A low quality-high cost-low satisfaction trap in public health care: A model and an efficiency-quality-welfare improving stochastic resolution
Quality and Quantity, vol.47, no.4, pp.2081-2093, 2013 (SCI-Expanded, SSCI, Scopus)
- Publication Type: Article / Article
- Volume: 47 Issue: 4
- Publication Date: 2013
- Doi Number: 10.1007/s11135-011-9643-6
- Journal Name: Quality and Quantity
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
- Page Numbers: pp.2081-2093
- Keywords: Stochastic equilibria, Quality, Health care sector
- İstanbul Ticaret University Affiliated: Yes
Abstract
This paper develops an applied stochastic model of public health care and shows that the public health care sector in Turkey is plagued by a low quality-high cost-low satisfaction trap which has been persistent over time. The values in question are shown to be stochastically stable. We formulate an efficiency-quality-welfare improving stochastic policy rule, which helps the sector to reach a selected target and which stabilizes quality, cost and welfare around that target. © 2011 Springer Science+Business Media B.V.