Expansion in markets with decreasing demand-for-profits in the German hospital industry.

Abstract:

:Over the last 20 years, acute-care hospitals in most OECD countries have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership forms respond to changes in demand and are probably best suited to deal with existing overcapacities. This article examines ownership-specific differences in the responsiveness to changes in demand for hospital services in Germany between 1996 and 2006. With respect to the speed of adaptation to increasing demand, the study finds for-profit ownership to be superior to public and nonprofit ownership. However, contrary to other ownership types, for-profits also tend to expand in markets with decreasing demand - mainly through conversions of publicly owned hospitals. Thus, in short term, the privatization of the hospital sector may slow down the reduction of excess capacities and be therefore socially wasteful.

journal_name

Health Econ

journal_title

Health economics

authors

Schwierz C

doi

10.1002/hec.1624

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

675-87

issue

6

eissn

1057-9230

issn

1099-1050

journal_volume

20

pub_type

杂志文章
  • Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas.

    abstract::The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening ...

    journal_title:Health economics

    pub_type: 临床试验,杂志文章

    doi:10.1002/hec.4730010108

    authors: Whynes DK,Walker AR,Hardcastle JD

    更新日期:1992-04-01 00:00:00

  • Do they know what is at risk? Health risk perception among the obese.

    abstract::The perception of health risks and risky health behaviors are closely associated. In this paper, we investigate the accuracy of health risk perceptions among obese individuals, aged 50-62 years. We compare subjective risk perceptions for various diseases elicited in the American Life Panel to individual's objective ri...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2933

    authors: Winter J,Wuppermann A

    更新日期:2014-05-01 00:00:00

  • Cost-effectiveness analysis of alternative treatments of African gambiense trypanosomiasis in Uganda.

    abstract::African trypanosomiasis, or sleeping sickness, is a tropical disease caused by trypanosome parasites transmitted by tsetse flies. The focus of this paper is on the cost-effectiveness of alternative drug treatments for patients in the late stage of the disease. Melarsoprol has been used for many decades. More recently,...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730040404

    authors: Politi C,Carrín G,Evans D,Kuzoe FA,Cattand PD

    更新日期:1995-07-01 00:00:00

  • Testing the convergent validity of the contingent valuation and travel cost methods in valuing the benefits of health care.

    abstract::In this study, the convergent validity of the contingent valuation method (CVM) and travel cost method (TCM) is tested by comparing estimates of the willingness to pay (WTP) for improving access to mammographic screening in rural areas of Australia. It is based on a telephone survey of 458 women in 19 towns, in which ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.651

    authors: Clarke PM

    更新日期:2002-03-01 00:00:00

  • A discrete random effects probit model with application to the demand for preventive care.

    abstract::I have developed a random effects probit model in which the distribution of the random intercept is approximated by a discrete density. Monte Carlo results show that only three to four points of support are required for the discrete density to closely mimic normal and chi-squared densities and provide unbiased estimat...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.627

    authors: Deb P

    更新日期:2001-07-01 00:00:00

  • Cyclical absenteeism among private sector, public sector and self-employed workers.

    abstract::This research note analyzes differences in the number of absent working days and doctor visits and in their cyclicality between private sector, public sector and self-employed workers. For this purpose, I used large-scale German survey data for the years 1995 to 2007 to estimate random effects negative binomial (count...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2808

    authors: Pfeifer C

    更新日期:2013-03-01 00:00:00

  • The effects of pay and job satisfaction on the labour supply of hospital consultants.

    abstract::There is little evidence about the responsiveness of doctors' labour supply to changes in pay. Given substantial increases in NHS expenditure, new national contracts for hospital doctors and general practitioners that involve increases in pay, and the gradual imposition of a ceiling on hours worked through the Europea...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1220

    authors: Ikenwilo D,Scott A

    更新日期:2007-12-01 00:00:00

  • Acute Myocardial Infarction, Use of Percutaneous Coronary Intervention, and Mortality: A Comparative Effectiveness Analysis Covering Seven European Countries.

    abstract::Percutaneous coronary interventions (PCI) on acute myocardial infarction (AMI) patients have increased substantially in the last 12-15 years because of its clinical effectiveness. The expansion of PCI treatment for AMI patients raises two questions: How did PCI utilization rates vary across European regions, and which...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3263

    authors: Hagen TP,Häkkinen U,Belicza E,Fatore G,Goude F,EuroHOPE study group.

    更新日期:2015-12-01 00:00:00

  • Effects of NCMS on access to care and financial protection in China.

    abstract::The introduction of the New Cooperative Medical Scheme (NCMS) in rural China has been the most rapid and dramatic extension of health insurance coverage in the developing world in this millennium. The literature to date has mainly used the uneven rollout of NCMS across counties as a way of identifying its effects on a...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2965

    authors: Hou Z,Van de Poel E,Van Doorslaer E,Yu B,Meng Q

    更新日期:2014-08-01 00:00:00

  • A theoretical model of adolescent suicide and some evidence from US data.

    abstract::Suicide rates for adolescents have doubled since 1970 and tripled since 1960, even as rates for other age groups have declined. Using a Becker-type model of household production and consumption, we demonstrate conditions under which utility maximizing parents allocate time away from time-intensive commodities like chi...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.704

    authors: Mathur VK,Freeman DG

    更新日期:2002-12-01 00:00:00

  • Welfare consequences of access to health insurance for rural households: Evidence from the New Cooperative Medical Scheme in China.

    abstract::This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3985

    authors: Sun JY

    更新日期:2020-03-01 00:00:00

  • Explaining declining rates of institutional LTC use in the Netherlands: a decomposition approach.

    abstract::The use of long-term care (LTC) is changing rapidly. In the Netherlands, rates of institutional LTC use are falling, whereas homecare use is growing. Are these changes attributable to declining disability rates, or has LTC use given disability changed? And have institutionalization rates fallen regardless of disabilit...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3114

    authors: de Meijer C,Bakx P,van Doorslaer E,Koopmanschap M

    更新日期:2015-03-01 00:00:00

  • Expanding wallets and waistlines: the impact of family income on the BMI of women and men eligible for the Earned Income Tax Credit.

    abstract::The rising rate of obesity has reached epidemic proportions and is now one of the most serious public health challenges facing the US. However, the underlying causes for this increase are unclear. This paper examines the effect of family income changes on body mass index (BMI) and obesity using data from the National ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1430

    authors: Schmeiser MD

    更新日期:2009-11-01 00:00:00

  • Does reporting heterogeneity bias the measurement of health disparities?

    abstract::Heterogeneity in reporting of health by socio-economic and demographic characteristics potentially biases the measurement of health disparities. We use anchoring vignettes to identify socio-demographic differences in the reporting of health in Indonesia, India and China. Homogeneous reporting by socio-demographic grou...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1269

    authors: Bago d'Uva T,Van Doorslaer E,Lindeboom M,O'Donnell O

    更新日期:2008-03-01 00:00:00

  • Self-Employment and Health: Barriers or Benefits?

    abstract::The self-employed are often reported to be healthier than wageworkers; however, the cause of this health difference is largely unknown. The longitudinal nature of the US Health and Retirement Study allows us to gauge the plausibility of two competing explanations for this difference: a contextual effect of self-employ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3087

    authors: Rietveld CA,van Kippersluis H,Thurik AR

    更新日期:2015-10-01 00:00:00

  • Limiting health-care access to undocumented immigrants: A wise option?

    abstract::The number of undocumented migrants in high-income countries has increased in recent decades, imposing considerable political, fiscal, and social pressures on governments. This has fostered discussions on whether and to what extent undocumented migrants should get access to public programs and public benefits. Looking...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4115

    authors: Jiménez-Rubio D,Vall Castelló J

    更新日期:2020-08-01 00:00:00

  • Income inequality and mental health--empirical evidence from Australia.

    abstract::The causal association between absolute income and health is well-established; however, the relationship between income inequality and health is not. The conclusions from the received studies vary across the region or country studied and/or the methodology employed. Using the Household, Income and Labour Dynamics in A...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2814

    authors: Bechtel L,Lordan G,Rao DS

    更新日期:2012-06-01 00:00:00

  • Determinants of expenditure variation in health care and care of the elderly among Finnish municipalities.

    abstract::In Finland, municipal health care expenditure varies from FIM 3 800 per capita to FIM 7 800 per capita. The objective of this study was to estimate the impact of different economic, structural and demographic factors on the per capita costs of health services and care of the elderly. Using regression analysis we attem...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4730040305

    authors: Häkkinen U,Luoma K

    更新日期:1995-05-01 00:00:00

  • Concentration and drug prices in the retail market for malaria treatment in rural Tanzania.

    abstract::The impact of market concentration has been little studied in markets for ambulatory care in the developing world, where the retail sector often accounts for a high proportion of treatments. This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three d...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1473

    authors: Goodman C,Kachur SP,Abdulla S,Bloland P,Mills A

    更新日期:2009-06-01 00:00:00

  • Empirical Testing of the External Validity of a Discrete Choice Experiment to Determine Preferred Treatment Option: The Case of Sleep Apnea.

    abstract::There is an increasing use of the discrete choice experiment (DCE) method in health care to estimate preferences of individuals and the public for different services. Despite this increasing use, there are few studies that investigate the validity of the DCE in health. This study investigates the external validity of ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3076

    authors: Krucien N,Gafni A,Pelletier-Fleury N

    更新日期:2015-08-01 00:00:00

  • The impact of diabetes on adult employment and earnings of Mexican Americans: findings from a community based study.

    abstract::Epidemiological studies indicate that minority populations in the US - including African Americans, Native Americans and Mexican Americans - are particularly at risk for diabetes and that their complications are more frequent and severe. Using microdata from a 1994-1999 population based study of middle aged and older ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.676

    authors: Bastida E,Pagán JA

    更新日期:2002-07-01 00:00:00

  • Using multilevel models for assessing the variability of multinational resource use and cost data.

    abstract::Multinational economic evaluations often calculate a single measure of cost-effectiveness using cost data pooled across several countries. To assess the validity of pooling international cost data the reasons for cost variation across countries need to be assessed. Previously, ordinary least-squares (OLS) regression m...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.916

    authors: Grieve R,Nixon R,Thompson SG,Normand C

    更新日期:2005-02-01 00:00:00

  • The impact of the Affordable Care Act on self-employment.

    abstract::This paper estimates the impact of the implementation of the Affordable Care Act (ACA) in 2014 on the decision to be self-employed. Using data from the Current Population Survey, we employ two identification strategies. Utilizing prereform variation in state nongroup health insurance market regulations, we find that t...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3500

    authors: Heim BT,Yang LK

    更新日期:2017-12-01 00:00:00

  • What is the relationship between income inequality and health? Evidence from the BHPS.

    abstract::Income inequality hypotheses propose that income differentials and/or income distributions have a detrimental effect on health. This previously well accepted relationship between inequality and health has recently come under scrutiny; some claim that it is a statistical artefact, arguing that aggregate level data are ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1254

    authors: Lorgelly PK,Lindley J

    更新日期:2008-02-01 00:00:00

  • Inferring capitation rates from aggregate health plans' costs.

    abstract::Setting risk-adjusted capitation rates in health systems with centralized financing and decentralized delivery is one of the most intriguing policy issues. The common practice to set capitation group rates is based on individual data collected from either population surveys or medical records, using a single-and in mo...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1050(199909)8:6<547::aid-hec463

    authors: Shmueli A

    更新日期:1999-09-01 00:00:00

  • Suboptimal provision of preventive healthcare due to expected enrollee turnover among private insurers.

    abstract::Many preventive healthcare procedures are widely recognized as cost-effective but have relatively low utilization rates in the US. Because preventive care is a present-period investment with a future-period expected financial return, enrollee turnover among private insurers lowers the expected return of this investmen...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1484

    authors: Herring B

    更新日期:2010-04-01 00:00:00

  • Effects of drought on infant mortality in China.

    abstract::This study focuses on Guizhou Province, a region with difficult geographical conditions and poor economic development, to examine the effect of rainfall shocks on contemporaneous infant health and long-run socioeconomic outcomes in China. The study results indicate that negative rainfall shocks are robustly correlated...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4191

    authors: Lin Y,Liu F,Xu P

    更新日期:2021-02-01 00:00:00

  • A sequential model of older workers' labor force transitions after a health shock.

    abstract::In this paper we estimate and validate a three-period sequential model of older workers' labor force transitions following a health/disability shock, using retrospective information from Spanish cross-section data. Central to the analysis are the effects of the various disabilities and their severity. We find that the...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1163

    authors: Jiménez-Martín S,Labeaga JM,Prieto CV

    更新日期:2006-09-01 00:00:00

  • Does the economy affect teenage substance use?

    abstract::This research examines how teenage drug and alcohol use responds to changes in the economy. In contrast to the recent literature confirming pro-cyclical alcohol use among adults, this research offers strong evidence that a weaker economy leads to greater teenage marijuana and hard-drug use and some evidence that a wea...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1132

    authors: Arkes J

    更新日期:2007-01-01 00:00:00

  • Child protection and adult depression: evaluating the long-term consequences of evacuating children to foster care during World War II.

    abstract::This paper combined data collected from war time government records with survey data including background characteristics, such as factors that affected eligibility, to examine the adult depression outcomes of individuals who were evacuated from Finland to temporary foster care in Sweden during World War II. Using war...

    journal_title:Health economics

    pub_type: 历史文章,杂志文章

    doi:10.1002/hec.2913

    authors: Santavirta N,Santavirta T

    更新日期:2014-03-01 00:00:00