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Hospital ownership type and treatment choices

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  • Bayindir, Esra Eren

Abstract

In the face of increasing health care costs, taxing not-for-profit hospitals may be seen as the right choice to increase government revenues if not-for-profit hospitals are not different from their for-profit counterparts. This study investigates how hospital ownership type affects treatment choices to show whether ownership type and teaching status are correlated with choosing a procedure as the treatment and how these choices relate to patient insurance type. Not-for-profit hospitals significantly differ from for-profits in terms of treatment choices of less profitable patients and all hospitals are more likely to accord the procedure when the patient is privately insured than uninsured though teaching government hospitals are the most likely to accord the procedures for all insurance types. Considering treatment choices, not-for-profit hospitals have different objectives than for-profit and government hospitals and in terms of profit-seeking behavior, not-for-profit hospitals seem to lie between for-profit and government hospitals.

Suggested Citation

  • Bayindir, Esra Eren, 2012. "Hospital ownership type and treatment choices," Journal of Health Economics, Elsevier, vol. 31(2), pages 359-370.
    • Handle: RePEc:eee:jhecon:v:31:y:2012:i:2:p:359-370
    DOI: 10.1016/j.jhealeco.2012.01.003
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    References listed on IDEAS

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    Cited by:

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    6. Volkert, Anna & Pfaff, Holger & Scholten, Nadine, 2020. "What Really Matters? Organizational Versus Regional Determinants of Hospitals Providing Medical Service Centres," Health Policy, Elsevier, vol. 124(12), pages 1354-1362.
    7. Keaton S. Miller & Wesley W. Wilson, 2018. "Governance Structure and Exit: Evidence from California Hospitals," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 53(1), pages 31-55, August.
    8. Berta, P.; & Martini, G.; & Piacenza, M.; & Turati, G.;, 2019. "The strange case of appropriate C-sections:DRG-tariff regulation, hospital ownership, and market concentration," Health, Econometrics and Data Group (HEDG) Working Papers 19/02, HEDG, c/o Department of Economics, University of York.
    9. Bayindir, Esra Eren, 2019. "Hospital ownership type and service provision, a structural approach," hche Research Papers 19, University of Hamburg, Hamburg Center for Health Economics (hche).
    10. Takaku, Reo & Bessho, Shun-ichiro, 2018. "Political cycles in physician employment: A case of Japanese local public hospitals," Social Science & Medicine, Elsevier, vol. 216(C), pages 97-106.
    11. Paolo Berta & Gianmaria Martini & Massimiliano Piacenza & Gilberto Turati, 2020. "The strange case of less C‐sections: Hospital ownership, market concentration, and DRG‐tariff regulation," Health Economics, John Wiley & Sons, Ltd., vol. 29(S1), pages 30-46, October.
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    13. Alvaro S Almeida, 2016. "The Role Of Private Non-Profit Healthcare Organizations In Nhs Systems: Implications For The Portuguese Hospital Devolution Program," FEP Working Papers 577, Universidade do Porto, Faculdade de Economia do Porto.

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    More about this item

    Keywords

    Hospital ownership; Not-for-profit hospitals; Patient insurance type; Medical services;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • L31 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Nonprofit Institutions; NGOs; Social Entrepreneurship
    • D21 - Microeconomics - - Production and Organizations - - - Firm Behavior: Theory

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