Propper C, Wilson D, Söderlund N
Department of Economics, University of Bristol, UK.
J Health Econ. 1998 Dec;17(6):645-73. doi: 10.1016/s0167-6296(98)00029-0.
The 1989 reforms of the UK National Health Service introduced competition in supply within a tightly regulated framework. The paper examines whether this competition affects the prices posted by sellers of medical services. We argue that despite regulation market forces may have an impact on price. We test this using the posted prices for one of the two types of buyer, General Practice Fundholders. We find the regulatory rules are not observed, and some evidence of the impact of market forces on price.
1989年英国国民医疗服务体系改革在严格监管框架内引入了供应方面的竞争。本文研究这种竞争是否会影响医疗服务供应商公布的价格。我们认为，尽管有监管，市场力量可能仍会对价格产生影响。我们利用两类购买者之一——全科医疗基金持有者公布的价格对此进行检验。我们发现监管规则未得到遵守，且有一些市场力量对价格产生影响的证据。
