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  1. What kind of healthcare "internal market" ? A cross - Europe view of the options.

    Article - En anglais

    European Healthcare Management Association's Annual Conference. Varsovie, 1993.

    This issue of the journal presents a selection of the papers from the European Healthcare Management Association's Annual Conference in Warsaw (1993), organized on the theme of « Managing Healthcare Markets ». (éditorial).

    Many governments are trying to invent new types of internal market that will expose health services to competitive pressures to innovate, contain costs, raise service quality, and respond better to consumer demands ; but not expose them to market failures which prejudice universal access to basic health services.

    Policy debates in this area are mudded and constricted by a failure to differentiate the variants of internal market that are available.

    This article outlines a taxonomy of the main types of internal market :

    • primary doctor purchasing ;

    • managed competition ;

    • competitive bidding ;

    • social insurance ;

    • and compulsory private insurance.

    It notes their main structural charasteristics and differences.

    Although internal market reforms have beeb intended to support the commercialization of healthcare, the idea of designing new types of economic structure to avoid market failure in healthcare has wider and more radical implications than most policy - makers intend.


    Mots-clés Pascal : Système santé, Assurance maladie, Contrôle coût, Marché, Régulation, Etude comparative, Echelon international, Europe, Réforme

    Mots-clés Pascal anglais : Health system, Health insurance, Cost control, Markets, Regulation, Comparative study, International scope, Europe, Reform

    Logo du centre Notice produite par :
    ENSP - Ecole nationale de la santé publique (devenue EHESP)

    Cote : 94/01-03 V

    Code Inist : 002B30A01B. Création : 09/06/1995.