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Income Distribution and the Public-Private Mix in Health Care Provision: The Latin American Case

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  • Maceira, Daniel

Abstract

Recent literature on Latin American countries shows that private expenses as a share of the total expenditures in health tend to be higher the lower the nation's level of economic development. This paper considers a discrete choice model of product differentiation, where consumer choice is based on a price-quality tradeoff. Physicians are involved in a dual-job holding structure, working as agents in the official sector while they maximize profits in a fragmented private sector.

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  • Maceira, Daniel, 1998. "Income Distribution and the Public-Private Mix in Health Care Provision: The Latin American Case," IDB Publications (Working Papers) 1887, Inter-American Development Bank.
    • Handle: RePEc:idb:brikps:1887
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    References listed on IDEAS

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    1. Thomas G. McGuire & Mark V. Pauly, 1991. "Physician Response to Fee Changes with Multiple Payers," Papers 0015, Boston University - Industry Studies Programme.
    2. Greenhut,Melvin L. & Norman,George & Hung,Chao-Shun, 1987. "The Economics of Imperfect Competition," Cambridge Books, Cambridge University Press, number 9780521315647.
    3. Daniel Maceira, 1996. "Fragmentación e incentivos en los sistemas de atención de la salud en América Latina y el Caribe," Research Department Publications 4049, Inter-American Development Bank, Research Department.
    4. Beath,John & Katsoulacos,Yannis, 1991. "The Economic Theory of Product Differentiation," Cambridge Books, Cambridge University Press, number 9780521335522, October.
    5. Maceira, Daniel, 1996. "Fragmentación e Incentivos en los Sistemas de Atención de la Salud en América Latina y el Caribe," IDB Publications (Working Papers) 6215, Inter-American Development Bank.
    6. Daniel Maceira, 1996. "Fragmentación e incentivos en los sistemas de atención de la salud en América Latina y el Caribe," Research Department Publications 4049, Inter-American Development Bank, Research Department.
    7. Glazer, Jacob & Glazer, Jacob & McGuire, Thomas G., 1993. "Should physicians be permitted to 'balance bill' patients?," Journal of Health Economics, Elsevier, vol. 12(3), pages 239-258, October.
    8. Choi, Chong Ju & Shin, Hyun Song, 1992. "A Comment on a Model of Vertical Product Differentiation," Journal of Industrial Economics, Wiley Blackwell, vol. 40(2), pages 229-231, June.
    9. McGuire, Thomas G. & Pauly, Mark V., 1991. "Physician response to fee changes with multiple payers," Journal of Health Economics, Elsevier, vol. 10(4), pages 385-410.
    10. Greenhut,Melvin L. & Norman,George & Hung,Chao-Shun, 1987. "The Economics of Imperfect Competition," Cambridge Books, Cambridge University Press, number 9780521305525.
    Full references (including those not matched with items on IDEAS)

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