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A New Institutional Economics Perspective on the Relationship Among Societal Values, Governance Structure and Access to Rural Health Care Services

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  • James, Harvey S., Jr.

Abstract

According to New Institutional Economics, transactional activities, governance structures, institutions and beliefs and values are related hierarchally. Williamson (2000) formalizes this framework to show that each governing level must be aligned with the adjacent level for transaction costs to be minimized. This framework is applied to the question of balancing costs and access in health care. Transaction costs in providing health care services can be minimized if all hierarchal functions are aligned. Examining the highest level associated with beliefs and values reveals that the beliefs of people might not be fully consistent with the institutions and governance structures expected or advocated in the area of health care, particularly in the context of rural health care services.

Suggested Citation

  • James, Harvey S., Jr., 2007. "A New Institutional Economics Perspective on the Relationship Among Societal Values, Governance Structure and Access to Rural Health Care Services," Working Papers 7362, University of Missouri Columbia, Department of Agricultural Economics.
  • Handle: RePEc:ags:umcowp:7362
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    References listed on IDEAS

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    6. Peter A. Diamond, 1994. "Two Improvements on the Clinton Framework," Journal of Economic Perspectives, American Economic Association, vol. 8(3), pages 61-66, Summer.
    7. Denzau, Arthur T & North, Douglass C, 1994. "Shared Mental Models: Ideologies and Institutions," Kyklos, Wiley Blackwell, vol. 47(1), pages 3-31.
    8. repec:mes:jeciss:v:40:y:2006:i:1:p:1-25 is not listed on IDEAS
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