Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system

Objectives: To analyze the market structure of healthcare services in the province of Cordoba for the period 2003-2008, considering socio-economic and local health conditions, institutional framework, history of most relevant actors, and behaviors acquired as a response to their combined strategies....

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Detalles Bibliográficos
Autores principales: Maceira, D., Reynoso, A. M.
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014
Materias:
Health Systems
Contracts
Decentralization
Sistemas de Salud
Contratos
Descentralización
Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/6848
Aporte de:
Revista de Salud Pública de Universidad Nacional de Córdoba
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spelling I10-R360-article-68482025-04-03T12:07:53Z Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system Contratos, mecanismo de pago y poder de negociación: El caso del sistema de salud de Córdoba Maceira, D. Reynoso, A. M. Health Systems Contracts Decentralization Sistemas de Salud Contratos Descentralización Objectives: To analyze the market structure of healthcare services in the province of Cordoba for the period 2003-2008, considering socio-economic and local health conditions, institutional framework, history of most relevant actors, and behaviors acquired as a response to their combined strategies. Methods: Literature review, stakeholder analysis and field surveys of public and private providers at second and third level of care for the departments of the City of Córdoba, Calamuchita and Tercero Arriba. Results: Cordoba appears as a case of monopolistic competition, with few competitors, high presence of leading institutions and vertical product differentiation as the strategy chosen by the players. Conclusions: Infrastructure is the first criterion to define competition, followed by technology, for both indicators of perceived or actual quality of both patients and financiers. Objetivos: Analizar la estructura del mercado de servicios de salud de la Provincia de Córdoba durante el período 2003-2008, considerando las condiciones socio-económicosanitarias locales, marco institucional, la historia de los actores más relevantes del sector, y las conductas adquiridas como respuesta a la estrategia combinada de tales actores. Métodos: Revisión de literatura, mapa de actores, encuestas de campo a establecimientos de segundo y tercer nivel en los sectores públicos y privados de los departamentos de Ciudad de Córdoba, Calamuchita y Tercero Arriba. Resultados: Córdoba aparece como un caso de estructura de mercado de competencia monopolística, con pocos competidores por especialidad y alta presencia de instituciones líderes. Conclusiones: La diferenciación vertical de producto se constituye en la estrategia elegida por los jugadores donde la infraestructura es el primer criterio para definir la competencia, seguido por la tecnología, ambos indicadores de calidad tanto para pacientes como de financiadores. Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2014-03-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RSD/article/view/6848 10.31052/1853.1180.v17.n3.6848 Revista de Salud Pública; Vol. 17 Núm. 3 (2013); 21-30 1852-9429 1853-1180 10.31052/1853.1180.v17.n3 spa https://revistas.unc.edu.ar/index.php/RSD/article/view/6848/7926 Derechos de autor 1969 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-360
container_title_str Revista de Salud Pública
language Español
format Artículo revista
topic Health Systems
Contracts
Decentralization
Sistemas de Salud
Contratos
Descentralización
spellingShingle Health Systems
Contracts
Decentralization
Sistemas de Salud
Contratos
Descentralización
Maceira, D.
Reynoso, A. M.
Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
topic_facet Health Systems
Contracts
Decentralization
Sistemas de Salud
Contratos
Descentralización
author Maceira, D.
Reynoso, A. M.
author_facet Maceira, D.
Reynoso, A. M.
author_sort Maceira, D.
title Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
title_short Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
title_full Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
title_fullStr Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
title_full_unstemmed Contracts, payment mechanisms and bargaining power: the case of Cordoba’s health care system
title_sort contracts, payment mechanisms and bargaining power: the case of cordoba’s health care system
description Objectives: To analyze the market structure of healthcare services in the province of Cordoba for the period 2003-2008, considering socio-economic and local health conditions, institutional framework, history of most relevant actors, and behaviors acquired as a response to their combined strategies. Methods: Literature review, stakeholder analysis and field surveys of public and private providers at second and third level of care for the departments of the City of Córdoba, Calamuchita and Tercero Arriba. Results: Cordoba appears as a case of monopolistic competition, with few competitors, high presence of leading institutions and vertical product differentiation as the strategy chosen by the players. Conclusions: Infrastructure is the first criterion to define competition, followed by technology, for both indicators of perceived or actual quality of both patients and financiers.
publisher Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC
publishDate 2014
url https://revistas.unc.edu.ar/index.php/RSD/article/view/6848
work_keys_str_mv AT maceirad contractspaymentmechanismsandbargainingpowerthecaseofcordobashealthcaresystem
AT reynosoam contractspaymentmechanismsandbargainingpowerthecaseofcordobashealthcaresystem
AT maceirad contratosmecanismodepagoypoderdenegociacionelcasodelsistemadesaluddecordoba
AT reynosoam contratosmecanismodepagoypoderdenegociacionelcasodelsistemadesaluddecordoba
first_indexed 2024-09-03T22:24:55Z
last_indexed 2025-05-10T05:19:54Z
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