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The Effect of Institutions on the Choices of Consumers and Providers of Health Care

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  • Louis De Alessi

Abstract

Recent advances in the application of economic theory suggest that differences in the institutional and contractual arrangements used to organize and control economic activity provide individuals with different opportunities for gain and thus affect their choices systematically. The evidence supports the usefulness of the analysis. This approach is summarized within the context of health care. The effect of alternative health-care institutions is then examined by deriving some implications and noting some of the evidence, almost entirely from the USA, regarding the behavior of patients, physicians and hospital administrators. Recent empirical work, fueled by natural as well as by controlled experiments designed to test the effects of particular institutions (e.g. coinsurance), is providing a stronger theoretical and empirical base for understanding the consequences of alternative institutions not only on individuals' choices regarding health care, but on all choices. It is also permitting more informed design and choice of institutions.

Suggested Citation

  • Louis De Alessi, 1989. "The Effect of Institutions on the Choices of Consumers and Providers of Health Care," Journal of Theoretical Politics, , vol. 1(4), pages 427-458, October.
    • Handle: RePEc:sae:jothpo:v:1:y:1989:i:4:p:427-458
    DOI: 10.1177/0951692889001004003
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    1. Alchian, Armen A & Demsetz, Harold, 1972. "Production , Information Costs, and Economic Organization," American Economic Review, American Economic Association, vol. 62(5), pages 777-795, December.
    2. Goldman, Fred & Grossman, Michael, 1978. "The Demand for Pediatric Care: An Hedonic Approach," Journal of Political Economy, University of Chicago Press, vol. 86(2), pages 259-280, April.
    3. Pauly, Mark V & Redisch, Michael, 1973. "The Not-For-Profit Hospital as a Physicians' Cooperative," American Economic Review, American Economic Association, vol. 63(1), pages 87-99, March.
    4. Robert B. Ekelund Jr. & Robert D. Tollison, 1980. "Mercantilist Origins of the Corporation," Bell Journal of Economics, The RAND Corporation, vol. 11(2), pages 715-720, Autumn.
    5. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    6. Lindsay, Cotton M, 1976. "A Theory of Government Enterprise," Journal of Political Economy, University of Chicago Press, vol. 84(5), pages 1061-1077, October.
    7. Jon B. Christianson & Kenneth R. Smith, 1984. "Options In The Design Of Competitive‐Bidding Processes For Indigent Medical Care," Contemporary Economic Policy, Western Economic Association International, vol. 3(2), pages 55-68, December.
    8. Demsetz, Harold, 1969. "Information and Efficiency: Another Viewpoint," Journal of Law and Economics, University of Chicago Press, vol. 12(1), pages 1-22, April.
    9. Williamson, Oliver E, 1979. "Transaction-Cost Economics: The Governance of Contractural Relations," Journal of Law and Economics, University of Chicago Press, vol. 22(2), pages 233-261, October.
    10. Henry G. Manne, 1965. "Mergers and the Market for Corporate Control," Journal of Political Economy, University of Chicago Press, vol. 73, pages 110-110.
    11. Benham, Lee, 1972. "The Effect of Advertising on the Price of Eyeglasses," Journal of Law and Economics, University of Chicago Press, vol. 15(2), pages 337-352, October.
    12. George W. Wilson & Joseph M. Jadlow, 1982. "Competition, Profit Incentives, and Technical Efficiency in the Provision of Nuclear Medicine Services," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 472-482, Autumn.
    13. Klein, Benjamin & Crawford, Robert G & Alchian, Armen A, 1978. "Vertical Integration, Appropriable Rents, and the Competitive Contracting Process," Journal of Law and Economics, University of Chicago Press, vol. 21(2), pages 297-326, October.
    14. Henry G. Manne, 1965. "Mergers and the Market for Corporate Control," Journal of Political Economy, University of Chicago Press, vol. 73, pages 351-351.
    15. Jensen, Michael C. & Meckling, William H., 1976. "Theory of the firm: Managerial behavior, agency costs and ownership structure," Journal of Financial Economics, Elsevier, vol. 3(4), pages 305-360, October.
    16. Mark V. Pauly & Mark A. Satterthwaite, 1981. "The Pricing of Primary Care Physicians' Services: A Test of the Role of Consumer Information," Bell Journal of Economics, The RAND Corporation, vol. 12(2), pages 488-506, Autumn.
    17. Ronald J. Vogel, 1984. "Health‐Care Competition: Introduction," Contemporary Economic Policy, Western Economic Association International, vol. 3(2), pages 42-46, December.
    18. Frech, H E, III, 1976. "The Property Rights Theory of the Firm: Empirical Results from a Natural Experiment," Journal of Political Economy, University of Chicago Press, vol. 84(1), pages 143-152, February.
    19. Frech, H E, III & Ginsburg, Paul B, 1975. "Imposed Health Insurance in Monopolistic Markets: A Theoretical Analysis," Economic Inquiry, Western Economic Association International, vol. 13(1), pages 55-70, March.
    20. R. H. Coase, 2013. "The Problem of Social Cost," Journal of Law and Economics, University of Chicago Press, vol. 56(4), pages 837-877.
    21. De Alessi, Louis, 1975. "Toward an Analysis of Postdisaster Cooperation," American Economic Review, American Economic Association, vol. 65(1), pages 127-138, March.
    22. Steinwald, Bruce & Sloan, Frank A, 1974. "Determinants of Physicians' Fees," The Journal of Business, University of Chicago Press, vol. 47(4), pages 493-511, October.
    23. Clarkson, Kenneth W, 1972. "Some Implications of Property Rights in Hospital Management," Journal of Law and Economics, University of Chicago Press, vol. 15(2), pages 363-384, October.
    24. Williamson, Oliver E, 1983. "Credible Commitments: Using Hostages to Support Exchange," American Economic Review, American Economic Association, vol. 73(4), pages 519-540, September.
    25. George J. Borjas & H. E. Frech III & Paul B. Ginsburg, 1983. "Property Rights and Wages: The Case of Nursing Homes," Journal of Human Resources, University of Wisconsin Press, vol. 18(2), pages 231-246.
    26. Roger Feldman & James W. Begun, 1978. "The Effects of Advertising Lessons from Optometry," NBER Chapters, in: The Economics of Physician and Patient Behavior, pages 247-262, National Bureau of Economic Research, Inc.
    27. Frank A. Sloan, 1982. "Effects of Health Insurance on Physicians' Fees," Journal of Human Resources, University of Wisconsin Press, vol. 17(4), pages 533-557.
    28. De Alessi, Louis, 1983. "Property Rights, Transaction Costs, and X-Efficiency: An Essay in Economic Theory," American Economic Review, American Economic Association, vol. 73(1), pages 64-81, March.
    29. de Alessi, Louis & Staaf, Robert J., 1987. "Liability, control and the organization of economic activity," International Review of Law and Economics, Elsevier, vol. 7(1), pages 5-20, June.
    30. Robert T. Masson & S. Wu, 1974. "Price Discrimination for Physicians' Services," Journal of Human Resources, University of Wisconsin Press, vol. 9(1), pages 63-79.
    31. Benham, Lee & Benham, Alexandra, 1975. "Regulating Through the Professions: A Perspective on Information Control," Journal of Law and Economics, University of Chicago Press, vol. 18(2), pages 421-447, October.
    32. Vogel, Ronald J, 1977. "The Effects of Taxation on the Differential Efficiency of Nonprofit Health Insurance," Economic Inquiry, Western Economic Association International, vol. 15(4), pages 605-609, October.
    33. Barer, M.L. & Evans, R.G. & Labelle, R.J., 1988. "Fee Controls as Cost Control: Tales from the Frozen North," Centre for Health Services and Policy Research 88:12r, University of British Columbia - Centre for Health Services and Policy Research..
    34. Roger Feldman & Gail Jensen & Bryan Dowd, 1984. "What Are Employers Doing To Create A Competitive Market For Health Care In The Twin Cities?," Contemporary Economic Policy, Western Economic Association International, vol. 3(2), pages 69-88, December.
    35. Dranove, David, 1988. "Demand Inducement and the Physician/Patient Relationship," Economic Inquiry, Western Economic Association International, vol. 26(2), pages 281-298, April.
    36. Rosett, Richard N & Huang, Lien-fu, 1973. "The Effect of Health Insurance on the Demand for Medical Care," Journal of Political Economy, University of Chicago Press, vol. 81(2), pages 281-305, Part I, M.
    37. Feldstein, Martin S, 1970. "The Rising Price of Physicians' Services," The Review of Economics and Statistics, MIT Press, vol. 52(2), pages 121-133, May.
    38. Feldstein, Martin S, 1971. "Hospital Cost Inflation: A Study of Nonprofit Price Dynamics," American Economic Review, American Economic Association, vol. 61(5), pages 853-872, December.
    39. Charles E. Phelps, 1984. "Taxing Health Insurance: How Much Is Enough?," Contemporary Economic Policy, Western Economic Association International, vol. 3(2), pages 47-54, December.
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