全球智库信息集成服务系统(G2TT): DP8559 Patient Mobility, Health Care Quality and Welfare

G2TT

来源类型	Discussion paper
规范类型	论文
来源ID	DP8559
	DP8559 Patient Mobility, Health Care Quality and Welfare
	Kurt Richard Brekke; Luigi Siciliani; Rosella Levaggi
发表日期	2011-09-01
出版年	2011
语种	英语
摘要	Patient mobility is a key issue in the EU who recently passed a new law on patients' right to EU-wide provider choice. In this paper we use a Hotelling model with two regions that differ in technology to study the impact of patient mobility on health care quality, health care financing and welfare. A decentralised solution without patient mobility leads to too low (high) quality and too few (many) patients being treated in the high-skill (low-skill) region. A centralised solution with patient mobility implements the first best, but the low-skill region would not be willing to transfer authority as its welfare is lower than without mobility. In a decentralised solution, the effects of patient mobility depend on the transfer payment. If the payment is below marginal cost, mobility leads to a `race-to-the-bottom' in quality and lower welfare in both regions. If the payment is equal to marginal cost, quality and welfare remain unchanged in the high-skill region, but the low-skill region benefits. For a socially optimal payment, which is higher than marginal cost, quality levels in the two regions are closer to (but not at) the first best, but welfare is lower in the low-skill region. Thus, patient mobility can have adverse effects on quality provision and welfare unless an appropriate transfer payment scheme is implemented.
主题	Industrial Organization
关键词	Patient mobility Health care quality Regional and global welfare
URL	https://cepr.org/publications/dp8559
来源智库	Centre for Economic Policy Research (United Kingdom)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/537396
推荐引用方式 GB/T 7714	Kurt Richard Brekke,Luigi Siciliani,Rosella Levaggi. DP8559 Patient Mobility, Health Care Quality and Welfare. 2011.