BazEkon - Biblioteka Główna Uniwersytetu Ekonomicznego w Krakowie

BazEkon home page

Meny główne

Autor
Łyszczarz Błażej (Nicolaus Copernicus University in Toruń, Poland)
Tytuł
Market Concentration and Performance of General Hospitals in Poland
Źródło
Ekonomia i Prawo, 2014, t. 13, nr 4, s. 499-510, tab., bibliogr. 11 poz.
Economics and Law
Słowa kluczowe
Koncentracja, Szpitalnictwo, Konkurencja
Concentration, Hospital service, Competition
Uwagi
summ.
Abstrakt
Theories of the hospital market view hospitals as competing for patients, physicians and third-party payers simultaneously. The competition involves such elements as price, quality, convenience, technology and innovation and the effects of the competition in the market affect the quality of care, clinical outcomes, cost of services, access as well as patient satisfaction. The purpose of the paper is to shed some light on the impact of competition on the performance of general hospitals in Poland. Due to the unavailability of micro-level data, territorial concentration based on regional data is used as a proxy for the scope of competition. Therefore, the territorial concentration of hospital beds is measured with the use of the Herfindahl-Hirschman index (HHI) for each of the 16 provinces of Poland and for the four-year period of 2008-2011. In the second stage, the values of the concentration index are correlated with a set of variables describing the performance of hospitals. The results show that the concentration of hospital beds in the regions is uneven. The regions with the most concentrated markets (zachodniopomorskie, łódzkie, podlaskie and mazowieckie) are characterized by four times higher values of the HHI than the one with the least concentrated market (śląskie). The results suggest that a higher concentration in the hospital market correlates with a larger number of patients treated and an increase in the cost of services. (original abstract)
Pełny tekst
Pokaż
Bibliografia
Pokaż
  1. Ashton T., Press D., Market concentration in secondary health services under a purchaser-provider split: the New Zealand experience, "Health Economics", Vol. 6, No. 1/1997, http://dx.doi.org/10.1002/(sici)1099-1050(199701)6:1%3C43::aid-hec241%3E3.0.co;2-i.
  2. Baker L.C., Measuring Competition in Health Care Markets, "Health Services Research", Vol. 36, No. 1/2001, Part II.
  3. Campos C., The Geographical Concentration of Industries, http://www.ons.gov.uk/ons/rel/regional-trends/regional-economic-analysis/the-geographical-concentration-of-industries/art-geographical-concentration.html (18.06.2013).
  4. CSIOZ, Biuletyn Statystyczny Ministerstwa Zdrowia, Warszawa 2012 (and previous issues).
  5. GUS, Local Data Bank, http://www.stat.gov.pl/bdlen/app/strona.html?p_name=indeks (18.06.2013).
  6. Harris I.C., McDaniel R.R., Untangling healthcare competition, "Health Progress", Vol. 74, No. 9/1993.
  7. NFZ, Sprawozdanie z działalności Narodowego Funduszu Zdrowia za 2011 rok, Warszawa 2012 (and previous issues).
  8. OECD, Competition in Hospital Services, www.oecd.org/regreform/sectors/50527122.pdf, Paris 2012 (18.06.2013).
  9. Rhoades S.A., The Herfindahl-Hirschman Index, "Federal Reserve Bulletin", Vol. 79, No. 3/1993.
  10. Rivers P.A., Glover S.H., Health care competition, strategic mission, and patient satisfaction: Research model and propositions, "Journal of Health Organization and Management", Vol. 22, No. 6/2008, http://dx.doi.org/10.1108/14777260810916597.
  11. The Health Foundation, Competition in healthcare, http://www.health.org.uk/publications/competition-in-healthcare (18.06.2013).
Cytowane przez
Pokaż
ISSN
1898-2255
Język
eng
URI / DOI
http://dx.doi.org/10.12775/EiP.2014.035
Udostępnij na Facebooku Udostępnij na Twitterze Udostępnij na Google+ Udostępnij na Pinterest Udostępnij na LinkedIn Wyślij znajomemu