• Competition and equity in health care markets 

      Siciliani, Luigi; Straume, Odd Rune (Peer reviewed; Journal article, 2019)
      We provide a model where hospitals compete on quality under fixed prices to investigate how hospital competition affects (i) quality differences between hospitals, and as a result, (ii) health inequalities across hospitals ...
    • Competition and physician behaviour: Does the competitive environment affect the propensity to issue sickness certificates? 

      Brekke, Kurt Richard; Holmås, Tor Helge; Monstad, Karin; Straume, Odd Rune (Peer reviewed; Journal article, 2019)
      Competition among physicians is widespread, but compelling empirical evidence on its impact on service provision is limited, mainly due to endogeneity issues. In this paper we exploit that many GPs, in addition to own ...
    • Dynamic hospital competition under rationing by waiting times 

      Sa, Luis; Siciliani, Luigi; Straume, Odd Rune (Peer reviewed; Journal article, 2019)
      We develop a dynamic model of hospital competition where (i) waiting times increase if demand exceeds supply; (ii) patients choose a hospital based in part on waiting times; and (iii) hospitals incur waiting time penalties. ...
    • Hospital Competition in a National Health Service: Evidence from a Patient Choice Reform 

      Brekke, Kurt Richard; Canta, Chiara; Siciliani, Luigi; Straume, Odd Rune (Journal article; Peer reviewed, 2021)
      We study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference approach due ...
    • Investment and quality competition in healthcare markets 

      Ghandour, Ziad; Siciliani, Luigi; Straume, Odd Rune (Journal article; Peer reviewed, 2022)
      We study the strategic relationship between hospital investment and provision of service quality. We use a spatial competition framework and allow investment and quality to be complements or substitutes in patient benefit ...
    • Paying for pharmaceuticals: uniform pricing versus two-part tariffs 

      Brekke, Kurt R.; Dalen, Dag Morten; Straume, Odd Rune (Journal article; Peer reviewed, 2022)
      Two-part pricing (the Netflix model) has recently been proposed instead of uniform pricing for pharmaceuticals. Under two-part pricing the health plan pays a fixed fee for access to a drug at unit prices equal to marginal ...
    • The price of cost-effectiveness thresholds under therapeutic competition in pharmaceutical markets 

      Brekke, Kurt Richard; Dalen, Dag Morten; Straume, Odd Rune (Journal article; Peer reviewed, 2023)
      Health systems around world are increasingly adopting cost-effectiveness (CE) analysis to inform decisions about access and reimbursement. We study how CE thresholds imposed by a health plan for granting reimbursement ...