Competitive spillovers across non-profit and for-profit nursing homes
Competitive spillovers across non-profit and for-profit nursing homes
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DOI：
10.1016/s0167-6296(02)00093-0
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发表时间：
2003-01-01
影响因子：
3.5
通讯作者：
Hirth, RA
中科院分区：
文献类型：
--
作者：
Grabowski, DC;Hirth, RA
非营利机构在医疗保健领域的重要性产生了大量的实证文献，研究了非营利和营利性养老院之间的质量差异。最近的理论工作强调，许多经验文献是有缺陷的，因为以前的研究仅仅依赖于虚拟变量来捕捉所有权的影响，而不是考虑非营利性养老院在市场上的份额。这一分析考虑了非营利组织的竞争溢出是否会导致营利性养老院的质量提高。使用工具变量来解释非营利市场份额的潜在内生性，本研究发现非营利市场份额的增加提高了营利性和整体养老院的质量。这些发现与假设一致，即非营利组织为不知情的养老院消费者提供了质量信号。(C) 2002 Elsevier Science B.V.版权所有
The importance of non-profit institutions in the health care sector has generated a vast empirical literature examining quality differences between non-profit and for-profit nursing homes. Recent theoretical work has emphasized that much of this empirical literature is flawed in that previous studies rely solely on dummy variables to capture the effects of ownership rather than accounting for the share of non-profit nursing homes in the market. This analysis considers whether competitive spillovers from non-protits lead to higher quality in for-profit nursing homes. Using instrumental variables to account for the potential endogeneity of non-profit market share, this study finds that an increase in non-profit market share improves for-profit and overall nursing home quality. These findings are consistent with the hypothesis that non-profits serve as a quality signal for uninformed nursing home consumers. (C) 2002 Elsevier Science B.V. All rights reserved.