In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.

Costa-Font, J., Levaggi, R., Turati, G., Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19, <<HEALTH ECONOMICS, POLICY AND LAW>>, 2020; (N/A): 1-8. [doi:10.1017/S1744133120000353] [http://hdl.handle.net/10807/178165]

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19

Costa-Font, Joan;Turati, Gilberto
2020

Abstract

In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of ‘organisational self-interest’, and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of ‘coordination mechanisms’ at times of a health emergency.
Inglese
Costa-Font, J., Levaggi, R., Turati, G., Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19, <<HEALTH ECONOMICS, POLICY AND LAW>>, 2020; (N/A): 1-8. [doi:10.1017/S1744133120000353] [http://hdl.handle.net/10807/178165]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/178165
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