Inter-regional competition and quality in hospital care

被引:0
|
作者
Hiroshi Aiura
机构
[1] Oita University,Faculty of Economics
来源
The European Journal of Health Economics | 2013年 / 14卷
关键词
Patient choice; Waiting time; Hotelling-type spatial competition model; Multi-region model; I18; L32;
D O I
暂无
中图分类号
学科分类号
摘要
This study analyzes the effect of episode-of-care payment and patient choice on waiting time and the comprehensive quality of hospital care. The study assumes that two hospitals are located in two cities with different population sizes and compete with each other. We find that the comprehensive quality of hospital care as well as waiting time of both hospitals improve with an increase in payment per episode of care. However, we also find that the extent of these improvements differs according to the population size of the cities where the hospitals are located. Under the realistic assumptions that hospitals involve significant labor-intensive work, we find the improvements in comprehensive quality and waiting time in a hospital located in a small city to be greater than those in a hospital located in a large city. The result implies that regional disparity in the quality of hospital care decreases with an increase in payment per episode of care.
引用
收藏
页码:515 / 526
页数:11
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