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Formas de contratación de los servicios de urgencias: una aproximación desde la economía de los costos de transacción


  • Sergio Torres Valdivieso

    () (Pontificia Universidad Javeriana)

  • Rafael Guillermo García Cáceres

    () (Pontificia Universidad Javeriana)

  • John Jairo Quintero

    () (Colseguros)


This paper evaluates how third level of attention hospitals in Bogotá choose between different contractual arrangements with health maintenance organizations (HMO), using criteria which seek to reduce transaction costs. Williamson’s theoretical framework is used as a basis for an empirical test. Likert scales are used to operationalize the independent variables and the stochastic multicriteria acceptability analysis (SMAA) and multiple discriminant analysis (MDA) for the test of the hypothesis. Results indicate that both HMO’s and third level of attention hospitals in Bogotá seek to reduce production rather than transactions costs.

Suggested Citation

  • Sergio Torres Valdivieso & Rafael Guillermo García Cáceres & John Jairo Quintero, 2005. "Formas de contratación de los servicios de urgencias: una aproximación desde la economía de los costos de transacción," Revista de Economía Institucional, Universidad Externado de Colombia - Facultad de Economía, vol. 7(12), pages 209-237, January-J.
  • Handle: RePEc:rei:ecoins:v:7:y:2005:i:12:p:209-237

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    References listed on IDEAS

    1. David J. TEECE, 2008. "Profiting from technological innovation: Implications for integration, collaboration, licensing and public policy," World Scientific Book Chapters,in: The Transfer And Licensing Of Know-How And Intellectual Property Understanding the Multinational Enterprise in the Modern World, chapter 5, pages 67-87 World Scientific Publishing Co. Pte. Ltd..
    2. Hart, Oliver D, 1988. "Incomplete Contracts and the Theory of the Firm," Journal of Law, Economics, and Organization, Oxford University Press, vol. 4(1), pages 119-139, Spring.
    3. Alchian, Armen A & Demsetz, Harold, 1972. "Production , Information Costs, and Economic Organization," American Economic Review, American Economic Association, vol. 62(5), pages 777-795, December.
    4. Lohtia, Ritu & Brooks, Charles M. & Krapfel, Robert E., 1994. "What constitutes a transaction-specific asset? : An examination of the dimensions and types," Journal of Business Research, Elsevier, vol. 30(3), pages 261-270, July.
    5. W Chan Kim & Peter Hwang, 1992. "Global Strategy and Multinationals' Entry Mode Choice," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 23(1), pages 29-53, March.
    6. Klein, Benjamin & Crawford, Robert G & Alchian, Armen A, 1978. "Vertical Integration, Appropriable Rents, and the Competitive Contracting Process," Journal of Law and Economics, University of Chicago Press, vol. 21(2), pages 297-326, October.
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    Cited by:

    1. García Cáceres, Rafael Guillermo & Aráoz Durand, Julián Arturo & Gómez, Fernando Palacios, 2009. "Integral analysis method - IAM," European Journal of Operational Research, Elsevier, vol. 192(3), pages 891-903, February.

    More about this item


    contractual forms; emergency services; transaction costs; production costs;

    JEL classification:

    • C19 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Other
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L51 - Industrial Organization - - Regulation and Industrial Policy - - - Economics of Regulation


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