Are not-for-profits different? Theory and evidence on the pricing of health services in Uganda

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• 作者：Kjetil Bjorvatn ; Jakob Svensson
• 关键词：Health care ; Developing country ; Not ; for ; profit ; For ; profit ; Competition ; Prices ; I10 ; L31 ; L33
• 刊名：Economics of Governance
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：17
• 期：1
• 页码：1-10
• 全文大小：426 KB
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• 作者单位：Kjetil Bjorvatn (1)
  Jakob Svensson (2) (3)
  
  1. NHH Norwegian School of Economics, Bergen, Norway
  2. IIES, Stockholm University, Stockholm, Sweden
  3. CEPR, London, UK
  
• 刊物主题：Economics general; Public Finance & Economics; Political Science, general;
• 出版者：Springer Berlin Heidelberg
• ISSN：1435-8131

文摘

Public provision of health and education in developing countries is often insufficient and inefficient. There is thus a call for a greater involvement of private providers to supply affordable and high-quality services to the population. In particular, it is often suggested that not-for-profit institutions should play a larger role, given their social mission. But do not-for-profits really behave differently from for-profit institutions? The literature does not provide a clear answer to this question. The present contribution offers evidence based on a simple theoretical model and price data from health care providers in Uganda with different governance structures. Using differences in market structure as source of variation, we find that not-for-profits indeed behave differently from for-profit institutions, with a pricing behavior that is consistent with an emphasis on health impact and not just profit maximization. Our results thus provide an argument for a policy trying to attract not-for-profit health clinics to fill the gap of an inefficient public health provision. Keywords Health care Developing country Not-for-profit For-profit Competition Prices