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A Synthesis of Research on Competition in the Financing and Delivery of Health Services

机译：卫生服务筹资与提供竞争研究综述

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摘要

This report provides a comprehensive synthesis of the existing research on the nature and extent of competition in the financing and delivery of health services. The emphasis in this report is on presenting evidence on barriers to competition, price competition, and nonprice competition in the health services market. The initial chapter focuses on developing a definition of competition which can provide a framework for the organization of the synthesis of the literature. Then, structure, conduct, and performance in the market for health services is reviewed, with an emphasis on those factors which act as barriers to competition and affect the performance of the market. Separate chapters are devoted to examination of competition and its effects in the markets for hospital services, physicians, dentists, health insurance plans and alternative delivery systems. Evidence on competition in several other submarkets is concisely summarized in an additional chapter. The final chapter focuses on findings related to current policy issues.

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