Please use this identifier to cite or link to this item: https://hdl.handle.net/1822/7850

TitleCompetition and waiting times in hospital markets
Author(s)Brekke, Kurt R.
Siciliani, Luigi
Straume, Odd Rune
KeywordsHospitals
Competition
Waiting times
Issue dateJul-2008
PublisherElsevier
JournalJournal of Public Economics
Citation"Journal of Public Economics". ISSN 0047-2727. 92:7 (July 2008) 1607-1628.
Abstract(s)This paper studies the impact of hospital competition on waiting times. We use a Salop-type model, with hospitals that differ in (geographical) location and, potentially, waiting time, and two types of patients: high-benefit patients who choose between neighbouring hospitals (competitive segment), and low-benefit patients who decide whether or not to demand treatment from the closest hospital (monopoly segment). Compared with a benchmark case of monopoly, we find that hospital competition leads to longer waiting times in equilibrium if the competitive segment is sufficiently large. Given a policy regime of hospital competition, the effect of increased competition depends on the parameter of measurement: Lower travelling costs increase waiting times, higher hospital density reduces waiting times, while the effect of a larger competitive segment is ambiguous. We also show that, if the competitive segment is large, hospital competition is socially preferable to monopoly only if the (regulated) treatment price is sufficiently high.
TypeArticle
URIhttps://hdl.handle.net/1822/7850
DOI10.1016/j.jpubeco.2008.02.003
ISSN0047-2727
Publisher versionhttp://dx.doi.org/10.1016/j.jpubeco.2008.02.003
Peer-Reviewedyes
AccessOpen access
Appears in Collections:NIPE - Artigos em Revistas de Circulação Internacional com Arbitragem Científica

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