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Are health care ‘choice – and – competition’ reforms really efficiency driven?

Costa-i-Font, Joan and Zigante, Valentina (2012) Are health care ‘choice – and – competition’ reforms really efficiency driven? LSE Health working papers, 26/2012. LSE Health, London School of Economics and Political Science, London, UK.

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Abstract

Are choice and competition reforms only a route to improving economic efficiency or, do other goals buttress the so-called choice agenda? We here examine evidence of alternative explanations for drivers of choice reforms. More specifically, we explore whether there is evidence consistent with political incumbents’ aspirations to satisfy middle (median) classes (voters), alongside providers capture and service modernisation agendas as potential drivers. We concentrate on health care sector reforms given its central role as a reference universal welfare service - and focus on eight European countries where there has been heterogeneous experimentation with choice and competition reforms. Our findings suggest that whilst competition and choice reforms are primarily driven by the attainment of micro-efficiency and modernisation goals, middle class politics and to a some extent provider interests, appear to also prompt choice reforms. Hence, we conclude that allocative efficiency is not the sole driver of choice reforms.

Item Type: Monograph (Working Paper)
Official URL: http://www2.lse.ac.uk/LSEHealthAndSocialCare/LSEHe...
Additional Information: © 2012 the Authors
Library of Congress subject classification: H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine
Sets: Departments > European Institute
Departments > Social Policy
Research centres and groups > LSE Health
Collections > LSE Health Working Paper Series in Health Policy and Economics
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Identification Number: 26/2012
Date Deposited: 08 Mar 2012 16:28
URL: http://eprints.lse.ac.uk/42331/

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