caa a22 4500 38639511X CHVBK 20180307112135.0 cr unu---uuuuu 161130e198904 xx s 000 0 eng 10.1017/S0047279400017438 doi S0047279400017438 pii (NATIONALLICENCE)cambridge-10.1017/S0047279400017438 Countering Moral Hazard in Public and Private Health Care Systems: A Review of Recent Evidence [Elektronische Daten] Within both publicly and privately financed health care Systems different funding mechanisms have evolved, or have been proposed, to deal with the problem of ‘moral hazard'. Moral hazard arises when financial incentives within the health care System lead to either inefficient demands for care by consumers or inefficient supply of care by providers. In this paper the problem of moral hazard is outlined in more detail, and different ways of countering moral hazard are reviewed in terms of three criteria: effect on patient utilisation of health services in general; effect on utilisation by different groups of patients; and effect on health status. It is concluded that evidence on different methods of funding health services can only be judged in the context of objectives. If the objectives of health care delivery are ‘maintenance or improvement of health' and ‘equal access for equal need' then charges and finance of care through health maintenance organisations both appear to be less favourable than ‘free' care at the point of delivery whilst the latter is not necessarily more costly as a resuit. Research on other suggested alternatives is required, otherwise radical changes to health care financing in the UK will simply result in movement from one unproven system to another. Copyright © Cambridge University Press 1989 Donaldson Cam Lecturer, Health Care Research Unit, University of Newcastle upon Tyne. Gerard Karen Research Fellow, Centre for Health Economics, University of York. Journal of Social Policy Cambridge University Press 18/2(1989-04), 235-251 0047-2794 18:2<235 1989 18 JSP https://doi.org/10.1017/S0047279400017438 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0047279400017438 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Donaldson Cam Lecturer, Health Care Research Unit, University of Newcastle upon Tyne NATIONALLICENCE 700 1- Gerard Karen Research Fellow, Centre for Health Economics, University of York NATIONALLICENCE 773 0- Journal of Social Policy Cambridge University Press 18/2(1989-04), 235-251 0047-2794 18:2<235 1989 18 JSP CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge