Platební mechanismy ve zdravotnictví : vliv platebních mechanismů na chování poskytovatele zdravotní péče

Klokočníková, Jana

A great proportion of inefficiencies the health systems need to deal with arise from the behaviour of the health sector actors. This thesis will focus on the behaviour of health care providers and some of the existing tools which might help to eliminate inefficiencies their behaviour causes. The crucial hypothesis this paper was built upon concerns the imperfect agency problem of the health care providers. The attention is paid to a particular sort of tools represented by various payment mechanisms implemented in the health systems within the relationship between the health care providers and the third-party purchasers. The paper revises some of the most common payment methods, their diversity, advantages and limitations. This thesis presents a simple theoretical model which provides a comparison of some payment mechanisms focusing on their enhancement of cost-efficiency, prevention, creation of waiting lists and production of health care. The analysis is based on utility functions of three important actors of the health systems; health care providers, third-party purchasers and patients.

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