Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

Costa-Font, Joan ORCID: 0000-0001-7174-7919, Levaggi, Rosella and Turati, Gilberto (2020) Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19. Health Economics, Policy and Law. ISSN 1744-1331

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Abstract

In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of 'organisational self-interest', and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of 'coordination mechanisms' at times of a health emergency.

Item Type:	Article
Official URL:	https://www.cambridge.org/core/journals/health-eco...
Additional Information:	© 2020 The Authors
Divisions:	Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited:	04 Sep 2020 17:39
Last Modified:	15 Sep 2023 16:35
URI:	http://eprints.lse.ac.uk/id/eprint/106499

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