IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

I soldi seguono un paziente sconosciuto

Listed author(s):
  • Guido Citoni
Registered author(s):

    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.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    Download Restriction: Single articles can be downloaded buying download credits, for info:

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by FrancoAngeli Editore in its journal ECONOMIA PUBBLICA.

    Volume (Year): 2003/3 (2003)
    Issue (Month): 3 ()

    in new window

    Handle: RePEc:fan:epepep:v:html10.3280/ep2003-003004
    Contact details of provider: Web page:

    Order Information: Web: Email:

    No references listed on IDEAS
    You can help add them by filling out this form.

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    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)

    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.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with 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 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.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.