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The Effects of Competition and Regulation on Hospital Bed Supply and the Reservation Quality of the Hospital

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  • Paul L. Joskow

Abstract

This article uses a simple queuing model to examine several factors that affect hospital bed supply decisions and the reservation quality of the hospital. The model takes account of demand uncertainty, the internal organization of the hospital, nonprice competition among hospitals, and hospital regulation. The empirical work indicates that hospital reserve margins vary directly with the extent of interhospital competition and inversely with the intensity of hospital regulation. Estimates of the reservation quality of the hospital are shown to depend critically on assumptions about internal organization of hospitals and the ways in which hospital utilization varies over the year.

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Bibliographic Info

Article provided by The RAND Corporation in its journal Bell Journal of Economics.

Volume (Year): 11 (1980)
Issue (Month): 2 (Autumn)
Pages: 421-447

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Handle: RePEc:rje:bellje:v:11:y:1980:i:autumn:p:421-447

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Cited by:
  1. Engelstätter, Benjamin & Ward, Michael R., 2013. "Strategic timing of entry: Evidence from video games," ZEW Discussion Papers 13-117, ZEW - Zentrum für Europäische Wirtschaftsforschung / Center for European Economic Research.
  2. Reuben Elan & Verma Bharat Bhushan & Bhat Ramesh, . "Hospital Efficiency: An Empirical Analysis of District and Grant-in-Aid Hospitals in Gujarat," IIMA Working Papers WP2001-07-05, Indian Institute of Management Ahmedabad, Research and Publication Department.
  3. Nishida, Mitsukuni & Gil, Ricard, 2014. "Regulation, enforcement, and entry: Evidence from the Spanish local TV industry," International Journal of Industrial Organization, Elsevier, vol. 32(C), pages 11-23.
  4. Daniel P. Kessler & Mark B. McClellan, 1999. "Is Hospital Competition Socially Wasteful?," NBER Working Papers 7266, National Bureau of Economic Research, Inc.
  5. Kolstad, Jonathan T. & Kowalski, Amanda E., 2012. "The impact of health care reform on hospital and preventive care: Evidence from Massachusetts," Journal of Public Economics, Elsevier, vol. 96(11), pages 909-929.
  6. Polsky, Daniel & David, Guy & Yang, Jianing & Kinosian, Bruce & Werner, Rachel M., 2014. "The effect of entry regulation in the health care sector: The case of home health," Journal of Public Economics, Elsevier, vol. 110(C), pages 1-14.
  7. Daniel Kessler & Mark McClellan, 1999. "Designing Hospital Antitrust Policy to Promote Social Welfare," NBER Working Papers 6897, National Bureau of Economic Research, Inc.
  8. Zack Cooper & Stephen Gibbons & Simon Jones & Alistair McGuire, 2010. "Does hospital competition save lives?: evidence from the English NHS patient choice reforms," LSE Research Online Documents on Economics 28584, London School of Economics and Political Science, LSE Library.
  9. Martin Gaynor & Gerard F. Anderson, 1995. "Uncertain Demand, The Structure of Hospital Costs, and the Cost of EmptyHospital Beds," NBER Working Papers 4460, National Bureau of Economic Research, Inc.

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