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Exit and Inefficiency: The Effects of Ownership Type

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  • Mary E. Deily
  • Niccie L. McKay
  • Fred H. Dorner
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    Abstract

    This study uses data on hospital closures to examine the relation between exit and inefficiency in an industry where for-profit, not-for-profit, and government firms coexist. The likelihood of hospital exit over the period 1986-91 is estimated as a function of hospital relative inefficiency, ownership type, and other factors, where hospital relative inefficiency is measured using residuals from estimation of a stochastic frontier cost function. We find that less efficient hospitals were more likely to exit when ownership was for-profit or not-for-profit, but that relative inefficiency did not have a significant effect on the probability of exit for government hospitals.

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    Bibliographic Info

    Article provided by University of Wisconsin Press in its journal Journal of Human Resources.

    Volume (Year): 35 (2000)
    Issue (Month): 4 ()
    Pages: 734-747

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    Handle: RePEc:uwp:jhriss:v:35:y:2000:i:4:p:734-747

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    Web page: http://jhr.uwpress.org/

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    Cited by:
    1. Peter Nunnenkamp & Hannes Öhler & Tillmann Schwörer, 2011. "US based NGOs in International Development Cooperation: Survival of the Fittest?," DEGIT Conference Papers c016_046, DEGIT, Dynamics, Economic Growth, and International Trade.
    2. Sujoy Chakravarty & Martin Gaynor & Steven Klepper & William B. Vogt, 2005. "Does the Profit Motive Make Jack Nimble? Ownership Form and the Evolution of the U.S. Hospital Industry," NBER Working Papers 11705, National Bureau of Economic Research, Inc.
    3. Federico Ciliberto & Richard C. Lindrooth, 2007. "Exit From The Hospital Industry," Economic Inquiry, Western Economic Association International, vol. 45(1), pages 71-81, 01.
    4. Martin Gaynor & Robert J. Town, 2011. "Competition in Health Care Markets," NBER Working Papers 17208, National Bureau of Economic Research, Inc.
    5. Nunnenkamp, Peter & Öhler, Hannes & Schwörer, Tillmann, 2013. "US based NGOs in International Development: Financial and Economic Determinants of Survival," World Development, Elsevier, vol. 46(C), pages 45-65.
    6. C.J. O’Donnell & K. Nguyen, 2011. "An Econometric Approach To Estimating Support Prices And Measures Of Productivity Change In Public Hospitals," CEPA Working Papers Series WP032011, School of Economics, University of Queensland, Australia.
    7. Boyan Jovanovic & Chung-Yi Tse, 2006. "Creative Destruction in Industries," NBER Working Papers 12520, National Bureau of Economic Research, Inc.

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