Private hospital accreditation and inducement of care under the Ghanaian National Insurance Scheme

被引:23
作者
Amporfu E. [1 ]
机构
[1] Kwame Nkrumah University of Science and Technology, Kumasi
关键词
Travel Time; Public Hospital; Private Hospital; Demand Curve; Public Health Facility;
D O I
10.1186/2191-1991-1-13
中图分类号
学科分类号
摘要
The Ghanaian National Health Insurance Scheme pays providers according to the fee for service payment scheme, a method of payment that is likely to encourage inducement of care. The goal of this paper is to test for the presence of supplier induced demand among patients who received care in private, for profit, hospitals accredited to provide care to insured patients. An instrumental variable Poisson estimation was used to compare the demand curves for health care by insured outpatients in the public and private hospitals. The results showed that supplier induced demand existed in the private sector among patients within the ages 18 and 60 years. Impact on cost of care and patients' welfare is discussed. © 2011 Amporfu; licensee Springer.
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页码:1 / 9
页数:8
相关论文
共 21 条
[1]  
McGuire T.G., Physician Agency, Handbook of Health Economics, 1 A, pp. 461-536, (2000)
[2]  
Fuchs V.R., The Supply of Surgeons and the Demand for Operations, The Journal of Human Resources, pp. 35-56, (1978)
[3]  
Peace F.M., NHIS Managers Urged to Improve Enrolment, (2009)
[4]  
Evans R., Supplier-induced Demand: Some Empirical Evidence and Implications, The Economics of Health and Medical Care, pp. 162-173, (1974)
[5]  
NHIS: NHIS Accreditation For Healthcare Providers
[6]  
Daily Graphic: 17000 Die a Year From Malaria In Ghana, (2005)
[7]  
Auster R.D., Oaxaca R.L., Identification of Supplier Inducted Demand in the Health Care Sector, Journal of Human Resources, 16, pp. 327-342, (1981)
[8]  
Gruber J., Owings M., Physician Financial Incentives and Caesarean Section Delivery, RAND Journal of Economics, 27, pp. 99-123, (1996)
[9]  
Green J., Physician-Induced Demand for Medical Care, The Journal of Human Resources, 13, pp. 21-33, (1978)
[10]  
Grytten J., Sorensen R., Type of Contract and Supplier-Induced Demand for Primary Physicians in Norway, Journal of Health Economics, 20, 3, pp. 379-393, (2001)