Strategic costs and preferences revelation in the allocation of resources for health care

Int J Health Care Finance Econ. 2010 Sep;10(3):239-56. doi: 10.1007/s10754-010-9079-x. Epub 2010 Mar 23.

Abstract

This article examines the resources allocation process in the internal market for health care in an environment characterised by asymmetry of information. We analyse the strategic behaviour of the provider and show how, by misreporting its cost function and reservation utility, it might shift the allocation of resources away from the purchaser's objectives. Although the fundamental importance of equity, efficiency and risk aversion considerations which have been the traditional focus of the literature on allocation of resources should not be denied, this paper shows that contracts and internal markets are not neutral instruments and more research should be devoted to studying their effects.

MeSH terms

  • Delivery of Health Care / economics*
  • Delivery of Health Care / methods
  • Delivery of Health Care / organization & administration
  • Economic Competition / organization & administration*
  • Economic Competition / trends
  • Efficiency, Organizational
  • Health Care Costs / trends
  • Health Care Rationing / economics
  • Health Care Rationing / methods
  • Health Care Rationing / standards
  • Health Expenditures / trends
  • Health Policy / economics*
  • Humans
  • Information Dissemination
  • Models, Econometric
  • Resource Allocation / economics*
  • Resource Allocation / methods
  • Resource Allocation / standards