Información asimétrica multidimensional y sistemas de financiación hospitalaria

Zusammenfassung

This paper compares the effects of different paying schemes for hospitals on the efficient provision of health services. Firstly, by developing a model of asymmetric information and adverse selection with multiple dimensions, theoretical results are obtained from both incentivecompatible paying systems and global budgets. Furthermore, by means of a numerical simulation each system is evaluated changing the main parameters of the model. This study points out the convenience of a more homogeneous financing mechanism for heterogeneous hospitals in cases where there is high complementarity between tasks. Additionally, results are derived regarding to intra-hospital and inter-hospital asymmetries on global prospective financing