2012
DOI: 10.1093/heapol/czs032
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The consequences of hospital autonomization in Colombia: a transaction cost economics analysis

Abstract: Granting autonomy to public hospitals in developing countries has been common over recent decades, and implies a shift from hierarchical to contract-based relationships with health authorities. Theory on transactions costs in contractual relationships suggests they stem from relationship-specific investments and contract incompleteness. Transaction cost economics argues that the parties involved in exchanges seek to reduce transaction costs. The objective of this research was to analyse the relationships obser… Show more

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Cited by 8 publications
(6 citation statements)
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“…Liu and Mills 2003) and the 'vertical integration' literature (e.g. Castano and Mills 2012). Instead, a research programme that addresses the central role of institutional arrangements in the organization of health systems and that recognizes that modifying them (in terms of design and enforcement) is precisely what health sector reform is about is pivotal to understanding and improving performance of health systems in LICs.…”
Section: Introductionmentioning
confidence: 99%
“…Liu and Mills 2003) and the 'vertical integration' literature (e.g. Castano and Mills 2012). Instead, a research programme that addresses the central role of institutional arrangements in the organization of health systems and that recognizes that modifying them (in terms of design and enforcement) is precisely what health sector reform is about is pivotal to understanding and improving performance of health systems in LICs.…”
Section: Introductionmentioning
confidence: 99%
“…The hospital autonomy policy fulfilled only one dimension of PPS, while neglecting other dimensions. The readiness of purchasers and reducing information asymmetries between providers (hospitals) and purchasers (insurance bodies) are important prerequisites of a successful PPS policy [ 46 ]. Hospital autonomy policy expected the hospitals to act as economic units, while the policy ignored the need for the development of effective market regulations mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…According to Castano and Mills (2013) transaction cost theory is one of the key motivator of supply chain alignment in any organization. The transaction cost economics focuses on the organization of transactions that occur whenever a good or service is transferred from a provider (seller) to a user (buyer) across separate interface.…”
Section: Theoretical Reviewmentioning
confidence: 99%