IDEAS home Printed from https://ideas.repec.org/a/fan/epepep/vhtml10.3280-ep2003-003004.html
   My bibliography  Save this article

I soldi seguono un paziente sconosciuto

Author

Listed:
  • Guido Citoni

Abstract

I soldi seguono un paziente sconosciuto (di Guido Citoni) - ABSTRACT: This paper deals with a new method of paying doctors, based on «satisfaction» of patients. Among the methods currently used, no one, up to now, seems apt to give «voice» to the patient, being rather based on the idea of «exit» if not satisfied. This is because the methods based on capitation, salary, fees, budget, and so on can not take account of the success of the therapy; the payment, in fact, is either independent from limited cases of low quality visits (dealing with average quality) as in the case of capitation, salary and budget or could be too sensitive (fees) as the patient has the incentive to misreport the health gains, in order to be exempted from the payment of fees (this case applies when the patient has already decided to change the doctor) or, again, the patient can misreport the poor quality if he pays by fees but fears a negative reaction by his doctor and he still wants to be his client. Our thesis, shown by a simple model, is that we can devise a method that can induce a correct revelation of patient’s satisfaction. This could help in such cases when the dissatisfaction is «mild», and the patient do not want to use the option of «exit». The paper, moreover, tries to estimate the likely financial and distributional impact of our proposal for Italy.

Suggested Citation

  • Guido Citoni, 2003. "I soldi seguono un paziente sconosciuto," ECONOMIA PUBBLICA, FrancoAngeli Editore, vol. 2003(3).
  • Handle: RePEc:fan:epepep:v:html10.3280/ep2003-003004
    as

    Download full text from publisher

    File URL: http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=19954&Tipo=ArticoloPDF
    Download Restriction: Single articles can be downloaded buying download credits, for info: http://www.francoangeli.it/riviste/inglese_download_credit.asp

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:fan:epepep:v:html10.3280/ep2003-003004. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Angelo Ventriglia). General contact details of provider: http://www.francoangeli.it/riviste/sommario.asp?IDRivista=16 .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.