Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/65677

TitleCompetition and equity in health care markets
Author(s)Siciliani, Luigi
Straume, Odd Rune
KeywordsHospital competition
Quality
Health inequalities
Gini coefficient
Issue date1-Mar-2019
PublisherElsevier
JournalJournal of Health Economics
Abstract(s)We provide a model where hospitals compete on quality under fixed prices to investigate how hospital competition affects (i) quality differences between hospitals, and as a result, (ii) health inequalities across hospitals and patient severities. The answer to the first question is ambiguous and depends on factors related to both demand and supply of health care. Whether competition increases or reduces health inequalities depends on the type and measure of inequality. Health inequalities due to the postcode lottery are more likely to decrease if the marginal health gains from quality decrease at a higher rate, whereas health inequalities between high- and low-severity patients decrease if patient composition effects are sufficiently small. We also investigate the effect of competition on health inequalities as measured by the Gini and the Generalised Gini coefficients, and highlight differences compared to the simpler dispersion measures. (C) 2018 Elsevier B.V. All rights reserved.
TypeArticle
URIhttp://hdl.handle.net/1822/65677
DOI10.1016/j.jhealeco.2018.12.002
ISSN0167-6296
e-ISSN1879-1646
Publisher versionhttps://www.sciencedirect.com/science/article/pii/S0167629618301607
Peer-Reviewedyes
AccessEmbargoed access (2 Years)
Appears in Collections:NIPE - Artigos em Revistas de Circulação Internacional com Arbitragem Científica

Files in This Item:
File Description SizeFormat 
Equity_13Dec2018.pdf
  Until 2021-03-01
219,81 kBAdobe PDFView/Open

Partilhe no FacebookPartilhe no TwitterPartilhe no DeliciousPartilhe no LinkedInPartilhe no DiggAdicionar ao Google BookmarksPartilhe no MySpacePartilhe no Orkut
Exporte no formato BibTex mendeley Exporte no formato Endnote Adicione ao seu ORCID