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Competition, quality and integrated health care

Author

Listed:
  • Kurt R. Brekke

    (Department of Economics, Norwegian School of Economics (NHH))

  • Luigi Siciliani

    (Department of Economics and Related Studies, University of York, Heslington)

  • Odd Rune Straume

    (Department of Economics/NIPE, University of Minho)

Abstract

Integration of health care services has been promoted in several countries to improve the quality and coordination of care. We investigate the effects of such integration in a model where providers compete on quality to attract patients under regulated prices. We identify circumstances under which integration either increases or reduces the quality of services provided. In the absence of synergies related to costs or benefits, integration generally leads to increases in quality for some services and reductions for others. The corresponding effect on health benefits depends largely on whether integration leads to quality dispersion or convergence across services.

Suggested Citation

  • Kurt R. Brekke & Luigi Siciliani & Odd Rune Straume, 2021. "Competition, quality and integrated health care," NIPE Working Papers 11/2021, NIPE - Universidade do Minho.
    • Handle: RePEc:nip:nipewp:11/2021
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    File URL: http://repositorium.sdum.uminho.pt/handle/1822/74187
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    More about this item

    Keywords

    Integrated care; quality; competition; health care.;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L12 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Monopoly; Monopolization Strategies
    • L13 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Oligopoly and Other Imperfect Markets

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