Quality choice in a health care market: a mixed duopoly approach

Quality choice in a health care market: a mixed duopoly approach
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医疗保健市场的质量选择:混合双头垄断方法

DOI:
10.1007/s10198-008-0120-7
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发表时间:
2009
期刊:
The European Journal of Health Economics
影响因子:
--
通讯作者:
Yasuo Sanjo
Yasuo Sanjo
中科院分区:
--
文献类型:
--
作者:
Yasuo Sanjo

文献摘要

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我们调查了一个混合双寡头垄断的医疗保健市场,在这个市场中,部分私有化的公立医院在质量选择方面与私营医院竞争。通过将均值-方差分析和部分私有化框架相结合,我们使用了一个简单的Hoteling型空间竞争模型。我们展示了患者感知的质量差异如何影响医院提供的医疗保健的真实质量。此外,我们还发现,当患者对质量的偏好相对较高时,部分民营化医院的质量变得高于私立医院。
We investigate a health care market with uncertainty in a mixed duopoly, where a partially privatized public hospital competes against a private hospital in terms of quality choice. We use a simple Hotelling-type spatial competition model by incorporating mean–variance analysis and the framework of partial privatization. We show how the variance in the quality perceived by patients affects the true quality of medical care provided by hospitals. In addition, we show that a case exists in which the quality of the partially privatized hospital becomes higher than that of the private hospital when the patient’s preference for quality is relatively high.