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Cream skimming and hospital transfers in a mixed public-private system

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  • Cheng, Terence C.
  • Haisken-DeNew, John P.
  • Yong, Jongsay

Abstract

The increasing prominence of the private sector in health care provision has generated considerable interest in understanding its implications on quality and cost. This paper investigates the phenomenon of cream skimming in a mixed public-private hospital setting using the novel approach of analysing hospital transfers.

Suggested Citation

  • Cheng, Terence C. & Haisken-DeNew, John P. & Yong, Jongsay, 2015. "Cream skimming and hospital transfers in a mixed public-private system," Social Science & Medicine, Elsevier, vol. 132(C), pages 156-164.
    • Handle: RePEc:eee:socmed:v:132:y:2015:i:c:p:156-164
    DOI: 10.1016/j.socscimed.2015.03.035
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    1. Murphy, Aileen & Bourke, Jane & Turner, Brian, 2020. "A two-tiered public-private health system: Who stays in (private) hospitals in Ireland?," Health Policy, Elsevier, vol. 124(7), pages 765-771.
    2. Rasooly, Alon & Davidovitch, Nadav & Filc, Dani, 2020. "The physician as a neoliberal subject – A qualitative study within a private-public mix setting," Social Science & Medicine, Elsevier, vol. 259(C).
    3. Juan Piedra-Peña & Diego Prior, 2023. "Analyzing the effect of health reforms on the efficiency of Ecuadorian public hospitals," International Journal of Health Economics and Management, Springer, vol. 23(3), pages 361-392, September.
    4. Daniel Lindsay & Emily Callander, 2021. "Quantifying the Costs to Different Funders over Five-Years for Women Diagnosed with Breast Cancer in Queensland, Australia: A Data Linkage Study," IJERPH, MDPI, vol. 18(24), pages 1-10, December.
    5. Yang, Ou & Chan, Marc K. & Cheng, Terence C. & Yong, Jongsay, 2020. "Cream skimming: Theory and evidence from hospital transfers and capacity utilization," Journal of Economic Behavior & Organization, Elsevier, vol. 173(C), pages 68-87.
    6. Jongsay Yong & Ou Yang, 2021. "Does socioeconomic status affect hospital utilization and health outcomes of chronic disease patients?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(2), pages 329-339, March.

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