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Who benefits when inertia is reduced? Competition, quality and returns to skill in health care markets

dc.contributor.authorFleitas, Sebastián
dc.coverage.spatialUruguayes_ES
dc.date.accessioned2018-02-28T12:48:38Z
dc.date.available2018-02-28T12:48:38Z
dc.date.issued2018
dc.identifier.citationFleitas, S. (2018). Who benefits when inertia is reduced? Competition, quality and returns to skill in health care markets. Documento de Trabajo;2018/08, Caracas: CAF. Retrieved from https://scioteca.caf.com/handle/123456789/1161en_GB
dc.identifier.urihttps://scioteca.caf.com/handle/123456789/1161
dc.description.tableofcontentsIncreased competition may lead to incentives for firms to increase quality by incorporating higher quality inputs. This is particularly relevant in health care markets, since the supply of high quality physicians is relatively inelastic in the short run. Therefore, an increase in the relative demand for high-quality physicians could lead to an increase in their relative wages without increasing their total hours of work. Using a policy change in the Uruguayan health care system, I assess the effects of increased competition via lock-in reductions on a market for inputs. I leverage the facts that insurance companies, hospitals and physician services are completely vertically integrated in Uruguay and that in 2009 the government generated an exogenous change in the regulated mobility regime, increasing the competition in the market and providing incentives to increase quality. I combine administrative records on wages and hours of work in all hospitals for all specialists with data on the scores that specialists obtained in the test they must take to be admitted into the medical specialty graduate school, which I use as an exogenous measure of their quality. Consistent with the idea of an inelastic relative supply in the short run, I show that the increased competition shifted the relative demand for high-quality medical specialists, increasing the returns to skill. I do not find strong evidence of an increase in quality, approximated as relative hours of high-skill versus low-skill physicianses_ES
dc.language.isoen_USes_ES
dc.publisherCAFes_ES
dc.relation.ispartofseriesDocumento de Trabajo;2018/08
dc.rightsCC-BY-NCes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/es_ES
dc.subjectEvaluación de impactoes_ES
dc.subjectSaludes_ES
dc.titleWho benefits when inertia is reduced? Competition, quality and returns to skill in health care marketses_ES
dc.typeworkingPaperes_ES
dc.publisher.cityCaracases_ES


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