کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5723496 1411453 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Policies towards hospital and GP competition in five European countries
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Policies towards hospital and GP competition in five European countries
چکیده انگلیسی


- Patients' choice policies are increasingly common.
- The process to determine hospital tariffs differs across countries.
- The introduction of GP competition can be controversial.
- There are innovative examples of selective contracting for patients with chronic conditions.
- Mergers of private hospitals are cleared in the vast majority of cases.

This study provides an overview of policies affecting competition amongst hospitals and GPs in five European countries: France, Germany, Netherlands, Norway and Portugal. Drawing on the policies and empirical evidence described in five case studies, we find both similarities and differences in the approaches adopted. Constraints on patients' choices of provider have been relaxed but countries differ in the amount and type of information that is provided in the public domain. Hospitals are increasingly paid via fixed prices per patient to encourage them to compete on quality but prices are set in different ways across countries. They can be collectively negotiated, determined by the political process, negotiated between insurers and providers or centrally determined by provider costs. Competition amongst GPs varies across countries and is limited in some cases by shortages of providers or restrictions on entry. There are varied and innovative examples of selective contracting for patients with chronic conditions aimed at reducing fragmentation of care. Competition authorities do generally have jurisdiction over mergers of private hospitals but assessing the potential impact of mergers on quality remains a key challenge. Overall, this study highlights a rich diversity of approaches towards competition policy in healthcare.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 121, Issue 2, February 2017, Pages 103-110
نویسندگان
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