Luigi
Straume, Odd Rune
author_role author
author2 Siciliani, Luigi
Straume, Odd Rune
author2_role author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Ghandour, Ziad
Siciliani, Luigi
Straume, Odd Rune
dc.subject.por.fl_str_mv Hospital payment
Investment
Quality competition
Social Sciences
Science & Technology
topic Hospital payment
Investment
Quality competition
Social Sciences
Science & Technology
description "Online ahead of print"
publishDate 2022
dc.date.none.fl_str_mv 2022-01-14
2022-01-14T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://hdl.handle.net/1822/76487
url https://hdl.handle.net/1822/76487
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0167-6296
10.1016/j.jhealeco.2022.102588
35065851
https://www.sciencedirect.com/science/article/pii/S016762962200008X?via%3Dihub
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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