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- Publisher
- Wiley
- Copyright
- © 2017 The editors of The Scandinavian Journal of Economics.
- ISSN
- 0347-0520
- eISSN
- 1467-9442
- DOI
- 10.1111/sjoe.12191
- Publisher site
- See Article on Publisher Site
Abstract
We study the effects of a hospital merger in a spatial competition framework where semi‐altruistic hospitals choose quality and cost‐containment effort. Whereas a merger always leads to higher average cost efficiency, the effect on quality provision depends on the strategic nature of quality competition, which in turn depends on the degree of altruism and the effectiveness of cost‐containment effort. If qualities are strategic complements, then a merger leads to lower quality for all hospitals. If qualities are strategic substitutes, then a merger leads to higher quality for at least one hospital, and might also yield higher average quality provision and increased patient utility.
Journal
The Scandinavian Journal of Economics – Wiley
Published: Jul 1, 2017
Keywords: ; ; ; ; ; ; ;