Page 156 - Human Rights
P. 156

Faculty of Nursing
                                                                   Adult care Nursing Department



               The  convergence  of  various  factors,  especially  the  demographic  transition,  will  require

               considerable creativity to overcome the inevitable economic pressures from the social protection

               systems.


               The  intro  duction  of  quasi-markets  and  new  public  management  in  healthcare  reflects  this
               evolution.  Further,  this reformist course  necessitates  proper  supervision to  protect  important

               social values (Griffith and Smith 2014).


               Indeed, the lack of economic sustainability of healthcare systems in most countries and a higher

               demand for increased quality and safety of these systems have contributed to the development
               of  regulation  as  a  decisive  factor  for  modernization,  innovation,  and  competitiveness  in  the

               healthcare sector.


                The role of healthcare regulation has two essential aspects.

               First, it intends to guarantee appropriate competition, namely in the context of a quasi-market

               where different providers apply for public financing of their healthcare activities.


               The government by contract is the paradigm of this type of service, where the guarantee of the

               quality of the services offered is more important than the institutional nature of the providers.


               Second, economic regulation intends to correct the market failures in this sector which require
               constant and persistent supervision:


                information  asymmetry,  externalities,  service  scarcity,  market  uncertainty,  and  monopoly

               creation. Healthcare regulation also intends to safeguard the basic rights of the citizens, namely
               concerning  the  practice  of  cream-skimming  or  even  the  induced  demand  of  healthcare  that

               inevitably leads to overtreatment.


                As such, social regulation is an instrument that affirms the basic rights of the patients.





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