Contracts, supply assurance and the delivery of health care

McGuire, Alistair ORCID: 0000-0002-5367-9841, Fenn, Paul and Rickman, Neil (1994) Contracts, supply assurance and the delivery of health care. Journal of Health Economics, 13 (2). pp. 125-144. ISSN 0167-6296

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Abstract

We present a formal model of the relationship between a health care purchaser and a provider drawing on the recent experience of explicit contracting in the UK health sector. Specifically we model the contractual relationships emerging between District Health Authorities, who are presently the dominant health care purchasers, and the providers of hospital care. The comparative static analysis implies that the transaction cost of using non-local hospitals, the expected patient demand, the extent of excess capacity in local hospitals, and the proportion of that excess capacity expected to be lost to competitive purchasers, are all important determinants of the choice of contract.

Item Type:	Article
Official URL:	http://www.elsevier.com/wps/find/journaldescriptio...
Additional Information:	© 1994 Elsevier Science B.V.
Divisions:	Social Policy LSE Health
Subjects:	H Social Sciences > HB Economic Theory
JEL classification:	I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets L - Industrial Organization > L2 - Firm Objectives, Organization, and Behavior > L22 - Firm Organization and Market Structure: Markets vs. Hierarchies; Vertical Integration; Conglomerates; Subsidiaries L - Industrial Organization > L1 - Market Structure, Firm Strategy, and Market Performance > L14 - Transactional Relationships; Contracts and Reputation; Networks
Date Deposited:	17 Feb 2009 12:03
Last Modified:	01 Nov 2024 05:12
URI:	http://eprints.lse.ac.uk/id/eprint/22777

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