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Pushing on a string: How policy might encourage private doctors to compete with the public sector on the basis of quality

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  • Quimbo, Stella
  • Peabody, John W.
  • Javier, Xylee
  • Shimkhada, Riti
  • Solon, Orville

Abstract

Results from the Philippine Quality Improvement Demonstration Study show that a policy that expands insurance coverage improves quality of care, as measured by clinical performance vignettes, among public physicians, and induces a spillover effect that improves quality among private physicians.

Suggested Citation

  • Quimbo, Stella & Peabody, John W. & Javier, Xylee & Shimkhada, Riti & Solon, Orville, 2011. "Pushing on a string: How policy might encourage private doctors to compete with the public sector on the basis of quality," Economics Letters, Elsevier, vol. 110(2), pages 101-103, February.
    • Handle: RePEc:eee:ecolet:v:110:y:2011:i:2:p:101-103
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    References listed on IDEAS

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    1. Vincenzo Atella & Francesco Brindisi & Partha Deb & Furio C. Rosati, 2004. "Determinants of access to physician services in Italy: a latent class seemingly unrelated probit approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 657-668, July.
    2. Kurt R. Brekke & Robert Nuscheler & Odd Rune Straume, 2006. "Quality and Location Choices under Price Regulation," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 15(1), pages 207-227, March.
    3. Haddad, Slim & Fournier, Pierre & Machouf, Nimâ & Yatara, Fassinet, 1998. "What does quality mean to lay people? Community perceptions of primary health care services in Guinea," Social Science & Medicine, Elsevier, vol. 47(3), pages 381-394, August.
    4. Gaynor, Martin, 2007. "Competition and Quality in Health Care Markets," Foundations and Trends(R) in Microeconomics, now publishers, vol. 2(6), pages 441-508, February.
    5. Quimbo, Stella A. & Peabody, John W. & Shimkhada, Riti & Woo, Kimberly & Solon, Orville, 2008. "Should we have confidence if a physician is accredited? A study of the relative impacts of accreditation and insurance payments on quality of care in the Philippines," Social Science & Medicine, Elsevier, vol. 67(4), pages 505-510, August.
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    Cited by:

    1. Calub, Renz Adrian, 2014. "Physician quality and payment schemes: A theoretical and empirical analysis," MPRA Paper 66038, University Library of Munich, Germany.
    2. Stella Quimbo & Natascha Wagner & Jhiedon Florentino & Orville Solon & John Peabody, 2016. "Do Health Reforms to Improve Quality Have Long‐Term Effects? Results of a Follow‐Up on a Randomized Policy Experiment in the Philippines," Health Economics, John Wiley & Sons, Ltd., vol. 25(2), pages 165-177, February.

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