Strategic integration of hospitals and physicians
Strategic integration of hospitals and physicians
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DOI：
10.1016/j.jhealeco.2005.04.009
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发表时间：
2006-01-01
影响因子：
3.5
通讯作者：
Gertler, PJ
中科院分区：
文献类型：
--
作者：
Cuellar, AE;Gertler, PJ
医疗保健市场的一个引人注目的发展是医院和医生之间战略关系的形成。医院-医生整合似乎是对迅速扩大的管理式医疗保险的回应。我们研究是否一体化导致交易成本经济的效率提高，从而使供应商提供管理式医疗保险计划，降低价格，或者是否一体化真的是一种战略，以提高议价能力，从而提高价格。我们发现，整合对效率的影响不大，但与价格的增加，特别是当整合后的组织是排他性的，并发生在竞争较少的市场。(c)2005 Elsevier B. V.保留所有权利。
A striking development in the healthcare market place has been the formation of strategic relationships between hospitals and physicians. Hospital-physician integration appears to be a response to rapidly expanding managed care health insurance. We examine whether integration lead to efficiency gains from transaction cost economies thereby allowing providers to offer managed care insurance plans lower prices or whether integration is really a strategy to improve bargaining power and thereby increase prices. We find that integration has little effect on efficiency, but is associated with an increase in prices, especially when the integrated organization is exclusive and occurs in less competitive markets. (c) 2005 Elsevier B.V. All rights reserved.