Competition between hospitals

Does it endanger quality of care ?

Brigitte Dormont - Collection CEPREMAP (Centre Pour la Recherche Economique et ses Applications)

236 pages, parution le 21/11/2018

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Résumé

There is ongoing debate about the effect of ownership on hospital performance as regards efficiency and care quality. This paper proposes an analysis of the differences in productivity and efficiency between French public and private hospitals. In France, public and private hospitals do not only differ in their objectives. They are also subject to different rules as regards investments and human resources management. In addition, they were financed according to different payment schemes until 2004: a global budget system was used for public hospitals, while private hospitals were paid on a fee-for-service basis. Since 2004, a prospective payment system (PPS) with fixed payment per stay in a given DRG is gradually introduced for both private and public hospitals. Payments generally differ for the same DRG, depending on whether the stay occurred in a private or public hospital. By 2018, a convergence of payments between the private and public sector should be achieved. Pursuing such a convergence comes down to suppose that there are differences in efficiency between private and public hospitals, which would be reduced by the introduction of competition between these two sectors. The purpose of this paper is to compare the productivity of public and private hospitals in France. We try to assess the respective impacts, on productivity differences, of differences in efficiency, patient characteristics and production composition.

L'auteur - Brigitte Dormont

Brigitte Dormont est professeur de Sciences économiques à l'Université Paris Dauphine (LEGOS) et professeur invité à l'Université de Lausanne (IEMS).

Caractéristiques techniques

	PAPIER
Éditeur(s)	Rue d'Ulm
Auteur(s)	Brigitte Dormont
Collection	CEPREMAP (Centre Pour la Recherche Economique et ses Applications)
Parution	21/11/2018
Nb. de pages	236
Format	14.1 x 18
Couverture	Broché
Poids	250g
EAN13	9782728806027