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A New Institutional Economics Perspective on the Relationship Among Societal Values, Governance Structure and Access to Rural Health Care Services

机译:社会价值观,治理结构与农村医疗服务获得之间关系的新制度经济学视角

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摘要

According to New Institutional Economics, transactional activities, governance structures, institutions and beliefs and values are related hierarchically. Williamson (2000) formalizes this framework to show that each governing level must be aligned with the adjacent level for transaction costs to be minimized. This framework is applied to the question of balancing costs and access in health care. Transaction costs in providing health care services can be minimized if all hierarchical functions are aligned. Examining the highest level associated with beliefs and values reveals that the beliefs of people might not be fully consistent with theinstitutions and governance structures expected or advocated in the area of health care, particularly in the context of rural health care services.
机译:根据新制度经济学,交易活动,治理结构,制度以及信念和价值观是层次相关的。威廉姆森(Williamson,2000)对该框架进行了形式化证明,以表明每个管理级别必须与相邻级别保持一致,以使交易成本最小化。该框架适用于在医疗保健中平衡成本和获取的问题。如果所有层次的功能保持一致,则可以将提供医疗服务的交易成本降至最低。检验与信仰和价值观相关的最高水平表明,人们的信仰可能与卫生保健领域,特别是在农村卫生保健服务领域中预期或倡导的机构和治理结构不完全一致。

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