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Asymétrie d'information et financement des hôpitaux. Une comparaison des modes d'organisation du système de santé

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  • Michel Mougeot
  • Florence Naegelen

Abstract

[fre] Cet article considère les relations entre les hôpitaux et une autorité de tutelle (État ou assurance maladie) en situation de risque moral et d'antisélection lorsque la tutelle possède une fonction objectif quasi linéaire. Différents modes d'organisation sont envisagés : contrat bilatéral, concurrence par comparaison (tarification par pathologie) et achat de soins. Lorsque les trois procédures peuvent être mises en œuvre dans des conditions analogues, une hiérarchie est mise en évidence en faveur de l'achat de soins. [eng] In this paper, we consider the relations between a principal (a public agency or a private insurance company) and the hospitals. We suppose that the regulator utility function is quasilinear and that the regulator cannot observe the productivity parameter and the cost reduction effort of the hospitals. We prove that a bilateral contract is dominated by a yardstick competition mechanism and by an auction mechanism.

Suggested Citation

  • Michel Mougeot & Florence Naegelen, 1998. "Asymétrie d'information et financement des hôpitaux. Une comparaison des modes d'organisation du système de santé," Revue Économique, Programme National Persée, vol. 49(5), pages 1323-1343.
  • Handle: RePEc:prs:reveco:reco_0035-2764_1998_num_49_5_410044
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    Cited by:

    1. Carine Milcent & Dormont Brigitte, 2000. "Prospective payment system and costs of hospital stays [Coûts hospitaliers et tarification par pathologie - Le cas de l'infarctus du myocarde aigu]," Post-Print halshs-01990635, HAL.
    2. Martin Janíčko & Ivo Koubek, 2012. "Informační asymetrie a systém dvojího standardu ve vztahu zdravotník - pacient [Information Assymetry and Double Standard in the Doctor-Patient Relationship]," Politická ekonomie, Prague University of Economics and Business, vol. 2012(3), pages 362-379.
    3. Jana Chvalkovská & Petr Janský & Jiří Skuhrovec, 2012. "Listinné akcie na majitele a veřejné zakázky [Bearer Shares in Paper Form and Public Procurement]," Politická ekonomie, Prague University of Economics and Business, vol. 2012(3), pages 349-361.

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