Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano.
This paper systematises some aspects related to the consequences of the institutional health system in the financing and delivery of health care services. The analysis is based on empirical evidences from United States, Canada and United Kingdom. The focus of this work is on the analysis of the impa...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universidade Federal de Minas Gerais
2009-05-01
|
| Series: | Nova Economia |
| Subjects: | |
| Online Access: | http://revistas.face.ufmg.br/index.php/novaeconomia/article/view/376 |
| _version_ | 1818657980334211072 |
|---|---|
| author | Mônica Viegas Andrade Marcos de Barros Lisboa |
| author_facet | Mônica Viegas Andrade Marcos de Barros Lisboa |
| author_sort | Mônica Viegas Andrade |
| collection | DOAJ |
| description | This paper systematises some aspects related to the consequences of the institutional health system in the financing and delivery of health care services. The analysis is based on empirical evidences from United States, Canada and United Kingdom. The focus of this work is on the analysis of the impacts of the incentives that result from the contracts established between health care market agents in the management efficiency of the health care services. The empirical evidence suggests that, in general, in public systems the incentives that guarantee the rationalisation of the use of health care services are not incorporated in the designed contracts. This fact allows the emerge of typical moral hazard problems that exists in the relationship between providers and financing agents and between patients and financing agents (that can be insurance companies or government). In opposition, in these systems the control of the expenditure is reached by the government budget constraint and regulatory mechanisms that guarantee some advantages to the government in the process of determination of providers reimbursement. |
| first_indexed | 2024-12-17T03:50:06Z |
| format | Article |
| id | doaj.art-52aac7f97f10483a82b75d7200f31f06 |
| institution | Directory Open Access Journal |
| issn | 0103-6351 |
| language | English |
| last_indexed | 2024-12-17T03:50:06Z |
| publishDate | 2009-05-01 |
| publisher | Universidade Federal de Minas Gerais |
| record_format | Article |
| series | Nova Economia |
| spelling | doaj.art-52aac7f97f10483a82b75d7200f31f062022-12-21T22:04:46ZengUniversidade Federal de Minas GeraisNova Economia0103-63512009-05-01102382Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano.Mônica Viegas AndradeMarcos de Barros LisboaThis paper systematises some aspects related to the consequences of the institutional health system in the financing and delivery of health care services. The analysis is based on empirical evidences from United States, Canada and United Kingdom. The focus of this work is on the analysis of the impacts of the incentives that result from the contracts established between health care market agents in the management efficiency of the health care services. The empirical evidence suggests that, in general, in public systems the incentives that guarantee the rationalisation of the use of health care services are not incorporated in the designed contracts. This fact allows the emerge of typical moral hazard problems that exists in the relationship between providers and financing agents and between patients and financing agents (that can be insurance companies or government). In opposition, in these systems the control of the expenditure is reached by the government budget constraint and regulatory mechanisms that guarantee some advantages to the government in the process of determination of providers reimbursement.http://revistas.face.ufmg.br/index.php/novaeconomia/article/view/376sistema de saúde, risco moral, bens meritórios. |
| spellingShingle | Mônica Viegas Andrade Marcos de Barros Lisboa Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. Nova Economia sistema de saúde, risco moral, bens meritórios. |
| title | Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. |
| title_full | Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. |
| title_fullStr | Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. |
| title_full_unstemmed | Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. |
| title_short | Velhos dilemas no provimento de bens e serviços de saúde: uma comparação dos casos canadense, inglês e americano. |
| title_sort | velhos dilemas no provimento de bens e servicos de saude uma comparacao dos casos canadense ingles e americano |
| topic | sistema de saúde, risco moral, bens meritórios. |
| url | http://revistas.face.ufmg.br/index.php/novaeconomia/article/view/376 |
| work_keys_str_mv | AT monicaviegasandrade velhosdilemasnoprovimentodebenseservicosdesaudeumacomparacaodoscasoscanadenseingleseamericano AT marcosdebarroslisboa velhosdilemasnoprovimentodebenseservicosdesaudeumacomparacaodoscasoscanadenseingleseamericano |