IDEAS home Printed from
   My bibliography  Save this paper

Financiación capitativa, articulación entre niveles asistenciales y descentralización de las organizaciones sanitarias



Public organisations are subjected to weak incentives for competition. Therefore, institutional Darwinism cannot apply. Regulation and performance monitoring is required to protect the public interest. This is particularly the case of organisations in the health care arena, since strong incentives may risk the whole supply of public health services. Regarding to the path dependence of the Spanish public health institutions with respect to the international experience and the observed health technological changes, this paper tries to ground some theoretical bases for the organisational change in our health system. We do this by building our argument from the very basic public goal: the improvement of the health status of the Spanish population. This requires a better integration of health care services. To this regard, capitation in finance shows some comparative advantages: it takes an integral view for the care of the population, it allows for a better decentralisation ('deconcentration') of risks to health providers and favours managed care under a global perspective, replacing partial payment to different providers. However, the paper shows some potential limitations for this purpose and the need of a gradual strategy for its implementation.

Suggested Citation

  • Vicente Ortún & Guillem López, 2000. "Financiación capitativa, articulación entre niveles asistenciales y descentralización de las organizaciones sanitarias," Economics Working Papers 523, Department of Economics and Business, Universitat Pompeu Fabra.
  • Handle: RePEc:upf:upfgen:523

    Download full text from publisher

    File URL:
    File Function: Whole Paper
    Download Restriction: no

    Other versions of this item:

    More about this item


    The Spanish health system; capitation financing; incentives in health care management;

    JEL classification:

    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
    • H57 - Public Economics - - National Government Expenditures and Related Policies - - - Procurement
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:


    Access and download statistics


    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:upf:upfgen:523. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (). General contact details of provider: .

    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 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.