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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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Identification Number: 10.1017/S1744133120000353

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: 20 Oct 2021 02:54
URI: http://eprints.lse.ac.uk/id/eprint/106499

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