Hospital Market Structure and the Behavior of Not-For-Profit Hospitals
AbstractI exploit a change in hospital financial incentives to examine whether the behavior of private not-for-profit hospitals is systematically related to the share of nearby hospitals organized as for-profit firms. My findings demonstrate that not-for-profit hospitals in for-profit intensive areas are significantly more responsive to the change than their counterparts in areas served by few for-profit providers. Differences in financial constraints and other observable factors correlated with for-profit hospital penetration do not explain the heterogeneous response. The findings suggest that not-for-profit hospitals mimic the behavior of private for-profit providers when they actively compete with them.
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Bibliographic InfoArticle provided by The RAND Corporation in its journal RAND Journal of Economics.
Volume (Year): 33 (2002)
Issue (Month): 3 (Autumn)
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- Nicholas Bloom & Carol Propper & Stephan Seiler & John Van Reenen, 2010.
"The Impact of Competition on Management Quality: Evidence from Public Hospitals,"
CEP Discussion Papers
dp0983, Centre for Economic Performance, LSE.
- Bloom, Nicholas & Propper, Carol & Seiler, Stephan & Van Reenen, John, 2010. "The Impact of Competition on Management Quality: Evidence from Public Hospitals," CEPR Discussion Papers 7862, C.E.P.R. Discussion Papers.
- Propper, C & Bloom, N & Seiler, S & Van Reenen, J, . "The impact of competition on management quality: evidence from public hospitals," Working Papers 5915, Imperial College, London, Imperial College Business School.
- Nicholas Bloom & Carol Propper & Stephan Seiler & John Van Reenen, 2010. "The Impact of Competition on Management Quality: Evidence from Public Hospitals," NBER Working Papers 16032, National Bureau of Economic Research, Inc.
- Nicholas Bloom & Carol Propper & Stephan Seiler & John van Reenan, 2010. "The Impact of Competition on Management Quality: Evidence from Public Hospitals," The Centre for Market and Public Organisation 10/237, Department of Economics, University of Bristol, UK.
- Leemore S. Dafny, 2003. "How Do Hospitals Respond to Price Changes?," NBER Working Papers 9972, National Bureau of Economic Research, Inc.
- Yu-Chu Shen & Karen Eggleston & Joseph Lau & Christopher Schmid, 2005. "Hospital Ownership and Financial Performance: A Quantitative Research Review," NBER Working Papers 11662, National Bureau of Economic Research, Inc.
- Martin Gaynor & Robert J. Town, 2011. "Competition in Health Care Markets," NBER Working Papers 17208, National Bureau of Economic Research, Inc.
- Karen Eggleston & Yu-Chu Shen & Joseph Lau & Christopher H. Schmid & Jia Chan, 2008. "Hospital ownership and quality of care: what explains the different results in the literature?," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1345-1362.
- Leemore S. Dafny, 2005. "How Do Hospitals Respond to Price Changes?," American Economic Review, American Economic Association, vol. 95(5), pages 1525-1547, December.
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