Evidence map›Paper›PMID 32883395›Full record

ArticleHealth economics, policy, and law2022

Resilient managed competition during pandemics: lessons from the Italian experience during COVID-19.

Joan Costa Font, Rosella Levaggi, Gilberto Turati

Abstract read
In one paragraph

Article in Health economics, policy, and law, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Joan Costa FontDepartment of Health Policy, London School of Economics, London, UK.
Rosella LevaggiCESIfo and IZA Department of Economics and Management, University of Brescia, Brescia, Italy.
Gilberto TuratiDepartment of Economics and Finance, Università Cattolica del Sacro Cuore - Rome Campus, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the last decades, several European health systems have abandoned their vertically integrated health care in favour of some form of managed competition (MC), either in a centralised or decentralised format. However, during a pandemic, MC may put health systems under additional strain as they are designed to follow some form of 'organisational self-interest', and hence face reduced incentives for both provider coordination (e.g. temporary hospital close down, change in the case-mix), and information sharing. We illustrate our argument using evidence for the Covid-19 pandemic outbreak in Italy during March and April 2020, which calls for the development of 'coordination mechanisms' at times of a health emergency.

Indexed as

COVID-19PandemicsHumansItalyManaged CompetitionSARS-CoV-2Covid-19 pandemicdecentralised decisionsgovernancehealth care integrationItalymanaged competition

Identifiers

PMID32883395
PMCPMC7578624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.