For-profit status and industry evolution in health care markets: evidence from the dialysis industry.
Int J Health Econ Manag
; 16(4): 297-319, 2016 Dec.
Article
en En
| MEDLINE
| ID: mdl-27878689
This paper examines why for-profit dialysis providers have displaced non-profit providers over the last 25 years. Using detailed data on individual markets' evolutions, I find that for-profit facilities were quicker to enter growing markets and slower to exit declining ones than non-profit facilities. Moreover, for-profit providers' presence in a market had a larger impact on the exit and entry behavior of competitors. These results suggest that for-profit dialysis providers have an advantage in static competition relative to non-profit providers, and that this-rather than lower entry costs-explains their increasing prominence. Additional empirical analyses indicate that for-profits' advantage cannot solely be attributed to efficiencies related to membership in a large, multi-facility chain. This further suggests that managerial incentives have had an economically significant impact on long-run market structure in this industry.
Palabras clave
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Diálisis Renal
/
Sector de Atención de Salud
/
Instituciones de Atención Ambulatoria
/
Instituciones Privadas de Salud
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Int J Health Econ Manag
Año:
2016
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos