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Title: Essays on the regulation of health care provision and the economics of chronic diseases
Author: Eduardo Stanciole, Anderson
ISNI:       0000 0001 3477 1493
Awarding Body: University of York
Current Institution: University of York
Date of Award: 2007
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This thesis comprises two main topics. The first part of the thesis focuses on the regulation of health care provision, while the second part provides empirical evidence ofthe economic consequences ofchronic diseases in developing countries. The first part examines the incentives that condition the relationship between hospitals and health care purchasers (Chapters 1 and 2) and the provision .ofpreventive care in a competitive health insurance market (Chapter 3). There are three main areas ofconsideration. Chapter 1 presents an axiomatic bargaining model of prices and activity, examining the negotiation between hospitals and purchasers in situations where, as usually occurs, none of the parties hold all of the bargaining power. Chapter 2 estimates the effect of waiting times on hospital costs using a sample of 283 hospitals over the period 1995-2002 in the NHS. This analysis seeks to clarifY the efficiency effects ofimposing waiting times for elective surgeries. Chapter 3 extends Rothschild and Stiglitz's (1976) model of adverse selection in a competitive health insurance market by considering the incentives for prevention. The second part of the thesis consists of two. empirical investigations regarding the economic effects of chronic diseases in Brazil, India and Russia. Chapter 4 provides an analysis of the relationship between socio-economic inequality . and chronic diseases, whilst Chapter 5 estimates the effect of chronic diseases on household economic performance, as measured by health expenditures, nonhealth expenditures and labour productivity. The results emphasise the relevance of chronic diseases for developing countries, challenging the view that this problem is restricted to more developed societies.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available