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Las igualas médicas frente al seguro social (República Dominicana)

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  • Isidoro Santana

Abstract

Los servicios médicos del seguro social y las igualas médicas privadas son sistemas de provisión de servicios prepagados de salud. El primero se organiza bajo la modalidad de producción estatal, con una gestión centralizada, cotizaciones obligatorias y sin posibilidad de elección del proveedor por parte del usuario. No obstante, el segundo se trata de entidades privadas, gestión descentralizada, regidas por contratos privados sin regulación estatal, y financiamiento voluntario por parte del cliente. Mediante la investigación se trata de determinar cómo los elementos que definen la estructura industrial, tales como propiedad, cantidad y tipo de proveedores condicionan la asignación de los recursos, cunatía y estructura de costos, productividad y eficiencia operativa, y cómo esto se traduce en términos del resultado final de la provisión del servicio. En el estudio se trata de evaluar la percepción que tienen los destinatarios del servicio sobre la calidad del mismo. También se intenta, a través de estadísticas limitadas, determinar la magnitud del mercado cubierta por ambos subsistemas y evaluar las motivaciones de los demandantes.

Suggested Citation

  • Isidoro Santana, 1997. "Las igualas médicas frente al seguro social (República Dominicana)," Research Department Publications 3004, Inter-American Development Bank, Research Department.
  • Handle: RePEc:idb:wpaper:3004
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    References listed on IDEAS

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    1. Gaynor, Martin, 1994. "Issues in the Industrial Organization of the Market for Physician Services," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 211-255, Spring.
    2. Lewis, Maureen A. & Sulvetta, Margaret B. & LaForgia, Gerard M., 1992. "Public hospital costs and quality in the Dominican Republic," Policy Research Working Paper Series 934, The World Bank.
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