Levaggi Laura, Levaggi Rosella
Faculty of Science and Technology, Free University of Bozen, Universitätsplatz 5/Piazza Università 5, Bolzano, Italy.
Int J Health Care Finance Econ. 2010 Sep;10(3):239-56. doi: 10.1007/s10754-010-9079-x. Epub 2010 Mar 23.
This article examines the resources allocation process in the internal market for health care in an environment characterised by asymmetry of information. We analyse the strategic behaviour of the provider and show how, by misreporting its cost function and reservation utility, it might shift the allocation of resources away from the purchaser's objectives. Although the fundamental importance of equity, efficiency and risk aversion considerations which have been the traditional focus of the literature on allocation of resources should not be denied, this paper shows that contracts and internal markets are not neutral instruments and more research should be devoted to studying their effects.
本文考察了在信息不对称环境下医疗保健内部市场中的资源配置过程。我们分析了供应商的战略行为,并展示了它如何通过误报其成本函数和保留效用,使资源配置偏离购买者的目标。尽管不应否认公平、效率和风险规避考量(这些一直是资源配置文献的传统重点)的根本重要性,但本文表明合同和内部市场并非中立工具,应投入更多研究来考察它们的影响。