Patient Mobility, Health Care Quality and Welfare

Kurt Brekke (), Rosella Levaggi, Luigi Siciliani and Odd Rune Straume

No 26/2011, NIPE Working Papers from NIPE - Universidade do Minho

Abstract: Patient mobility is a key issue in the EU who recently pased a new law on patients`right to EU-wide provider choice. In this paper we use a hotelling model with txo regions that differ in technology to study the impact of patient mobility leads to too low (higt) quality and two few (many) patients being treated in the high-skill (low-skill) region. A centralised solution with patient mobility implements the first best, but the low - skill region would not be willing to trnsfer authority as its welfare is lower than without mobility. In a decentralised solution, the effects of pacient mobility depend on the transfer payment. If the payment is below marginal cost, mobility leads to a "race-to-the-bottom" in quality and lower welfare in both regions. In the payment is equal to marginal cost, quality and welfare remain unchanged in the high-skill region, but the low-skill region benefits. For a socially optimal payment, wich is higher than marginal cost, quality levels in the two regions are closer to (but not at) the first best, but welfare is lower in the low-skill region. Thus, patient mobility can have adverse effects on quality provision and welfare unles an appropriate transfer payment scheme is implemented.

Keywords: Patient Mobility, Health Care Quality; Regional an global welfare (search for similar items in EconPapers)
JEL-codes: H51 H73 I11 I18 (search for similar items in EconPapers)
Date: 2011
New Economics Papers: this item is included in nep-hea
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Citations: View citations in EconPapers (3)

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Related works:
Journal Article: Patient mobility, health care quality and welfare (2014)
Working Paper: Patient Mobility, Health Care Quality and Welfare (2014)
Working Paper: Patient Mobility, Health Care Quality and Welfare (2011)
Working Paper: Patient Mobility, Health Care Quality and Welfare (2011)
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