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The theory of the hospital: A review of the models

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  • McGuire, A.

Abstract

This paper presents a survey of the literature on the theory of the hospital. The paper shows that certain methodological difficulties associated with the theory of the firm generally have been transmitted to the analysis of the hospital. It is also argued that structural considerations are of vital importance to the development of the theory of the hospital. Unfortunately such considerations have, with a few exceptions, been ignored in the small number of formal models of the hospital that have been developed. Attention is drawn to the fact that concern should be not only with the market structure within which the hospital operates, but also with the internal structure of the hospital. The survey is developed through the employment of the structure-conduct-performance paradigm, utilized by industrial economics, as a general framework.

Suggested Citation

  • McGuire, A., 1985. "The theory of the hospital: A review of the models," Social Science & Medicine, Elsevier, vol. 20(11), pages 1177-1184, January.
    • Handle: RePEc:eee:socmed:v:20:y:1985:i:11:p:1177-1184
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    Cited by:

    1. Bech, Mickael, 2003. "Politicians' and hospital managers' trade-offs in the choice of reimbursement scheme: a discrete choice experiment," Health Policy, Elsevier, vol. 66(3), pages 261-275, December.
    2. David Crainich & Hervé Leleu & Ana Mauleon, 2011. "Hospital’s activity-based financing system and manager: physician interaction," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(5), pages 417-427, October.
    3. Makoto Kakinaka & Ryuta Kato, 2013. "Regulated medical fee schedule of the Japanese health care system," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 301-317, December.
    4. Galizzi, Matteo M. & Miraldo, Marisa, 2011. "The effects of hospitals' governance on optimal contracts: Bargaining vs. contracting," Journal of Health Economics, Elsevier, vol. 30(2), pages 408-424, March.
    5. Socha, Karolina, 2014. "Mixed reimbursement of hospitals: Securing high activity and global expenditures control?," DaCHE discussion papers 2014:3, University of Southern Denmark, Dache - Danish Centre for Health Economics.
    6. Thompson, Ceri R. & McKee, Martin, 2011. "An analysis of hospital capital planning and financing in three European countries: Using the principal-agent approach to identify the potential for economic problems," Health Policy, Elsevier, vol. 99(2), pages 158-166, February.

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