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Competition, Equity and Quality in Public Services

Author

Listed:
  • Maija Halonen-Akatwijuka

    (University of Bristol)

  • Carol Propper

    (Imperial College London, Monash University, IFS and CEPR)

Abstract

This paper examines the implications of consumer heterogeneity for the choice of competition and monopoly in public services delivery. In a setting with motivated providers who favour one type of service user over another, we show that competition can raise average quality. However, this may be at the expense of the minority type of user if the providers favour the majority type. Then an inequity averse regulator may protect the minority by not introducing competition. Alternatively, if the providers favour the minority type, the regulator may introduce competition to incentivize the providers to pay attention to the less rewarding majority type.

Suggested Citation

  • Maija Halonen-Akatwijuka & Carol Propper, 2024. "Competition, Equity and Quality in Public Services," Papers 2024-03, Centre for Health Economics, Monash University.
    • Handle: RePEc:mhe:chemon:2024-03
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    More about this item

    Keywords

    Public services; Competition; Quality; Inequity aversion;
    All these keywords.

    JEL classification:

    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I24 - Health, Education, and Welfare - - Education - - - Education and Inequality
    • L31 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Nonprofit Institutions; NGOs; Social Entrepreneurship

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