A low quality-high cost-low satisfaction trap in public health care: A model and an efficiency-quality-welfare improving stochastic resolution

KARA A.

Quality and Quantity, cilt.47, sa.4, ss.2081-2093, 2013 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 4
  • Basım Tarihi: 2013
  • Doi Numarası: 10.1007/s11135-011-9643-6
  • Dergi Adı: Quality and Quantity
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.2081-2093
  • Anahtar Kelimeler: Stochastic equilibria, Quality, Health care sector
  • İstanbul Ticaret Üniversitesi Adresli: Evet

Özet

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.