Is there scope for mixed markets in the provision of hospital care?

Levaggi, Laura; Levaggi, Rosella

doi:10.1016/j.socscimed.2020.112810

Cited by 10 publications

(9 citation statements)

References 62 publications

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“…The literature clearly emphasises that information and institutional settings are crucial for quality to improve with the degree of competition (Gaynor and Town, 2011 ; Gutacker et al ., 2016 ; Siciliani et al ., 2017 ; Dardanoni et al ., 2018 ; Moscelli et al ., 2018 ). In fact, it is patients ability to exploit the available information on the differences in quality between providers (which makes them choose the best provider) that eventually allows the system to achieve efficient outcomes (Eurostat, 2017 ; Siciliani et al ., 2017 ; Rechel et al ., 2018 ; Levaggi and Levaggi, 2020 ).…”

Section: Models Of Managed Competitionmentioning

confidence: 99%

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

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Levaggi

Turati

2020

HEPL

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In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.

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Section: Models Of Managed Competitionmentioning

confidence: 99%

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

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Levaggi

Turati

2020

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“…Hospitals are also one of the critical components of health systems. Hospital services constitute about 50% of the total health costs (Levaggi, 2020). It is necessary to pay attention to hospitals to improve the overall performance of the health system (Ehler, 2018).…”

Section: Discussionmentioning

confidence: 99%

What is the mind map of the hospital's future changes in a developing country like Iran? A qualitative study

Amini

Dehnavieh

Yazdi‐Feyzabadi

et al. 2022

Preprint

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Background: Hospitals have a vital role in the future of health systems but will change. Identifying the potential aspects of change helps managers have a proactive approach in dealing with them, make use of the opportunities, and avoid threats. This study presents a mind map of future changes in Iranian hospitals to develop a base for further related studies or prepare evidence for interventions and future-related decisions. Methods: This study is a qualitative-exploratory one, conducted in two phases. In the first phase, in-depth and semi-structured interviews were conducted to identify the future changes of the hospitals over a 15-year time horizon. The interviews were analyzed using the content analysis method and MAXQDA 2018 software and holding two expert panels to develop the mind map using the 2016 Visio software. Results: In the first phase, 33 interviews led to 144 change patterns. In the second phase, a mind map of changes was drawn according to experts' opinions with ten categories: structure and role, knowledge management and research, service delivery, health forces, political and legal, economic, demographic and disease, technological, and values and philosophy, and environmental. Conclusions: Many changes affecting hospitals rooted in the past continue to the future, but the point is the increasing intensity and speed of changes. Health care systems need a systematic approach to monitoring the environment to be updated, agile and proactive. These monitoring systems are essential in providing evidence for Macro-level decision makers.

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“…For example, countries including the UK [ 20 , 21 ], Germany, and Sweden [ 24 ] expect the introduction of competition in healthcare markets to promote efficiency gains. It is widely believed that competition improves care quality by allowing patients to freely select their care providers [ 26 ]; consequently, purchaser-provider models are widely used to promote competition in healthcare markets [ 62 ]. Within this type of model, the purchaser of care services is invariably a government agency or health insurance company, and the patient is the ultimate consumer of services.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The improvement in care quality via integrated care and competition involves different logical mechanisms, and scholars and policymakers often view the two in opposition [ 25 ]. Competition promotes care quality by empowering patients to freely choose their healthcare providers [ 26 ]. Meanwhile, integrated care relies on the formation of an organic complex system through collaboration between institutions to meet the medical needs of a certain region or population [ 24 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Does competition support integrated care to improve quality?

Chong,

Jianping,

Zhenjie

et al. 2024

Heliyon

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Is there scope for mixed markets in the provision of hospital care?

Cited by 10 publications

References 62 publications

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

What is the mind map of the hospital's future changes in a developing country like Iran? A qualitative study

Does competition support integrated care to improve quality?

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