{"id":"https://openalex.org/W2206544233","doi":"https://doi.org/10.15171/ijhpm.2015.189","title":"Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on \"Competition in Healthcare: Good, Bad or Ugly?\"","display_name":"Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on \"Competition in Healthcare: Good, Bad or Ugly?\"","publication_year":2015,"publication_date":"2015-10-17","ids":{"openalex":"https://openalex.org/W2206544233","doi":"https://doi.org/10.15171/ijhpm.2015.189","mag":"2206544233","pmid":"https://pubmed.ncbi.nlm.nih.gov/26927400","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4737537"},"language":"en","primary_location":{"id":"doi:10.15171/ijhpm.2015.189","doi":"https://doi.org/10.15171/ijhpm.2015.189","is_oa":true,"landing_page_url":"https://doi.org/10.15171/ijhpm.2015.189","pdf_url":"http://www.ijhpm.com/article_3117_082bf2d6be8c140f59808f48403de2c6.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.ijhpm.com/article_3117_082bf2d6be8c140f59808f48403de2c6.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079618657","display_name":"Misja Chiljon Mikkers","orcid":"https://orcid.org/0009-0003-0042-0531","observed_orcids":["https://orcid.org/0009-0003-0042-0531"]},"institutions":[{"id":"https://openalex.org/I193700539","display_name":"Tilburg University","ror":"https://ror.org/04b8v1s79","country_code":"NL","type":"education","lineage":["https://openalex.org/I193700539"]},{"id":"https://openalex.org/I4210124619","display_name":"Dutch Healthcare Authority","ror":"https://ror.org/02bc7xp68","country_code":"NL","type":"other","lineage":["https://openalex.org/I4210124619"]},{"id":"https://openalex.org/I865915315","display_name":"Vrije Universiteit Amsterdam","ror":"https://ror.org/008xxew50","country_code":"NL","type":"education","lineage":["https://openalex.org/I865915315"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Misja Mikkers","raw_affiliation_strings":["Free University of Amsterdam, Amsterdam, The Netherlands","NZa, Dutch Healthcare Authority, Utrecht, The Netherlands","TILEC, Tilburg University, Tilburg, The Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Free University of Amsterdam, Amsterdam, The Netherlands","institution_ids":["https://openalex.org/I865915315"]},{"raw_affiliation_string":"NZa, Dutch Healthcare Authority, Utrecht, The Netherlands","institution_ids":["https://openalex.org/I4210124619"]},{"raw_affiliation_string":"TILEC, Tilburg University, Tilburg, The Netherlands","institution_ids":["https://openalex.org/I193700539"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063922686","display_name":"Padhraig Ryan","orcid":"https://orcid.org/0000-0001-7852-5606","observed_orcids":["https://orcid.org/0000-0001-7852-5606"]},"institutions":[{"id":"https://openalex.org/I205274468","display_name":"Trinity College Dublin","ror":"https://ror.org/02tyrky19","country_code":"IE","type":"education","lineage":["https://openalex.org/I205274468"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Padhraig Ryan","raw_affiliation_strings":["Centre for Health Policy and Management, Trinity College Dublin, Dublin 2, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy and Management, Trinity College Dublin, Dublin 2, Ireland","institution_ids":["https://openalex.org/I205274468"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"5","issue":"2","first_page":"121","last_page":"123"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8270999789237976,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.14110000431537628,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.012400000356137753,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/contract-design","display_name":"contract design","score":0.6589999794960022},{"id":"https://openalex.org/keywords/standardization","display_name":"standardization","score":0.5360000133514404},{"id":"https://openalex.org/keywords/innovation","display_name":"innovation","score":0.7139999866485596},{"id":"https://openalex.org/keywords/health-care-competition","display_name":"health care competition","score":0.8389999866485596},{"id":"https://openalex.org/keywords/single-payer-health-care","display_name":"single-payer health care","score":0.9919999837875366},{"id":"https://openalex.org/keywords/financial-incentives","display_name":"financial incentives","score":0.8230000138282776},{"id":"https://openalex.org/keywords/provider-performance","display_name":"provider performance","score":0.46799999475479126},{"id":"https://openalex.org/keywords/payers","display_name":"payers","score":0.621999979019165},{"id":"https://openalex.org/keywords/incentive-alignment","display_name":"incentive alignment","score":0.550000011920929},{"id":"https://openalex.org/keywords/health-system-performance","display_name":"health system performance","score":0.9300000071525574}],"concepts":[{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.8460252285003662},{"id":"https://openalex.org/C91306197","wikidata":"https://www.wikidata.org/wiki/Q45767","display_name":"Competition (biology)","level":2,"score":0.6925725340843201},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.6625334024429321},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6564666628837585},{"id":"https://openalex.org/C2779732396","wikidata":"https://www.wikidata.org/wiki/Q2207288","display_name":"Craft","level":2,"score":0.5909403562545776},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5065428018569946},{"id":"https://openalex.org/C40700","wikidata":"https://www.wikidata.org/wiki/Q1411783","display_name":"Industrial organization","level":1,"score":0.4865674078464508},{"id":"https://openalex.org/C2780310539","wikidata":"https://www.wikidata.org/wiki/Q12547192","display_name":"Imperfect","level":2,"score":0.43938344717025757},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3383095860481262},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.2885362207889557},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.17062079906463623},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0849786102771759},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D004465","descriptor_name":"Economic Competition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":7,"locations":[{"id":"doi:10.15171/ijhpm.2015.189","doi":"https://doi.org/10.15171/ijhpm.2015.189","is_oa":true,"landing_page_url":"https://doi.org/10.15171/ijhpm.2015.189","pdf_url":"http://www.ijhpm.com/article_3117_082bf2d6be8c140f59808f48403de2c6.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},{"id":"pmid:26927400","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/26927400","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of health policy and management","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4737537","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4737537/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Health Policy Manag","raw_type":"Text"},{"id":"pmh:oai:eprints.kmu.ac.ir:29554","doi":null,"is_oa":false,"landing_page_url":"http://eprints.kmu.ac.ir/29554/1/IJHPM_Volume%205_Issue%202_Pages%20121-123.pdf","pdf_url":"http://eprints.kmu.ac.ir/29554/1/IJHPM_Volume%205_Issue%202_Pages%20121-123.pdf","source":{"id":"https://openalex.org/S4306400818","display_name":"Research Information System of Ardabil University of Medical Sciences (Ardabil University of Medical Sciences)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I33103891","host_organization_name":"Ardabil University of Medical Sciences","host_organization_lineage":["https://openalex.org/I33103891"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"","raw_type":"Article"},{"id":"pmh:http://www.rian.ie/128926/","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2262/76661","pdf_url":"http://hdl.handle.net/2262/76661","source":{"id":"https://openalex.org/S4306400033","display_name":"Arrow@dit (Dublin Institute of Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210144925","host_organization_name":"Technological University Dublin","host_organization_lineage":["https://openalex.org/I4210144925"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Mikkers M, Ryan P, Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation Comment on &amp;quot;Competition in Healthcare: Good, Bad or Ugly?&amp;quot;., International journal of health policy and management, 5, 2, 2015, 121-3","raw_type":"Journal article"},{"id":"mag:3125978345","doi":null,"is_oa":true,"landing_page_url":"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2710746","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"SSRN Electronic Journal","raw_type":null},{"id":"pmh:oai:doaj.org/article:0f7a30fda15a44d8a3ccf7895e6d61f7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/0f7a30fda15a44d8a3ccf7895e6d61f7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Health Policy and Management, Vol 5, Iss 2, Pp 121-123 (2016)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.15171/ijhpm.2015.189","doi":"https://doi.org/10.15171/ijhpm.2015.189","is_oa":true,"landing_page_url":"https://doi.org/10.15171/ijhpm.2015.189","pdf_url":"http://www.ijhpm.com/article_3117_082bf2d6be8c140f59808f48403de2c6.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2206544233.pdf","grobid_xml":"https://content.openalex.org/works/W2206544233.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W143509864","https://openalex.org/W561853303","https://openalex.org/W1820512060","https://openalex.org/W2032971898","https://openalex.org/W2055148375","https://openalex.org/W2078910364","https://openalex.org/W2157735210","https://openalex.org/W2167536650","https://openalex.org/W2273019495","https://openalex.org/W2481396062"],"related_works":["https://openalex.org/W6986078271","https://openalex.org/W228159019","https://openalex.org/W4247623352","https://openalex.org/W2100708043","https://openalex.org/W111087028","https://openalex.org/W2597486276","https://openalex.org/W2765971024","https://openalex.org/W258683891","https://openalex.org/W2470719302","https://openalex.org/W2601265477"],"abstract_inverted_index":{"An":[0],"important":[1],"determinant":[2],"of":[3,19,102],"health":[4,39,94],"system":[5,95],"performance":[6,73],"is":[7,31],"contracting.":[8,107],"Providers":[9],"often":[10,69],"respond":[11],"to":[12,26,71,86,104],"financial":[13],"incentives,":[14],"despite":[15],"the":[16,99],"ethical":[17],"underpinnings":[18],"medicine,":[20],"and":[21,37],"payers":[22],"can":[23],"craft":[24],"contracts":[25],"influence":[27],"performance.":[28,65],"Yet":[29],"contracting":[30],"highly":[32],"imperfect":[33],"in":[34,42,54,60],"both":[35],"single-payer":[36,56],"multi-payer":[38,45],"systems.":[40],"Arguably,":[41],"a":[43,55],"competitive,":[44],"environment,":[46],"contractual":[47,67],"innovation":[48,59,68],"may":[49],"occur":[50],"more":[51],"rapidly":[52],"than":[53],"system.":[57],"This":[58],"contract":[61],"design":[62],"could":[63],"enhance":[64],"However,":[66],"fails":[70],"improve":[72,87],"as":[74],"payer":[75],"incentives":[76,103],"are":[77],"misaligned":[78],"with":[79],"public":[80],"policy":[81],"objectives.":[82],"Numerous":[83],"countries":[84],"seek":[85],"healthcare":[88],"contracts,":[89],"but":[90],"thus":[91],"far":[92],"no":[93],"has":[96],"demonstrably":[97],"crafted":[98],"necessary":[100],"blend":[101],"stimulate":[105],"optimal":[106]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
