Incentives in Health Systems
This volume contains selected papers from the First European Conference on Health Economics, held in Barcelona on 19-21 September 1989. The meeting was organized by the Spanish Health Economics Association (AES) and chaired by L. Bohigas. The following gr
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G. L6pez-Casasnovas (Ed.)
Incentives in Health Systems With 22 Figures and 49 Tables
Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest
Dr. Guillem L6pez-Casasnovas Facultad de Ciencias Economicas, Departamento de Hacienda Publica, Universidad de Barcelona, Avenida Diagona1690, 08034 Barcelona, Spain
1st European Conference on Health Economics, Barcelona, 1989 ISBN-13: 978-3-540-53933-9 DOl: 10.1007/978-3-642-76580-3
e-ISBN-13: 978-3-642-76580-3
library of Congress Cataloging-in-Publication Data European Conference on Health Economics (1st: 1989: Barcelona, Spain) Incentives ill health systems/[edited by] G. L6pez-Casasnovas. p. cm. - (Health systems research) '1st European Conference on Health Economics, Barcelona, 1989' - T.p. verso.
1. Medical economics - Congresses. 2. Health behavior - Economic aspects - Congresses. 3. Insurance, Health - Congresses. I. L6pez-Casasnovas, G. Guillem), 1955- II. TItle. Series. [DNLM: 1. Delivery of Health Care - economics - congresses. 2. Economics, Medical congresses. W 74 E89i 1989] RA410.A2E89 1989 338.4'33621-dc20 DNLMIDLC 91-4815
m.
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Preface
This volume contains selected papers from the First European Conference on Health Economics, held in Barcelona on 19-21 September 1989. The meeting was organized by the Spanish Health Economics Association (AES) and chaired by L. Bohigas. The following groups participated: the English Health Economists' Study Group, the Associa 0). All other factors influencing health are assumed constant.
Fee-for-Service and Quantity Rationing in the Physician Services Market
Fee
f
105
f
Fig. 1. Effect of fee levels on quality
For simplicity let us assume that the SIF has decided to spend the amount B on ambulatory care; B is exogenously fixed. B =f·M(j).A
(2)
It can therefore buy Blf services and offer B/f M (f) contracts. Given B, the SIF will
