Market concentration, supply, quality and prices paid by local authorities in the English care home market
Market concentration, supply, quality and prices paid by local authorities in the English care home market
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DOI：
10.1002/hec.4286
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发表时间：
2021-05-08
期刊：
影响因子：
2.1
通讯作者：
Pudney, Stephen
中科院分区：
文献类型：
--
作者：
Espuny Pujol, Ferran;Hancock, Ruth;Pudney, Stephen
我们调查的影响，有利于高市场集中度的供应，价格和质量在当地市场的养老院在英格兰的外源性当地条件。我们扩展现有的文献：（一）考虑供应能力作为一个市场的结果，价格和质量;（二）考虑到养老院供应链结构和养老院和住宅护理院部门之间的差异;（三）使用计量经济学方法的基础上减少形式的关系，把市场集中度作为一个复杂的市场的共同决定的结果。我们发现，市场集中度高的地区往往大大限制了护理院名额的供应，并且（在较小程度上）比市场集中度低的地区平均公共成本更高。没有显著的证据表明，有利于高市场集中度的条件会影响平均护理院质量。
We investigate the impact of exogenous local conditions which favor high market concentration on supply, price and quality in local markets for care homes for older people in England. We extend the existing literature in: (i) considering supply capacity as a market outcome alongside price and quality; (ii) taking account of the chain structure of care home supply and differences between the nursing home and residential care home sectors; (iii) using an econometric approach based on reduced form relationships that treats market concentration as a jointly determined outcome of a complex market. We find that areas susceptible to a high degree of market concentration tend to have greatly restricted supply of care home places and (to a lesser extent) a higher average public cost, than areas susceptible to low degree of market concentration. There is no significant evidence that conditions favoring high market concentration affect average care home quality.