Actores, contratos y mecanismos de pago: el caso del sistema de salud de Salta

Daniel Maceira () and Cintia Cejas ()

Estudios Economicos, 2010, vol. 027 (Nueva Serie), issue 54, 29-66

Abstract: Decentralization in health care strategy and goals definition, as well as in program implementation moves public discussion to the provincial level. This study analyzes the association among the market structure of the private health care services, payments mechanisms and responses related to internal organization and transference of risk between health providers and financiers in Salta. In depth interviews to key actors and a survey performed to a sample of public and private institutions allows to obtain information about perceived competition, strategies, contracts and payment mechanisms. The study finds a correlation between population scale, competition and relative bargaining power of the main competitor. This scheme friggers incentive to differentiated production using different strategies beyond prices, as reputation, product mix and infrastructure

Keywords: servicio de salud; descentralización; mecanismos de pago en salud; mercado de salud; actores públicos y privados en salud; health care service; decentralization; health care market (search for similar items in EconPapers)
JEL-codes: I11 I18 (search for similar items in EconPapers)
Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:uns:esteco:v:27:y:2010:i:54:p:29-66

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