IDEAS home Printed from https://ideas.repec.org/a/ksa/szemle/919.html
   My bibliography  Save this article

Verseny az egészségügyben. Egyesült államokbeli és nyugat-európai példák
[Competition in health care. US and West European examples]

Author

Listed:
  • Gulácsi, László
  • Kovács, Erzsébet
  • Oesterle, August
  • Boncz, Imre

Abstract

Napjainkban a kormányzattól és a biztosítóktól kezdve a szolgáltatókig és a fogyasztókig mindenki az egészségügyi piaci versenyről beszél. De mit is értenek piaci versenyen? Vajon azonos dolgokról beszélnek-e? Mivel az egészségpolitika alakításában az egészségügy különböző szereplői is részt vesznek, ez a kérdés alapvető fontosságú. Kevés szó esik arról is, hogy az egészségügy kulcsszereplői hogyan képzelik el a versenyt a saját szempontjukból. Röviden áttekintjük a fejlett országok tapasztalatait, különös tekintettel az Egyesült Államok, Egyesült Királyság, Hollandia, valamint Ausztria és Németország példáján. Elemzésünk alapján elmondható, hogy a verseny az egészségügy területén valamennyi vizsgált országban korlátozott, az eredmények értékelése pedig nagyfokú óvatosságot igényel. Journal of Economic Literature (JEL) kód: I11.

Suggested Citation

  • Gulácsi, László & Kovács, Erzsébet & Oesterle, August & Boncz, Imre, 2007. "Verseny az egészségügyben. Egyesült államokbeli és nyugat-európai példák [Competition in health care. US and West European examples]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(5), pages 480-498.
    • Handle: RePEc:ksa:szemle:919
    as

    Download full text from publisher

    File URL: http://www.kszemle.hu/tartalom/letoltes.php?id=919
    Download Restriction: Registration and subscription. 3-month embargo period to non-subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gre[ss], Stefan & Groenewegen, Peter & Kerssens, Jan & Braun, Bernard & Wasem, Juergen, 2002. "Free choice of sickness funds in regulated competition: evidence from Germany and The Netherlands," Health Policy, Elsevier, vol. 60(3), pages 235-254, June.
    2. Pete, Péter, 1997. "Az egészségügyi ellátás rendszerének alapvonásai és reformjai Ausztráliában és Új-Zélandon [Basic features and reforms of the health care system in Australia and New Zealand]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(5), pages 440-454.
    3. Greß, Stefan & Okma, Kieke & Hessel, Franz, 2001. "Managed competition in health care in the Netherlands and Germany: Theoretical foundation, empirical findings and policy conclusions," Wirtschaftswissenschaftliche Diskussionspapiere 04/2001, University of Greifswald, Faculty of Law and Economics.
    4. Aggie Paulus & Silvia Evers & Fabienne Fecher & Jan Van Der Made & Annelies Boonen, 2002. "Cross Border Health Care: An Analysis of Recent ECJ Rulings," European Journal of Law and Economics, Springer, vol. 14(1), pages 61-73, July.
    5. Stock, Stephanie Anja Katharina & Redaelli, Marcus & Lauterbach, Karl Wilhelm, 2007. "Disease management and health care reforms in Germany--Does more competition lead to less solidarity?," Health Policy, Elsevier, vol. 80(1), pages 86-96, January.
    6. Nagy, András, 1998. "A jóléti rendszer Franciaországban [The welfare system in France]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(5), pages 456-478.
    7. Gedeon, Péter, 2001. "Merre tart a német jóléti állam?. Társadalombiztosítási alrendszerek Németországban [Where is the German welfare state going?. Social-insurance sub-systems in Germany]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(2), pages 130-149.
    8. Paulus, Aggie & van Raak, Arno & van der Made, Jan & Mur-Veeman, Ingrid, 2003. "Market competition: everybody is talking, but what do they say?: A sociological analysis of market competition in policy networks," Health Policy, Elsevier, vol. 64(3), pages 279-289, June.
    9. Milne, Robin G. & Torsney, Ben, 2003. "Financial incentives, competition and a two tier service: lessons from the UK National Health Service internal market," Health Policy, Elsevier, vol. 64(1), pages 1-12, April.
    10. Karen Bloor & Alan Maynard, 2006. "The productivity of health care," Health Economics, John Wiley & Sons, Ltd., vol. 15(12), pages 1257-1259, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stefan Greß & Diana Delnoij & Peter Groenewegen, 2003. "Exit and Voice in Dutch Social Health Insurance," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 1(3), pages 47-53, 02.
    2. Greß, Stefan & Okma, Kieke G. H. & Wasem, Jürgen, 2002. "Private health insurance in social health insurance countries: Market outcomes and policy implications," Wirtschaftswissenschaftliche Diskussionspapiere 01/2002, University of Greifswald, Faculty of Law and Economics.
    3. Stephen Birch, 2015. "Improving the Fiscal and Political Sustainability of Health Systems through Integrated Population Needs-Based Planning," Seminar Briefing 001616, Office of Health Economics.
    4. Kick, Markus & Littich, Martina, 2015. "Brand and Reputation as Quality Signals on Regulated Markets," EconStor Preprints 182503, ZBW - Leibniz Information Centre for Economics.
    5. Marcus Tamm & Harald Tauchmann & Stefan Greß & Jürgen Wasem, 2005. "Price Elasticities and Social Health Insurance Choice in Germany: A Dynamic Panel Data Approach," RWI Discussion Papers 0028, Rheinisch-Westfälisches Institut für Wirtschaftsforschung.
    6. Kick, Markus, 2015. "The Price Premium Induced by Branding: A Health Care Case Study," EconStor Preprints 182504, ZBW - Leibniz Information Centre for Economics.
    7. Gapp, Oliver & Schweikert, Bernd & Meisinger, Christa & Holle, Rolf, 2008. "Disease management programmes for patients with coronary heart disease--An empirical study of German programmes," Health Policy, Elsevier, vol. 88(2-3), pages 176-185, December.
    8. Csillag, István, 2001. "Költségvetési összhangzattan. Diktatúrából a demokráciába? [Budgetary harmony. From dictatorship to democracy?]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(10), pages 824-843.
    9. Stock, Stephanie Anja Katharina & Redaelli, Marcus & Lauterbach, Karl Wilhelm, 2007. "Disease management and health care reforms in Germany--Does more competition lead to less solidarity?," Health Policy, Elsevier, vol. 80(1), pages 86-96, January.
    10. Gre[ss], Stefan & Focke, Axel & Hessel, Franz & Wasem, Jurgen, 2006. "Financial incentives for disease management programmes and integrated care in German social health insurance," Health Policy, Elsevier, vol. 78(2-3), pages 295-305, October.
    11. Alexander Karmann & Felix Roesel, 2017. "Hospital Policy and Productivity – Evidence from German States," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1548-1565, December.
    12. Rudoler, David & Laporte, Audrey & Barnsley, Janet & Glazier, Richard H. & Deber, Raisa B., 2015. "Paying for primary care: A cross-sectional analysis of cost and morbidity distributions across primary care payment models in Ontario Canada," Social Science & Medicine, Elsevier, vol. 124(C), pages 18-28.
    13. Vitikainen, Kirsi & Street, Andrew & Linna, Miika, 2009. "Estimation of hospital efficiency--Do different definitions and casemix measures for hospital output affect the results?," Health Policy, Elsevier, vol. 89(2), pages 149-159, February.
    14. Henke, Klaus-Dirk & Schreyögg, Jonas, 2004. "Towards sustainable health care systems: Strategies in health insurance schemes in France, Germany, Japan and the Netherlands ; a comparative study," Discussion Papers 2004/9, Technische Universität Berlin, School of Economics and Management.
    15. Thomson, Sarah & Busse, Reinhard & Crivelli, Luca & van de Ven, Wynand & Van de Voorde, Carine, 2013. "Statutory health insurance competition in Europe: A four-country comparison," Health Policy, Elsevier, vol. 109(3), pages 209-225.
    16. Bettina Becker & Silke Uebelmesser, 2010. "Health Insurance Competition in Germany - the Role of Advertising," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 130(2), pages 169-194.
    17. Simonovits, András, 2004. "Hogyan óvjuk meg az (amerikai) társadalombiztosítási nyugdíjrendszert?. Magyar szemmel P. A. Diamond-P. R. Orszag Saving Social Security című könyvéről [How to protect the US social-security pensio," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(7), pages 752-767.
    18. Karolin Becker & Peter Zweifel, 2005. "Cost Sharing in Health Insurance: An Instrument for Risk Selection?," SOI - Working Papers 0513, Socioeconomic Institute - University of Zurich.
    19. Paulus, Aggie & van Raak, Arno & van der Made, Jan & Mur-Veeman, Ingrid, 2003. "Market competition: everybody is talking, but what do they say?: A sociological analysis of market competition in policy networks," Health Policy, Elsevier, vol. 64(3), pages 279-289, June.
    20. Markus Wörz & Reinhard Busse, 2005. "Analysing the impact of health‐care system change in the EU member states – Germany," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 133-149, September.

    More about this item

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ksa:szemle:919. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Odon Sok (email available below). General contact details of provider: http://www.kszemle.hu .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.