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Consolidation and concentration in the German hospital market: The two sides of the coin

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  • Schmid, Andreas
  • Ulrich, Volker

Abstract

In many countries, policy makers try to increase quality and efficiency in the hospital sector by fostering competition. The German hospital market is a good example of this approach and the challenges that come with it. We focus on market concentration which is both a result of and a potential threat to more competition.

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Bibliographic Info

Article provided by Elsevier in its journal Health Policy.

Volume (Year): 109 (2013)
Issue (Month): 3 ()
Pages: 301-310

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Handle: RePEc:eee:hepoli:v:109:y:2013:i:3:p:301-310

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Web page: http://www.elsevier.com/locate/healthpol

Related research

Keywords: Hospital sector; Competition; Consolidation; Concentration; Health reform; Selective contracting;

References

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  1. Boutsioli, Zoe, 2007. "Concentration in the Greek private hospital sector: A descriptive analysis," Health Policy, Elsevier, vol. 82(2), pages 212-225, July.
  2. David M. Cutler, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical-Care Reform," Journal of Economic Literature, American Economic Association, vol. 40(3), pages 881-906, September.
  3. Martin Gaynor & William B. Vogt, . "Antitrust and Competition in Health Care Markets," GSIA Working Papers 1999-E29, Carnegie Mellon University, Tepper School of Business.
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  5. Martin Gaynor, 2006. "What Do We know About Competition and Quality in Health Care Markets?," The Centre for Market and Public Organisation 06/151, Department of Economics, University of Bristol, UK.
  6. Melnick, Glenn & Keeler, Emmett, 2007. "The effects of multi-hospital systems on hospital prices," Journal of Health Economics, Elsevier, vol. 26(2), pages 400-413, March.
  7. Schut, Frederik T. & Greenberg, Warren & van de Ven, Wynand P. M. M., 1991. "Antitrust policy in the Dutch health care system and the relevance of EEC competition policy and U.S. antitrust practice," Health Policy, Elsevier, vol. 17(3), pages 257-284, April.
  8. Cutler, David, 2002. "Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical Care Reform," Scholarly Articles 2640584, Harvard University Department of Economics.
  9. Town, Robert & Vistnes, Gregory, 2001. "Hospital competition in HMO networks," Journal of Health Economics, Elsevier, vol. 20(5), pages 733-753, September.
  10. Shiell, Alan, 1991. "Competing hospitals: Assessing the impact of self-governing status in the United Kingdom," Health Policy, Elsevier, vol. 19(2-3), pages 141-158, December.
  11. Chen, Chi-Chen & Cheng, Shou-Hsia, 2010. "Hospital competition and patient-perceived quality of care: Evidence from a single-payer system in Taiwan," Health Policy, Elsevier, vol. 98(1), pages 65-73, November.
  12. Zwanziger, Jack & Melnick, Glenn A. & Mann, Joyce M., 1990. "Measures of hospital market structure: a review of the alternatives and a proposed approach," Socio-Economic Planning Sciences, Elsevier, vol. 24(2), pages 81-95.
  13. Marco Varkevisser & Stéphanie Geest & Frederik Schut, 2010. "Assessing hospital competition when prices don’t matter to patients: the use of time-elasticities," International Journal of Health Care Finance and Economics, Springer, vol. 10(1), pages 43-60, March.
  14. Varkevisser, Marco & Capps, Cory S. & Schut, Frederik T., 2008. "Defining hospital markets for antitrust enforcement: new approaches and their applicability to The Netherlands," Health Economics, Policy and Law, Cambridge University Press, vol. 3(01), pages 7-29, January.
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