Competition rules and health care players: principles and consequences
International Journal of Health Care Quality Assurance
ISSN: 0952-6862
Article publication date: 8 June 2012
Abstract
Purpose
Competition rules maximise consumer welfare by promoting efficient use of scarce resource and thus high output, low prices, high quality, varied services, innovation, production and distribution. European courts consider doctors and hospital staff as undertakings (any entity that performs economic activities), so that if they enter into agreements then they have to comply with competition rules. This paper's objective is to determine whether competition law, which applies to undertakings, can in fact be applied to different healthcare‐sector players and whether specific rules are needed regarding competition between healthcare undertakings.
Design/methodology/approach
Data were selected from relevant European and national case law, European institution legal documents (such as regulations, guidelines and communications) and healthcare competition law literature, and then examined.
Findings
The paper finds that competition rules are applicable to healthcare players considering the consequences if competition rules are applied to the healthcare market. For market processes to result in the appropriate cost, quality and output, competition law must be proactive. In other words, quality must be fully factored into the competitive mix, allowing consumers to weigh healthcare price and non‐price characteristics.
Research limitations/implications
Countries have different healthcare system and competition rules (although similar), competition rule impact is different for each country. Some healthcare systems are more regulated and there will be less opportunity for healthcare players to compete.
Practical implications
Efficiently applying competition law to healthcare players means that several challenges need facing, such as healthcare quality complexity and court scepticism.
Originality/value
This article points out the challenges when competition law is applied to the healthcare sector and how these challenges are faced in certain countries such as The Netherlands.
Keywords
Citation
Fornaciari, D. and Callens, S. (2012), "Competition rules and health care players: principles and consequences", International Journal of Health Care Quality Assurance, Vol. 25 No. 5, pp. 379-386. https://doi.org/10.1108/09526861211235883
Publisher
:Emerald Group Publishing Limited
Copyright © 2012, Emerald Group Publishing Limited