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Medical Errors: Getting the Incentives Right

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  • Sverre Grepperud

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    Abstract

    This work examines the role of penalties as providers of incentives to prevent medical errors and ensure that such incidents, once they occur, become common knowledge. It is shown that a scheme with two penalties (accountability and non-report) induces the first-best solution. However, this scheme does not necessarily imply a punitive environment, but may, under given circumstances, yield insignificant and even negative penalties. Alternative sanction systems, such as voluntary reporting and immunity, are found to have less desirable properties. An exception is confidentiality (anonymity) which turns out to be an optimal scheme. Finally, the examination of various penalty restrictions (scope and scale) shows that such barriers may promote both tougher and softer sanction schemes. Copyright Springer Science + Business Media, Inc. 2005

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    File URL: http://hdl.handle.net/10.1007/s10754-005-3984-4
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    Bibliographic Info

    Article provided by Springer in its journal International Journal of Health Care Finance and Economics.

    Volume (Year): 5 (2005)
    Issue (Month): 4 (December)
    Pages: 307-326

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    Handle: RePEc:kap:ijhcfe:v:5:y:2005:i:4:p:307-326

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    Web page: http://www.springerlink.com/link.asp?id=106603

    Related research

    Keywords: reporting incentives; immunity; confidentiality; voluntary reporting;

    References

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    Cited by:
    1. Kang, HeeChung & Hong, JaeSeok & Lee, KwangSoo & Kim, Sera, 2010. "The effects of the fraud and abuse enforcement program under the National Health Insurance program in Korea," Health Policy, Elsevier, vol. 95(1), pages 41-49, April.

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