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Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

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  • Costa Font, Joan
  • Levaggi, Rosella
  • Turati, Gilberto

Abstract

In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.

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  • Costa Font, Joan & Levaggi, Rosella & Turati, Gilberto, 2022. "Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19," Health Economics, Policy and Law, Cambridge University Press, vol. 17(2), pages 212-219, April.
    • Handle: RePEc:cup:hecopl:v:17:y:2022:i:2:p:212-219_6
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    Cited by:

    1. Ellen Kuhlmann & Jean-Louis Denis & Nancy Côté & Gabriela Lotta & Stefano Neri, 2023. "Comparing Health Workforce Policy during a Major Global Health Crisis: A Critical Conceptual Debate and International Empirical Investigation," IJERPH, MDPI, vol. 20(6), pages 1-17, March.
    2. Marta Angelici & Paolo Berta & Joan Costa-Font & Gilberto Turati, 2023. "Divided We Survive? Multilevel Governance during the COVID-19 Pandemic in Italy and Spain," Publius: The Journal of Federalism, CSF Associates Inc., vol. 53(2), pages 227-250.
    3. Paulo Caldas & Miguel Varela, 2023. "The Portuguese Public Hospitals Performance Evolution before and during the SARS-CoV-2 Pandemic (2017–2022)," Sustainability, MDPI, vol. 15(15), pages 1-31, July.
    4. Levaggi, Laura & Levaggi, Rosella, 2023. "Competition in the provision of hospital care: Are mixed markets a valid alternative?," Economic Modelling, Elsevier, vol. 127(C).

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