An agent-based simulation model to evaluate alternative co-payment scenarios for contributing to health systems financing
| Autor: | Michele Sonnessa, Elena Tànfani, Angela Testi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Decision support system decision support system Moral hazard Strategy and Management media_common.quotation_subject 0211 other engineering and technologies 02 engineering and technology Management Science and Operations Research Management Information Systems agent-based simulation health economics health system financing 0202 electrical engineering electronic engineering information engineering medicine Economics Quality (business) media_common Marketing Finance 021103 operations research Health economics business.industry Technological change Public health Sustainability 020201 artificial intelligence & image processing business Healthcare system |
| Zdroj: | Journal of the Operational Research Society. 68:591-604 |
| ISSN: | 1476-9360 0160-5682 |
| Popis: | Ageing populations, rapid technological progress and recent public budget cuts currently threaten the sustainability of public health systems. To meet growing needs with declining resources, decision-makers must identify new ways to avoid reducing the quality of services offered to citizens. This paper focuses on the so-called “co-payment” tools aimed to obtain additional resources for the public health budget directly from citizens. Whereas certain forms of co-payments have always been introduced within health systems to prevent moral hazard behaviours, other co-payment mechanisms are explicitly intended to help finance public healthcare systems. Literature and empirical findings do not agree about the final impact of such co-payment tools, particularly whether they can attain system sustainability and guarantee equitably delivered services. In this paper, we develop an agent-based simulation model which can be used by decision-makers as a decision support tool to compare different co-payment rules and evaluate their impact on the public budget and the health expense of different groups of citizens. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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