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

机译：非营利组织是否有所不同？乌干达卫生服务定价的理论和证据

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摘要

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.
机译：发展中国家对卫生和教育的公共提供往往不足且效率低下。因此，呼吁私人提供者更多地参与，以向民众提供负担得起的高质量服务。特别是，通常建议非营利机构在履行其社会使命时应发挥更大的作用。但是，以营利为目的的行为与营利性机构是否真的有所不同？文献没有为这个问题提供明确的答案。本文稿基于简单的理论模型和乌干达具有不同治理结构的卫生保健提供者的价格数据提供了证据。利用市场结构的差异作为变化的根源，我们发现非营利组织的行为确实与营利机构不同，其定价行为与对健康影响的强调一致，而不仅仅是利润最大化。因此，我们的结果为试图吸引非营利性医疗诊所以填补效率低下的公共医疗服务空白的政策提供了依据。

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