The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay
The political economy of health care is complex, as stakeholders have conflicting preferences over efficiency and equity. This paper formally models the preferences of consumer and producer groups involved in priority setting and judicialization in...
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| Format: | Policy Research Working Paper |
| Language: | English |
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2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110929102908 http://hdl.handle.net/10986/3585 |
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okr-10986-35852021-04-23T14:02:11Z The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay Corduneanu-Huci, Cristina Hamilton, Alexander Masses-Ferrer, Issel ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES AGGRESSIVE ALLOCATION OF RESOURCES BUDGET CONSTRAINTS CANCER CANCER PATIENT CITIZENS CONSULTATION PROCESS DEMOCRACY DEVELOPING COUNTRIES DEVELOPMENT POLICY DOCTORS ECONOMIC ANALYSIS ECONOMIC GROWTH ECONOMIC POLICY ECONOMIC RESOURCES ECONOMIC REVIEW EQUAL ACCESS EQUILIBRIUM ESSENTIAL MEDICINES EXCLUSIVE DEALING EXPENDITURES EXTERNALITIES GOVERNMENT AGENCIES HEALTH CARE HEALTH CARE ALLOCATION HEALTH CARE POLICY HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH LAWS HEALTH PLANNING HEALTH POLICY HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEALTHCARE SYSTEM HOUSEHOLD SURVEYS HUMAN RIGHTS IMPACT ON HEALTH INCENTIVE STRUCTURES INCOME INDIVIDUAL MEMBERS INFORMATION ASYMMETRIES INSURANCE INSURANCE COMPANIES INSURERS JUDICIAL PROCEEDINGS LAWS LOW INCOME MALPRACTICE MARGINAL COST MEDICATION MEDICINES NATIONAL HEALTH NATURE OF HEALTH OBESITY PATIENT CARE PATIENTS PHARMACEUTICAL COMPANIES POLICY DISCUSSIONS POLICY PROCESS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLITICAL PARTY POLITICAL POWER POLITICAL PROCESS POPULATION SIZE PRIVATE CONSUMPTION PRIVATE SECTOR PROGRESS PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH POLICY PUBLIC HEALTH PROVIDERS PUBLIC HEALTH SYSTEM PUBLIC POLICY PUBLIC SECTOR QUANTITATIVE MEASURES RESOURCE ALLOCATION RESPECT RIGHT TO HEALTH CARE SCARCE RESOURCES SERVICE QUALITY SOCIAL SCIENCE SOCIAL SCIENCES SOCIAL WELFARE TREATMENTS The political economy of health care is complex, as stakeholders have conflicting preferences over efficiency and equity. This paper formally models the preferences of consumer and producer groups involved in priority setting and judicialization in public health care. It uses a unique dataset of stakeholder perceptions, from Uruguay, to test whether these hypotheses are consistent with empirical evidence. The results suggest that the expectations of the political economy literature are supported: 1) regulators of public healthcare are less concerned with efficiency considerations than consumers; and 2) less organized groups are more concerned about equity than more organized interest groups. With respect to the consequences of health litigation, the findings are only partially consistent with the health care governance literature. Consumers perceive litigation as more beneficial than health care providers and regulators do. Counter-intuitively, powerful interest groups seem less willing to use litigation to shape policy outcomes. 2012-03-19T18:05:02Z 2012-03-19T18:05:02Z 2011-09-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110929102908 http://hdl.handle.net/10986/3585 English Policy Research working paper ; no. WPS 5821 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper Latin America & Caribbean Latin America & Caribbean South America America Uruguay |
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Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES AGGRESSIVE ALLOCATION OF RESOURCES BUDGET CONSTRAINTS CANCER CANCER PATIENT CITIZENS CONSULTATION PROCESS DEMOCRACY DEVELOPING COUNTRIES DEVELOPMENT POLICY DOCTORS ECONOMIC ANALYSIS ECONOMIC GROWTH ECONOMIC POLICY ECONOMIC RESOURCES ECONOMIC REVIEW EQUAL ACCESS EQUILIBRIUM ESSENTIAL MEDICINES EXCLUSIVE DEALING EXPENDITURES EXTERNALITIES GOVERNMENT AGENCIES HEALTH CARE HEALTH CARE ALLOCATION HEALTH CARE POLICY HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH LAWS HEALTH PLANNING HEALTH POLICY HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEALTHCARE SYSTEM HOUSEHOLD SURVEYS HUMAN RIGHTS IMPACT ON HEALTH INCENTIVE STRUCTURES INCOME INDIVIDUAL MEMBERS INFORMATION ASYMMETRIES INSURANCE INSURANCE COMPANIES INSURERS JUDICIAL PROCEEDINGS LAWS LOW INCOME MALPRACTICE MARGINAL COST MEDICATION MEDICINES NATIONAL HEALTH NATURE OF HEALTH OBESITY PATIENT CARE PATIENTS PHARMACEUTICAL COMPANIES POLICY DISCUSSIONS POLICY PROCESS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLITICAL PARTY POLITICAL POWER POLITICAL PROCESS POPULATION SIZE PRIVATE CONSUMPTION PRIVATE SECTOR PROGRESS PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH POLICY PUBLIC HEALTH PROVIDERS PUBLIC HEALTH SYSTEM PUBLIC POLICY PUBLIC SECTOR QUANTITATIVE MEASURES RESOURCE ALLOCATION RESPECT RIGHT TO HEALTH CARE SCARCE RESOURCES SERVICE QUALITY SOCIAL SCIENCE SOCIAL SCIENCES SOCIAL WELFARE TREATMENTS |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES AGGRESSIVE ALLOCATION OF RESOURCES BUDGET CONSTRAINTS CANCER CANCER PATIENT CITIZENS CONSULTATION PROCESS DEMOCRACY DEVELOPING COUNTRIES DEVELOPMENT POLICY DOCTORS ECONOMIC ANALYSIS ECONOMIC GROWTH ECONOMIC POLICY ECONOMIC RESOURCES ECONOMIC REVIEW EQUAL ACCESS EQUILIBRIUM ESSENTIAL MEDICINES EXCLUSIVE DEALING EXPENDITURES EXTERNALITIES GOVERNMENT AGENCIES HEALTH CARE HEALTH CARE ALLOCATION HEALTH CARE POLICY HEALTH CARE PROVIDERS HEALTH CARE PROVISION HEALTH CARE SYSTEM HEALTH ECONOMICS HEALTH FINANCING HEALTH LAWS HEALTH PLANNING HEALTH POLICY HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTHCARE HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEALTHCARE SYSTEM HOUSEHOLD SURVEYS HUMAN RIGHTS IMPACT ON HEALTH INCENTIVE STRUCTURES INCOME INDIVIDUAL MEMBERS INFORMATION ASYMMETRIES INSURANCE INSURANCE COMPANIES INSURERS JUDICIAL PROCEEDINGS LAWS LOW INCOME MALPRACTICE MARGINAL COST MEDICATION MEDICINES NATIONAL HEALTH NATURE OF HEALTH OBESITY PATIENT CARE PATIENTS PHARMACEUTICAL COMPANIES POLICY DISCUSSIONS POLICY PROCESS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLITICAL PARTY POLITICAL POWER POLITICAL PROCESS POPULATION SIZE PRIVATE CONSUMPTION PRIVATE SECTOR PROGRESS PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH POLICY PUBLIC HEALTH PROVIDERS PUBLIC HEALTH SYSTEM PUBLIC POLICY PUBLIC SECTOR QUANTITATIVE MEASURES RESOURCE ALLOCATION RESPECT RIGHT TO HEALTH CARE SCARCE RESOURCES SERVICE QUALITY SOCIAL SCIENCE SOCIAL SCIENCES SOCIAL WELFARE TREATMENTS Corduneanu-Huci, Cristina Hamilton, Alexander Masses-Ferrer, Issel The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| geographic_facet |
Latin America & Caribbean Latin America & Caribbean South America America Uruguay |
| relation |
Policy Research working paper ; no. WPS 5821 |
| description |
The political economy of health care is
complex, as stakeholders have conflicting preferences over
efficiency and equity. This paper formally models the
preferences of consumer and producer groups involved in
priority setting and judicialization in public health care.
It uses a unique dataset of stakeholder perceptions, from
Uruguay, to test whether these hypotheses are consistent
with empirical evidence. The results suggest that the
expectations of the political economy literature are
supported: 1) regulators of public healthcare are less
concerned with efficiency considerations than consumers; and
2) less organized groups are more concerned about equity
than more organized interest groups. With respect to the
consequences of health litigation, the findings are only
partially consistent with the health care governance
literature. Consumers perceive litigation as more beneficial
than health care providers and regulators do.
Counter-intuitively, powerful interest groups seem less
willing to use litigation to shape policy outcomes. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Corduneanu-Huci, Cristina Hamilton, Alexander Masses-Ferrer, Issel |
| author_facet |
Corduneanu-Huci, Cristina Hamilton, Alexander Masses-Ferrer, Issel |
| author_sort |
Corduneanu-Huci, Cristina |
| title |
The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| title_short |
The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| title_full |
The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| title_fullStr |
The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| title_full_unstemmed |
The Political Economy of Healthcare Litigation : Model and Empirical Application to Uruguay |
| title_sort |
political economy of healthcare litigation : model and empirical application to uruguay |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20110929102908 http://hdl.handle.net/10986/3585 |
| _version_ |
1764387322068992000 |