

@mastersthesis {6189,
	title = {Markets in health care: an analysis of demand, supply and the market structure of health care in the {Philippines}},
	year = {1995},
	note = {U084612},
	school = {University of London, London School of Hygiene and Tropical Medicine (United Kingdom)},
	type = {phdPh.{D}.},
	address = {Ann Arbor},
	abstract = {This study sought to examine the economic structure of the Philippines health care system, in the light of recent legislative initiatives in the country and global managed market reforms. In the context of a market-oriented system in the Philippines, the study modelled the interaction of health care agents in three markets: regulations, financing or insurance and health services. The bulk of the research examined the nature of exchange in the health services market, using neo-classical economics. Theories in industrial organisation and public choice served as organising frameworks for explaining other market elements. The study{\textquoteright}s methodology used primary and secondary data analysis, as well as findings of other research, to bring together a coherent picture of the market structure of health care in the Philippines.The analysis of the regulatory market showed that the rent-seeking nature of Philippine social, political and medical institutions has weakened regulatory structures in health care. Compared to its Asian neighbours, the relative position of the country in the 60s in terms of major health indicators, has been eroded. Limited resources and allocative inefficiencies have affected the government{\textquoteright}s ability to fulfil its constitutional mandate to ensure minimum levels of care, especially for the poor.The performance of the market was examined in terms of health policy objectives of efficiency and equity in the financing of health care. Private sources, with households forming the bulk, comprised 64 percent of health care expenditures. The position of concentration curves drawn to illustrate the equity of household financing, showed inequities in health and health expenditures. The largely fee-for-service system operating in the health insurance market had caused risk to be borne largely by consumers and funders. Low coverage of the population and weak utilisation rates, may have encouraged some providers to behave opportunistically. An examination of the prospects for an alternative system of compulsory health insurance, illustrated through a project with health maintenance organisations indicated the problems of contracting.},
	keywords = {(UMI)AAIU084612, 0630:Public policy, Bibliographies, Psychology{\textendash}Abstracting, Public policy, Social sciences, Statistics},
	url = {http://search.proquest.com/docview/301506803?accountid=14270},
	author = {Bautist, M.C.G.}
}
