Spatial Competition between Health Care Providers: Effects of Standardization

Spatial Competition between Health Care Providers: Effects of Standardization
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医疗保健提供者之间的空间竞争:标准化的影响

DOI:
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发表时间:
2015
期刊:
影响因子:
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通讯作者:
N. Wiese
N. Wiese
中科院分区:
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文献类型:
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作者:
Björn A. Kuchinke;J. Zerth;N. Wiese

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在国际卫生保健文献中,对卫生保健市场竞争的影响进行了广泛的讨论。但是,没有价格竞争的区域保健市场的标准化方面得到的关注相对较少。我们使用一个典型的酒店框架(参考案例)来分析一个区域医疗市场,两个医疗服务提供者在医疗范围设定(水平质量)后在(垂直)质量上竞争。我们的结论是,在参考案例中,医疗服务提供者将使用垂直质量来彼此分离。在下一步(标准化案例)中,我们将介绍一家医疗保健提供商作为垂直质量的标准领导者。在标准化的情况下,可以预期更均匀的供应。但是,标准追随者离开区域医疗保健市场的可能性更大。
In the international health care literature there is a broad discussion on impacts of competition in health care markets. But aspects of standardization in regional health care markets with no price competition received comparatively little attention. We use a typical Hotelling-framework (reference case) to analyze a regional health care market with two health care providers competing in (vertical) quality after the scope of medical treatment is set (horizontal quality). We conclude, that in the reference case both health care provider will use vertical quality to separate from each other. In the next step (standardization case) we introduce one health care provider to be the standard leader in vertical quality. In the standardization case a more homogeneous supply can be expected. But, there is a higher possibility that the standard follower has to leave the regional health care market.
是否应该允许医生为患者“平衡账单”?
DOI: 10.1016/0167-6296(93)90010-c
发表时间: 1993
影响因子: 3.5
作者:
Glazer,J;McGuire,TG
通讯作者: McGuire,TG