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Does provider competition improve health care quality and efficiency? Expectations and evidence from Europe / European Observatory on Health Systems and Policies;Siciliani, Luigi;Chakley, Martin;Gravelle, Hugh

Tác giả : European Observatory on Health Systems and Policies;Siciliani, Luigi;Chakley, Martin;Gravelle, Hugh

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2022

Tùng thư : Health Systems and Policy Analysis

Chủ đề : 1. General Practitioners. 2. Hospitals. 3. Public-Private Sector Partnerships. 4. Quality of Health Care. 5. Publications.

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Tóm tắt :

31 p. Provider competition has been a feature of health care markets in the USA, but also some European countries such as Germany, the Netherlands and France. Other European countries, such as the UK, Italy and Norway, did not historically feature provider competition but have introduced it over time. Policy-makers in favour of competition in the health sector typically argue that competition among providers within a market has virtuous properties for both quality and efficiency. In other institutional contexts, policy-makers are sceptical of competition and voice concerns that providers operating in a competitive environment will seek to minimize cost and maximize profit by skimping on service quality and reducing access. Competition can also hamper collaboration opportunities across providers and can be seen as a step towards privatization of the health sector. This policy brief reviews the evidence on the effects of provider competition from seven countries in Europe. While it mainly focuses on hospital care, evidence from the primary care and integrated care markets is also analysed.

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https://iris.who.int/handle/10665/363914