Increased capacity may exacerbate rationing problems: with applications to medical care

Article Abstract:

A feature of medical care that has been thoroughly explored in research is the demand for medical insurance and the moral hazard problems resulting therefrom. The difficulty of denying care to those who desire it has hardly been investigated, however. A study therefore examined the conditions under which denial of a service is more or less difficult and how policy can affect the severity of the commitment problem. Findings suggest that restricting service calls for restricting capacity, a view in line with the study's assumption that specific rationing is costly.

Care and treatment, Hospitalization, Patients, Patient care, Hospital care

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Specialized service offerings and patients' choice of hospital: the case of cardiac catheterization

Article Abstract:

The choice of hospital patients for a specific service was examined by developing a 'option demand' model incorporating data from New Hampshire's Uniform Hospital Discharge Data Sets from 1985-1991. The study centered on the choice of cardiac patients for hospitals with cardiac catherization services. It was suggested that specialized services are an important factor in determining hospital choice. Patients with circulatory-system diagnoses were more inclined to choose hospitals with catheterization services.

Cardiac patients, Cardiac catheterization, Heart catheterization

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Incentives for cooperation in quality improvement among hospitals - the impact of the reimbursement system

Article Abstract:

An analytical model was constructed to examine the incentives to improve the quality of hospital care. The model took into consideration the possibility of cooperative agreements, price besides quality competition and quality improvements that may simultaneously increase demand, increase or reduce costs and spill over to rival hospitals. Results indicate that cooperation may possibly lead to quality improvement more than non-cooperative conduct.

Quality management, Medical care quality, Medical cooperation

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