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Hospital ownership and medical services: Market mix, spillover effects, and nonprofit objectives

机译:医院所有权和医疗服务:市场结构,溢出效应和非营利目标

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Hospitals operate in markets with varied demographic, competitive, and ownership characteristics, yet research on ownership tends to examine hospitals in isolation. Here we examine three hospital ownership types - nonprofit, for-profit, and government - and their spillover effects. We estimate the effects of for-profit market share in two ways, on the provision of medical services and on operating margins at the three types of hospitals. We find that nonprofit hospitals' medical service provision systematically varies by market mix. We find no significant effect of market mix on the operating margins of nonprofit hospitals, but find that for-profit hospitals have higher margins in markets with more for-profits. These results fit best with theories in which hospitals maximize their own output.
机译:医院经营的市场具有不同的人口,竞争和所有权特征,但是所有权研究倾向于孤立地检查医院。在这里,我们研究了三种医院所有制类型-非营利,营利和政府机构-及其溢出效应。我们以两种方式估算了营利性市场份额对医疗服务的提供以及三种医院的营业利润率的影响。我们发现,非营利性医院的医疗服务提供因市场组合而系统地变化。我们发现市场结构对非营利性医院的营业利润率没有显着影响,但发现营利性医院在具有更多营利性的市场中具有较高的利润率。这些结果最适合医院最大化自身产出的理论。

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