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

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dc.contributor.authorSiciliani, Luigipor
dc.contributor.authorStraume, Odd Runepor
dc.date.accessioned2020-06-18T14:43:09Z-
dc.date.available2021-03-01T07:00:26Z-
dc.date.issued2019-03-01-
dc.date.submitted2018-02-
dc.identifier.issn0167-6296por
dc.identifier.urihttps://hdl.handle.net/1822/65677-
dc.description.abstractWe 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.por
dc.description.sponsorship- We thank two anonymous reviewers for very helpful suggestions. Odd Rune Straume acknowledges funding from COMPETE (ref. no. POCI-01-0145-FEDER-006683), with the FCT/MEC's (Fundacao para a Ciencia e a Tecnologia, I.P.) financial support through national funding and by the ERDF through the Operational Programme on Competitiveness and Internationalization COMPETE 2020 under the PT2020 Partnership Agreement.por
dc.language.isoengpor
dc.publisherElsevierpor
dc.rightsopenAccesspor
dc.subjectHospital competitionpor
dc.subjectQualitypor
dc.subjectHealth inequalitiespor
dc.subjectGini coefficientpor
dc.titleCompetition and equity in health care marketspor
dc.typearticle-
dc.peerreviewedyespor
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0167629618301607por
oaire.citationStartPage1por
oaire.citationEndPage14por
oaire.citationVolume64por
dc.date.updated2020-06-18T12:50:59Z-
dc.identifier.eissn1879-1646por
dc.identifier.doi10.1016/j.jhealeco.2018.12.002por
dc.identifier.pmid30654150-
dc.subject.fosCiências Sociais::Economia e Gestãopor
dc.subject.wosSocial Sciences-
dc.subject.wosScience & Technology-
sdum.export.identifier5587-
sdum.journalJournal of Health Economicspor
Appears in Collections:NIPE - Artigos em Revistas de Circulação Internacional com Arbitragem Científica

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