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Estimation of the Romanian hospitals efficiency in relation to hospital market competition

Author

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  • Simona VASILACHE

    (Academy of Economic Studies, Bucharest)

  • Mihaela Cornelia PREJMEREAN

    (Academy of Economic Studies, Bucharest)

Abstract

The study examines a sample of 20 teaching and research Romanian hospitals, located in Bucharest, during the period 2001 – 2005, in terms of their efficiency and influence on their neighbouring health care units, expressed as an idiosyncratic form of market competition. Perspectives in case price competition will become a differentiation factor among hospitals, as health care migrates from the public to the for-profit sector will be addressed to, as well as the analysis of a possible switch, in the teaching and research hospitals’ (TRH) policy, from focusing on technical efficiency to trying to compensate their low operating margins by offering more unverifiable quality, which will be appreciated by the patients suiting a different, now emerging, customer profile.

Suggested Citation

  • Simona VASILACHE & Mihaela Cornelia PREJMEREAN, 2008. "Estimation of the Romanian hospitals efficiency in relation to hospital market competition," Management & Marketing, Economic Publishing House, vol. 3(3), Autumn.
  • Handle: RePEc:eph:journl:v:3:y:2008:i:3:n:6
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    References listed on IDEAS

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    1. Gaynor, Martin & Vogt, William B., 2000. "Antitrust and competition in health care markets," Handbook of Health Economics,in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 27, pages 1405-1487 Elsevier.
    2. Glaeser, Edward L. & Shleifer, Andrei, 2001. "Not-for-profit entrepreneurs," Journal of Public Economics, Elsevier, vol. 81(1), pages 99-115, July.
    3. Propper, Carol & Burgess, Simon & Green, Katherine, 2004. "Does competition between hospitals improve the quality of care?: Hospital death rates and the NHS internal market," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1247-1272, July.
    4. Mark G. Duggan, 2000. "Hospital Ownership and Public Medical Spending," The Quarterly Journal of Economics, Oxford University Press, vol. 115(4), pages 1343-1373.
    5. Daniel Bilodeau & Pierre-Yves Crémieux & Pierre Ouellette, 2000. "Hospital Cost Function In A Non-Market Health Care System," The Review of Economics and Statistics, MIT Press, vol. 82(3), pages 489-498, August.
    6. Dranove, David & Shanley, Mark & White, William D, 1993. "Price and Concentration in Hospital Markets: The Switch from Patient-Driven to Payer-Driven Competition," Journal of Law and Economics, University of Chicago Press, vol. 36(1), pages 179-204, April.
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