Privatization of local public hospitals: effect on budget, medical service quality, and social welfare

被引：8
|
作者：
Aiura, Hiroshi [2 ]
Sanjo, Yasuo [1 ]
机构：
[1] Nagoya Univ, Sch Econ, Chikusa Ku, Nagoya, Aichi 4648601, Japan
[2] Oita Univ, Fac Econ, Oita 8701192, Japan
来源：
INTERNATIONAL JOURNAL OF HEALTH CARE FINANCE & ECONOMICS | 2010年 / 10卷 / 03期
关键词：
Privatization of public hospitals; Hotelling-type spatial competition; Two-region model; Rural-urban market; CROSS-BORDER HEALTH; CARE; MARKET; COMPETITION; COSTS; REIMBURSEMENT; ENTERPRISE; INSURANCE; STABILITY;
D O I：
10.1007/s10754-010-9081-3
中图分类号：
F8 [财政、金融];
学科分类号：
0202 ;
摘要：
We analyze a duopolistic health care market in which a rural public hospital competes against an urban public hospital on medical quality, by using a Hotelling-type spatial competition model extended into a two-region model. We show that the rural public hospital provides excess quality for each unit of medical service as compared to the first-best quality, and the profits of the rural public hospital are lower than those of the urban public hospital because the provision of excess quality requires larger expenditure. In addition, we investigate the impact of the partial (or full) privatization of local public hospitals.
引用
收藏
页码：275 / 299
页数：25
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