Hospital ownership and public medical spending
Hospital ownership and public medical spending
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DOI：
10.1162/003355300555097
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发表时间：
2000-11-01
影响因子：
13.7
通讯作者：
Duggan, MG
中科院分区：
文献类型：
--
作者：
Duggan, MG
医院市场由私人营利性、私人非营利性和政府拥有和经营的公司提供服务。我用一个合理的外生变化，在医院融资，旨在改善医疗服务的穷人来测试三个理论的组织行为。研究发现，国有医疗机构的预算软约束是导致三类医院绩效差异的主要原因。私立非营利医院的决策者对经济激励的反应与追求利润最大化的医院的决策者一样敏感，也并不比后者更无私。我的最后一组结果表明，本文所研究的公共医疗支出的显著增加并没有改善贫困人口的健康状况。
The hospital market is served by firms that are private for-profit, private not-for-profit, and government-owned and operated. I use a plausibly exogenous change in hospital financing that was intended to improve medical care for the poor to test three theories of organizational behavior. I find that the critical difference between the three types of hospitals is caused by the soft budget constraint of government-owned institutions. The decision-makers in private not-for-profit hospitals are just as responsive to financial incentives and are no more altruistic than their counterparts in profit-maximizing facilities. My final set of results suggests that the significant increase in public medical spending examined in this paper has not improved health outcomes for the indigent.