For-profit status and industry evolution in health care markets: evidence from the dialysis industry.
Int J Health Econ Manag
; 16(4): 297-319, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27878689
ABSTRACT
This paper examines why for-profit dialysis providers have displaced non-profit providers over the last 25 years. Using detailed data on individual markets' evolutions, I find that for-profit facilities were quicker to enter growing markets and slower to exit declining ones than non-profit facilities. Moreover, for-profit providers' presence in a market had a larger impact on the exit and entry behavior of competitors. These results suggest that for-profit dialysis providers have an advantage in static competition relative to non-profit providers, and that this-rather than lower entry costs-explains their increasing prominence. Additional empirical analyses indicate that for-profits' advantage cannot solely be attributed to efficiencies related to membership in a large, multi-facility chain. This further suggests that managerial incentives have had an economically significant impact on long-run market structure in this industry.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Diálise Renal
/
Setor de Assistência à Saúde
/
Instituições de Assistência Ambulatorial
/
Instituições Privadas de Saúde
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Int J Health Econ Manag
Ano de publicação:
2016
Tipo de documento:
Article