Oferta y demanda en el sector sanitario: un analisis desde la economia de la salud

Karina Temporelli

doi:10.52292/j.estudecon.2009.887

Authors

Karina Temporelli UNS - CONICET

DOI:

https://doi.org/10.52292/j.estudecon.2009.887

Keywords:

sanitary market, supply health, demand health, market failures

Abstract

The analysis of the supply and the demand of sanitary services is the previous step for the correct implementation of sanitary policies that answer to the needs of the objective population. In the context of the sanitary sector, these components do not comport of the same form that in the rest of the economy. The complexit y of the sanitary supply, where there are publics, privates and non profits institutions with diferent incentives, do difficult to define a monetary price. On the other hand the problems in the production measurement do difficult the economic evaluation. By the side of the demand the problems of information, the uncertaint y, the payments realized by third that the consumers can not evaluate alternatives in rational way, putting several times his consumption decisions in hands of the suppliers. The aim of this work is to make a review to the difficulties in the analyse of de mand and offer of sanitary services, showing like the health ́s economic analyses this problematic.

Downloads

Download data is not yet available.

References

Arredondo López, A, Recamann Mejía, A., (2002), "Oferta vs. Demanda: Algunos aspectos a considerar para el estudio del Mercado de Salud", Hitos de Ciencias económico administrativas, Nro. 20, pp.42-47.

Artells Herrero, J., (1999), "Necesidad vs.Demanda Sanitaria", Documento de Trabajo N° 11, Fundación Salud, Innovación y Sociedad, Madrid.

Folland, S., Goodman, A. and Stano, M., (1997), The Economics of Health and Health Care, Prentice Hall, Upper Saddle River, New Jersey, Chapters 7 and 8.

Foster, B., (1989), "Optimal health investment strategies", Bulletin of Economics Research, Vol. 41, (1), pp.45-57. DOI: https://doi.org/10.1111/j.1467-8586.1989.tb00277.x

Grossman, M., (1972), "The demand for health: A theorical and empirical investigation", NBER papers N° 119 New York.

Grossman, M, (1999), "The human capital model of the demand of health", Working paper 7078, NBER, Abril 1999. DOI: https://doi.org/10.3386/w7078

Londoño, J. L.; Frenk, J., (1997), Pluralismo estructurado: hacia un modelo innovador para la reforma de los sistemas de salud en América Latina. In Frenk, J., ed., Economía y salud, necesidades, servicios y políticas. Fundación Mexicana para la Salud, México, DF, México.

López, A. y Recaman Mejía, A. (2002), "Oferta vs. demanda: algunos aspectos a considerar para el estudio del mercado en salud", Hitos de ciencias económico administrativas, Nro.20, pp. 42-47.

Maceira, D., (1998), Mecanismos de pago a prestadores en el sistema de salud: incentivos, resultados e impacto organizacional en países en desarrollo. Agosto de 1998. Estudios Mayores de Investigación Aplicada 2, Documento de Trabajo 2. Bethesda, MD: Partnerships for Health Reform Project, Abt Associates Inc.

Mainetti, J. L., (1998), "El estado como financiador de la salud", Quirón Nro. 27, La Plata.

Mas-Colell, A. and Whinston, M, (1995), Microeconomic Theory, Oxford University Press, New York.

McGuire, T. and Pauly M., Physician responses to fee changes with multiple payers. Journal of Health Economics, N° 10, pp.385-410. DOI: https://doi.org/10.1016/0167-6296(91)90022-F

Phelps, C. and Newhouse J. (1971), "The Effects of Coinsurance on the Demand for Physician Services", The RAND Corporation, R-976-OEO.

Phelps, Ch., (1997), Health Economics, Addison-Wesley, New York.

Pohlmeier W. and Ulrich V., (1995), "An econometric model of a two part in a decisionmaking process in the demand for health care", The journal of human resources, Vol. 30, (2), pp.339-361. DOI: https://doi.org/10.2307/146123

Richardson J., (1981), "Supply and Demand for Medical Care: Or, Is the Health Care Market Perverse?, The Australian Economic Review, Vol. 34, (3), pp336-352. DOI: https://doi.org/10.1111/1467-8462.00203

Rochaix, Lise (1989), "Information Asymmetry and Search in the Market for Physician Services," Journal of Health Economics, N°8, pp. 53-84. DOI: https://doi.org/10.1016/0167-6296(89)90009-X

Roemer, M. I., (1961), "Bed supply and hospital utilization", Journal of the American Hospitals Association, Vol. 35 , pp. 36-42.

Rossiter, L. and Wilensky, G., (1984), "Health Economist-Induced Demand for Theories of Physician-Induced Demand", Journal of Human Resources, Vol. 22 (4), pp. 624-627. DOI: https://doi.org/10.2307/145708

Shain, M. and Roemer, M., (1959), "Hospital Utilization under insurance", American Hospital Association, Monograph Series N° 6 Chicago.

Tafani, R., (2000), Economía Sanitaria, Editorial de la Universidad Nacional de Río Cuarto, Argentina.

Temporelli, K. (2007), "Demanda secuencial de servicios sanitarios: la utilidad del médico como determinante" Ensayos de Economía de la Salud, Ed. Temas Argentina 2007.

Temporelli, K. y González, G.,(2008), "Elasticidad de los gastos sanitarios: un análisis a diferentes niveles de ingreso", Estudios de economía aplicada, Vol. 26, (1), 2008. DOI: https://doi.org/10.25115/eea.v26i1.5397

Wagstaff, A., (1986), "The demand for health: some new empirical evidence", Journal of Health economics, Vol. 5, (3), pp.195-233. DOI: https://doi.org/10.1016/0167-6296(86)90015-9

Weisbrod, B. A.,(1991), "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment", Jounal of Economic Literature, N°29.