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Las igualas médicas frente al seguro social (República Dominicana)

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  • Isidoro Santana
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    Abstract

    Los servicios médicos del seguro social y las igualas médicas privadas son sistemas de provisión de servicios prepagados de salud. El primero se organiza bajo la modalidad de producción estatal, con una gestión centralizada, cotizaciones obligatorias y sin posibilidad de elección del proveedor por parte del usuario. No obstante, el segundo se trata de entidades privadas, gestión descentralizada, regidas por contratos privados sin regulación estatal, y financiamiento voluntario por parte del cliente. Mediante la investigación se trata de determinar cómo los elementos que definen la estructura industrial, tales como propiedad, cantidad y tipo de proveedores condicionan la asignación de los recursos, cunatía y estructura de costos, productividad y eficiencia operativa, y cómo esto se traduce en términos del resultado final de la provisión del servicio. En el estudio se trata de evaluar la percepción que tienen los destinatarios del servicio sobre la calidad del mismo. También se intenta, a través de estadísticas limitadas, determinar la magnitud del mercado cubierta por ambos subsistemas y evaluar las motivaciones de los demandantes.

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    File URL: http://www.iadb.org/research/pub_hits.cfm?pub_id=R-305&pub_file_name=pubR-305.pdf
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    Bibliographic Info

    Paper provided by Inter-American Development Bank, Research Department in its series Research Department Publications with number 3004.

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    Date of creation: Nov 1997
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    Handle: RePEc:idb:wpaper:3004

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    1. Martin Gaynor, 1994. "Issues in the Industrial Organization of the Market for Physician Services," NBER Working Papers 4695, National Bureau of Economic Research, Inc.
    2. Lewis, Maureen A. & Sulvetta, Margaret B. & LaForgia, Gerard M., 1992. "Public hospital costs and quality in the Dominican Republic," Policy Research Working Paper Series 934, The World Bank.
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