La provisión de servicios sanitarios en el ámbito público: una revisión crítica en torno al concepto de cuasimercado

• Autores: Aleix Gregori Gomis
• Localización: RIO: Revista Internacional de Organizaciones, ISSN-e 1886-4171, ISSN 2013-570X, Nº. 11, 2013 (Ejemplar dedicado a: Protección social, discapacidad e inclusión social), págs. 191-212
• Idioma: español
• DOI: 10.17345/rio11.191-212
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    En este artículo se realiza una revisión de la literatura concerniente al conceptode cuasimercado, también llamado mercado interno. Este concepto ha servidode fundamento teórico de las políticas recientes de prestación de servicios sanitariosen los sistemas de atención universal, en particular dando cobertura a la entradade proveedores privados en la sanidad pública. A partir de un análisis crítico de esaliteratura, se pone de manifiesto que dicho concepto es confuso y está basado en unaserie de juicios a priori relativos a la idea neoclásica de competencia perfecta. Por ello,la definición de cuasimercado no constituye una base adecuada para el análisis delas prácticas que se han llevado a cabo en los últimos años en el ámbito de la sanidadpública universal. El reconocimiento de las limitaciones que entraña el concepto decuasimercado permite clarificar algunos elementos de análisis y puede guiar futuraslíneas de investigación en esta materia.

  • English

    This article is a review of the literature related to the concept of the quasi- market, also referred to as the internal market. This concept has provided a theoretical foundation for recent provision policies in universal health care systems. In particular, it provides a rationale to support the entry of private providers into the public health care network. A critical analysis of the literature demonstrates that the concept is confusing and is based on a series of a priori judgments concerning the neoclassical idea of perfect competition. Hence, the quasi-market definition does not offer an adequate starting point from which to analyze the policies that have been implemented in universal health care in recent years. Recognizing the limitations of the quasi- market concept allows certain analytical elements to be clarified and can guide future research in this area

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