Public and private healthcare coordination: An analysis of contract mechanisms based on subsidy payments

Kaya, Onur; Teymourifar, Aydin; Öztürk, Gürkan

doi:10.1016/j.cie.2020.106526

Cited by 21 publications

(18 citation statements)

References 42 publications

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“…Some scholars also take the improvement of the service level as the enterprise goal. For example, Kaya et al (2020) used the customer waiting time to measure the service quality. Considering the impact of e‐commerce platform service level on product market demand, Wang, Yu, et al (2019) studied the impact of different capital constraint release methods on e‐commerce supply chain pricing and service strategy.…”

Section: Related Literaturementioning

confidence: 99%

Decision analysis and coordination of dual supply chain with retailer's offline return service and online reviews

2022

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Section: Related Literaturementioning

confidence: 99%

Decision analysis and coordination of dual supply chain with retailer's offline return service and online reviews

2022

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“…93,94 Vecchi and Cusumano 95 discussed various types of public-private partnership models in health care. Kaya et al 96 suggested some contracting mechanisms for public and private collaboration to evolve a more balanced health system.…”

Section: Public-private Partnershipmentioning

confidence: 99%

A public‐private partnership based model for regulating out‐of‐pocket expenditures to strengthen primary care system

Kumar

2022

Health Planning & Management

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In developing countries like India, the cost of health care is largely borne by patient out‐of‐pocket payments. Recent studies have reported that patients skip public‐funded clinics providing free consultation for distant private care providers. Some of the reasons identified for such behaviour include longer waiting times, perception regarding quality of care, etc. Therefore, optimal allocation of existing and new capacity is critical for a greater public interest. This article presents a decision‐making framework towards this intent for strengthening the existing government primary healthcare network. In this article, a mixed‐integer linear programing (MILP) model is developed for optimal reconfiguration of the existing government primary healthcare network to minimise patient out‐of‐pocket expenditures (OOPE). The model involves three types of facilities: Primary Health Centre (PHC), Community Health Centre (CHC), and Private OPD (outpatient department). Implementation of the proposed model can help in reducing out‐of‐pocket expenditures. The optimization model proposed in the article is unique as it incorporates for the first time, patient out‐of‐pocket expenditure, capacity reconfiguration, and public‐private partnership decisions in the primary healthcare system. A solution algorithm is also proposed for the optimization model. The model would be useful for theory development and also in policy‐making.

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“…Qian and Zhuang [22] state that subsidy policies can be utilized to direct patients with higher sensitivity to waiting time to private hospitals. Accordingly, the congestion in public hospitals decreases and the system becomes more balanced, and accordingly, the social utility increases [23,24].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Contract Mechanisms between the Government and Private Hospitals on the Social Utility

Teymourifar,

Kaya,

Ozturk

2023

Preprint

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In this work, we deal with a real healthcare system, in which public and private hospitals with different characteristics co-exist. While public hospitals have lower costs, they also suffer from long waiting times, diminishing the perceived quality of care for patients. Conversely, private hospitals, with their higher fees, offer shorter waiting periods, resulting in a more favorable perception of quality. A balanced healthcare system could offer societal benefits. Pricing strategies greatly influence a patient's hospital selection. For instance, reduced fees in private hospitals attract more patients, consequently reducing overcrowding in public facilities and elevating the overall quality of services provided. This study aims to develop pricing models to foster a balanced and socially advantageous healthcare system. Within this system, private hospital pricing is determined through contract mechanisms with the government. Thus, we delve into the ramifications of various contract models between the government and private hospitals on social utility. Our findings underscore the communal advantages of contract mechanisms. Furthermore, we generalize the proposed models to be applicable to similar systems.

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Public and private healthcare coordination: An analysis of contract mechanisms based on subsidy payments

Cited by 21 publications

References 42 publications

Decision analysis and coordination of dual supply chain with retailer's offline return service and online reviews

Decision analysis and coordination of dual supply chain with retailer's offline return service and online reviews

A public‐private partnership based model for regulating out‐of‐pocket expenditures to strengthen primary care system

The Effects of Contract Mechanisms between the Government and Private Hospitals on the Social Utility

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