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Essays on the regulation of health care provision and the economics of chronic diseases

Eduardo Stanciole, Anderson (2007) Essays on the regulation of health care provision and the economics of chronic diseases. PhD thesis, University of York.

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Abstract

This thesis comprises two main topics. The first part of the thesis focuses on the regulation of health care provision, while the second part provides empirical evidence ofthe economic consequences ofchronic diseases in developing countries. The first part examines the incentives that condition the relationship between hospitals and health care purchasers (Chapters 1 and 2) and the provision .ofpreventive care in a competitive health insurance market (Chapter 3). There are three main areas ofconsideration. Chapter 1 presents an axiomatic bargaining model of prices and activity, examining the negotiation between hospitals and purchasers in situations where, as usually occurs, none of the parties hold all of the bargaining power. Chapter 2 estimates the effect of waiting times on hospital costs using a sample of 283 hospitals over the period 1995-2002 in the NHS. This analysis seeks to clarifY the efficiency effects ofimposing waiting times for elective surgeries. Chapter 3 extends Rothschild and Stiglitz's (1976) model of adverse selection in a competitive health insurance market by considering the incentives for prevention. The second part of the thesis consists of two. empirical investigations regarding the economic effects of chronic diseases in Brazil, India and Russia. Chapter 4 provides an analysis of the relationship between socio-economic inequality . and chronic diseases, whilst Chapter 5 estimates the effect of chronic diseases on household economic performance, as measured by health expenditures, nonhealth expenditures and labour productivity. The results emphasise the relevance of chronic diseases for developing countries, challenging the view that this problem is restricted to more developed societies.

Item Type: Thesis (PhD)
Academic Units: The University of York > Economics and Related Studies (York)
Identification Number/EthosID: uk.bl.ethos.485140
Depositing User: EThOS Import (York)
Date Deposited: 28 Sep 2015 08:46
Last Modified: 28 Sep 2015 08:46
URI: http://etheses.whiterose.ac.uk/id/eprint/9942

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