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Equity and efficiency in health care

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  • Light, Donald W.

Abstract

Adam Smith's belief that markets will make society more equitable and efficient is examined in the case of reforms to make health care more competitive. Eight ways in which health care does not often satisfy the requirements for competitive markets, and nine ways in which providers can manipulate markets are identified. The concept of 'embedded inefficiencies' is introduced to explain why competition may not increase efficiency.

Suggested Citation

  • Light, Donald W., 1992. "Equity and efficiency in health care," Social Science & Medicine, Elsevier, vol. 35(4), pages 465-469, August.
  • Handle: RePEc:eee:socmed:v:35:y:1992:i:4:p:465-469
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    Citations

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    Cited by:

    1. Peter A. Ubel & Jonathan Baron & David A. Asch, 2001. "Preference for Equity As a Framing Effect," Medical Decision Making, , vol. 21(3), pages 180-189, May.
    2. Munro, Lauchlan, 1999. "A Principal-Agent Analysis of the Family: Implications for the Welfare State," General Discussion Papers 30567, University of Manchester, Institute for Development Policy and Management (IDPM).
    3. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    4. Arroyos-Calvera, Danae & Covey, Judith & Loomes, Graham & McDonald, Rebecca, 2019. "The efficiency-equity trade-off, self-interest, and moral principles in health and safety valuation," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.

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