Hospital market concentration and discrimination of patients

Arbeitspapier

In this paper we investigate the existence of a two-tier medical system in the German acute care hospital sector using data from a survey of 483 German hospitals. The focus of our analysis lies on the impact of hospital concentration on the probability of discrimination of patients with different health insurances in regard to the access to medical services. Accounting for a possible endogeneity of market structure, we find that hospitals in highly concentrated markets are less likely to pursue any differentiation among prospective patients with different health insurances. We ascribe this finding to competitive pressure in less concentrated markets. Hospitals in competitive markets are more obliged to steal business from rival hospitals by privileging profitable patients than hospitals in highly concentrated markets.

Angaben zum Objekt

• ISBN: 978-3-86304-062-8
• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Series: DICE Discussion Paper ; No. 63

Klassifikation und Themen

• Klassifikation: Wirtschaft ; Analysis of Health Care Markets ; Market Structure, Firm Strategy, and Market Performance: Other ; Firm Organization and Market Structure
• Thema: Hospital markets ; Patients' discrimination ; Survey data ; Krankenhaus ; Unternehmenskonzentration ; Patienten ; Diskriminierung ; Krankenversicherung ; Deutschland

Beteiligte, Orts- und Zeitangaben

• Ereignis: Geistige Schöpfung
• (wer): Dewenter, Ralf ; Jaschinski, Thomas ; Kuchinke, Björn A.
• Ereignis: Veröffentlichung
• (wer): Heinrich Heine University Düsseldorf, Düsseldorf Institute for Competition Economics (DICE)
• (wo): Düsseldorf
• (wann): 2012

Weitere Informationen

• Handle: http://hdl.handle.net/10419/60469
• Letzte Aktualisierung: 10.03.2025, 11:41 MEZ