Abstract
This article is concerned with the issue of user fees (or user charges) for public health services. The implications of user fees for cost-effectiveness, allocative efficiency, equity, progressivity of public healthcare spending, and quality of service are discussed. Each of these is a desirable end in itself, and so each is an important factor in the optimal pricing decision; however, they are not always compatible with each other. Furthermore, they all have to be financed from a single, and typically constrained, budget. Thus governments have to tradeoff over them. The theory and empirical evidence on the effects of user fees on each factor are reviewed.
Original language | English (US) |
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Title of host publication | Encyclopedia of Health Economics |
Publisher | Elsevier |
Pages | 136-141 |
Number of pages | 6 |
ISBN (Electronic) | 9780123756787 |
ISBN (Print) | 9780123756794 |
DOIs | |
State | Published - Jan 1 2014 |
Externally published | Yes |
All Science Journal Classification (ASJC) codes
- General Economics, Econometrics and Finance
- General Business, Management and Accounting
Keywords
- Bed net
- Chlorine
- Demand
- Malaria
- Placebo-price effect
- Preventive care
- Price-elasticity
- Pricing
- Progressivity
- Randomized trial
- Sunk cost
- Treatment
- User fee