IS HOSPITAL COMPETITION WASTEFUL
IS HOSPITAL COMPETITION WASTEFUL
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DOI：
10.2307/2555987
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发表时间：
1992-06-01
影响因子：
2.3
通讯作者：
SIMON, C
中科院分区：
文献类型：
--
作者：
DRANOVE, D;SHANLEY, M;SIMON, C
最近，一种假说引起了人们的关注，即地方医院的竞争是以昂贵的专业服务的重复为形式的——“医疗军备竞赛”。这与专门服务的供给完全由“市场规模”决定的假设形成了对比。我们开发了一个模型来预测在当地市场提供的专业服务。我们对加州医院的分析为医疗军备竞赛假说提供了最低限度的支持，同时表明许多服务具有可观的规模经济。我们的结果强调了适当指定市场范围的重要性。如果做不到这一点，人们就会高估竞争的重要性。
Recent attention has been given to the hypothesis that local hospital competition takes the form of costly duplication of specialized services-the "medical arms race. " This contrasts with the hypothesis that the supply of specialized services is determined solely by "the extent of the market." We develop a model predicting the provision of specialized services in local markets. Our analysis of California hospitals provides minimal support for the medical arms race hypothesis while suggesting substantial scale economies for many services. Our results emphasize the importance of properly specifying the extent of the market. Failure to do so leads one to overestimate the importance of competition.