Hospital Market Concentration and Discrimination of Patients
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Hospital Market Concentration and Discrimination of Patients
Dewenter, Ralf | Jaschinski, Thomas | Kuchinke, Björn A.
Journal of Contextual Economics – Schmollers Jahrbuch, Vol. 133 (2013), Iss. 3 : pp. 345–374
5 Citations (CrossRef)
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Ralf Dewenter, Helmut Schmidt University Hamburg, Holstenhofweg 85, 20149 Hamburg, Germany.
Thomas Jaschinski, Heinrich-Heine-Universität Düsseldorf, Institute for Competition Economics (DICE), Universitätsstraße 1, 40225 Düsseldorf, Germany.
Björn A. Kuchinke, Bauhaus-University Weimar, Chair of Media Economics, Albrecht-Dürer-Straße 2, 99425 Weimar, Germany.
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Abstract
In this paper we investigate the existence of a two-tier medical system in the German acute care hospital sector using data from a survey of 483 German hospitals. The focus of our analysis lies on the impact of hospital concentration on the probability of discrimination of patients with different health insurances in regard to the access to medical services. Accounting for a possible endogeneity of market structure, we find that hospitals in highly concentrated markets are less likely to pursue any differentiation among prospective patients with different health insurances. We ascribe this finding to competitive pressure in less concentrated markets. Hospitals in competitive markets are more obliged to steal business from rival hospitals by privileging profitable patients than hospitals in highly concentrated markets.