IDEAS home Printed from https://ideas.repec.org/a/prs/ecstat/estat_0336-1454_1999_num_328_1_6342.html
   My bibliography  Save this article

Concurrence entre assureurs, entre prestataires et monopole naturel

Author

Listed:
  • Agnès Bocognano
  • Agnès Couffinhal
  • Michel Grignon
  • Ronan Mahieu
  • Dominique Polton

Abstract

[spa] Competencia entre aseguradores, prestatarios y monopolio natural. Una resena de las experiencias extranjeras en sanidad.. El estudio de los sistemas de sanidad de aquellos pafses : que han favorecido la competencia en la funciôn de seguro-enfermedad (Singapur, Chile, e incluso Estados Unidos) sugiere que tal enfoque alberga un fuerte riesgo de iniquidad. En cambio, las experiencias de managed care en los Estados Unidos y de fundholding en el Reino : Unido muestran que es posible racionalizar la oferta de : cuidados sin que necesariamente se degrade la calidad de las prestaciones. Sera posible mejorar la eficacia del proceso de producciôn de los cuidados mediante la introducciôn de unos mecanismos competitivos, sin-, renunciar a una financiaciôn socializada de los gastos ? Alemania y los Pafses Bajos tratan en la actualidad de seguir esta via. . Aquellas experiencias que parecen mâs eficaces, descansan en un regulador de multiples prerrogativas : . este debe garantizar la calidad de las prestaciones mediante la elaboraciôn de unos criterios estandarizados t y velar por que las ganancias realizadas por los agentes en competencia, aseguradores y agrupaciones médicas, sean el fruto de una racionalizaciôn del proceso; productivo y no de unos fenômenos de autoselecciôn de los pacientes segûn el nivel de riesgo. El evitar este; obstâculo requière una profunda reflexion en cuanto al nivel de la cobertura que pueden y deben garantizar los agentes, y al modo de remuneraciôn de los agentes en ; competencia. En el caso de las experiencias americana y britânica, involucrara los médicos en la gestion del riesgo , ha sido eficaz, aunque dicha gestion supone unas habilidades suplementarias, entre otras en materia de tratamiento de la information. [eng] Competition among Insurers and Service Providers and Natural Monopolies . An International Review of Health Measures. . The study of different countries, health systems talks a great deal about health insurance competition (Singapore, Chile and even the United States). Such competition could harbour a substantial risk of inequity. However, American managed care and British fundholding both show that the health supply can be rationalised without necessarily, undermining 'service quality. Can competitive mechanisms make health care more efficient without losing social security funding? Germany and the Netherlands are currently trying this out: . The apparently most efficient measures are based on a multi-skills regulator. This regulator guarantees service quality by introducing standardised criteria and checking that the profits made by the competing health insurers and groups come from rationalising the productive process rather than the self-selection of patients by their level of risk. Avoiding this pitfall requires in-depth thinking on the level of cover that agents can or should guarantee and how to remunerate competing agents. The Americans and British have found it efficient to get doctors highly involved in risk management, even though this demands additional skills, especially in data processing. [ger] Wettbewerb zwischen versicherern, zwischen leistungserbringern und natûrlichem monopol . Ein Ûberblick uber die auslàndischen Erfahrungen im Gesundheitswesen . Die Untersuchung der Gesundheitssysteme der Lànder, in denen dem Wettbewerb bei der Krankenversicherung

Suggested Citation

  • Agnès Bocognano & Agnès Couffinhal & Michel Grignon & Ronan Mahieu & Dominique Polton, 1999. "Concurrence entre assureurs, entre prestataires et monopole naturel," Économie et Statistique, Programme National Persée, vol. 328(1), pages 21-36.
  • Handle: RePEc:prs:ecstat:estat_0336-1454_1999_num_328_1_6342
    DOI: 10.3406/estat.1999.6342
    Note: DOI:10.3406/estat.1999.6342
    as

    Download full text from publisher

    File URL: https://doi.org/10.3406/estat.1999.6342
    Download Restriction: no

    File URL: https://www.persee.fr/doc/estat_0336-1454_1999_num_328_1_6342
    Download Restriction: no

    File URL: https://libkey.io/10.3406/estat.1999.6342?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    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:prs:ecstat:estat_0336-1454_1999_num_328_1_6342. See general information about how to correct material in RePEc.

    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 bibliographic 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Equipe PERSEE (email available below). General contact details of provider: https://www.persee.fr/collection/estat .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.