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Specialty economies of scope in English hospitals: Cost Arguments for colocation

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  • Willans, Robert
  • Hollingsworth, Bruce

Abstract

Current policy responses to COVID-19 disruption and care backlogs suggest potential changes to the location and structure of hospital healthcare supply. However, few studies investigating the cost effects of hospital reorganisation consider changes in the mix of outputs or test for the existence of economies of scope in hospital healthcare. Attempts to create dedicated hubs to address healthcare demand backlogs could have unintended adverse cost effects where these are provided outside existing hospital arrangements. To evaluate this, we investigate the existence and size of economies of scope in English hospital healthcare.

Suggested Citation

  • Willans, Robert & Hollingsworth, Bruce, 2024. "Specialty economies of scope in English hospitals: Cost Arguments for colocation," Social Science & Medicine, Elsevier, vol. 357(C).
  • Handle: RePEc:eee:socmed:v:357:y:2024:i:c:s0277953624006270
    DOI: 10.1016/j.socscimed.2024.117174
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    References listed on IDEAS

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    1. Grannemann, Thomas W. & Brown, Randall S. & Pauly, Mark V., 1986. "Estimating hospital costs : A multiple-output analysis," Journal of Health Economics, Elsevier, vol. 5(2), pages 107-127, June.
    2. Ian E. Gorman, 1985. "Conditions for Economies of Scope in the Presence of Fixed Costs," RAND Journal of Economics, The RAND Corporation, vol. 16(3), pages 431-436, Autumn.
    3. Weaver, Marcia & Deolalikar, Anil, 2004. "Economies of scale and scope in Vietnamese hospitals," Social Science & Medicine, Elsevier, vol. 59(1), pages 199-208, July.
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