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Workable competition in health care: Prospects for the Dutch design

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  • Schut, Frederik T.

Abstract

Since 1989 a gradual restructing of the Dutch health care system is taking place to realize a multiple choice social health insurance system with workable competition among health care providers. This paper investigates whether the structural change will induce the intended competition. An examination of the characteristics of the markets for health insurance, physician services and hospital services in the Netherlands points out that the scope for competition is limited. If competition is to work, rather extensive government regulation to monitor the conduct of both providers and insurers is needed. Without an effective antitrust policy a high degree of concentration and collusion is likely.

Suggested Citation

  • Schut, Frederik T., 1992. "Workable competition in health care: Prospects for the Dutch design," Social Science & Medicine, Elsevier, vol. 35(12), pages 1445-1455, December.
    • Handle: RePEc:eee:socmed:v:35:y:1992:i:12:p:1445-1455
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    Cited by:

    1. Heinemann, Stephanie & Leiber, Simone & Greß, Stefan, 2013. "Managed competition in the Netherlands—A qualitative study," Health Policy, Elsevier, vol. 109(2), pages 113-121.
    2. Westra, Daan & Angeli, Federica & Carree, Martin & Ruwaard, Dirk, 2017. "Understanding competition between healthcare providers: Introducing an intermediary inter-organizational perspective," Health Policy, Elsevier, vol. 121(2), pages 149-157.

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