WORKABLE COMPETITION IN HEALTH-CARE - PROSPECTS FOR THE DUTCH DESIGN

被引：9

作者：

SCHUT, FT

机构：

[1] Department of Health Policy and Management (BMG), Erasmus University Rotterdam, 3000 DR Rotterdam

来源：

SOCIAL SCIENCE & MEDICINE | 1992年 / 35卷 / 12期

关键词：

HEALTH CARE REFORM; COMPETITION; NATIONAL HEALTH INSURANCE; THE NETHERLANDS;

D O I：

10.1016/0277-9536(92)90047-T

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Since 1989 a gradual restructuring of the Dutch health care system is taking place to realize a multiple choice social health insurance system with workable competition among insurers and among health care providers. This paper investigates whether the structural change will induce the intended competition. An examination of the characteristics of the markets for health insurance, physician services and hospital services in the Netherlands points out that the scope for competition is limited. If competition is to work, rather extensive government regulation to monitor the conduct of both providers and insurers is needed. Without an effective antitrust policy a high degree of concentration and collusion is likely.

引用

页码：1445 / 1455

页数：11

共 37 条

[1] THE ANTITRUST ANALYSIS OF HOSPITAL MERGERS AND THE TRANSFORMATION OF THE HOSPITAL INDUSTRY [J].