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Defining hospital markets : an application to the German hospital sector

Title data

Hentschker, Corinna ; Mennicken, Roman ; Schmid, Andreas:
Defining hospital markets : an application to the German hospital sector.
In: Health Economics Review. Vol. 4 (2014) . - pp. 1-17.
ISSN 2191-1991
DOI: https://doi.org/10.1186/s13561-014-0028-0

Official URL: Volltext

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Abstract in another language

The correct definition of the product market and of the geographic market is a prerequisite for assessing market structures in antitrust cases. For hospital markets, both dimensions are controversially discussed in the literature. Using data for the German hospital market we aim at elaborating the need for differentiating the product market and at investigating the effects of different thresholds for the delineation of the geographic market based on patient flows. Thereby we contribute to the scarce empirical evidence on the structure of the German hospital market. We find that the German hospital sector is highly concentrated, confirming the results of a singular prior study. Furthermore, using a very general product market definition such as “acute in-patient care” averages out severe discrepancies that become visible when concentration is considered on the level of individual diagnoses. In contrast, varying thresholds for the definition of the geographic market has only impact on the level of concentration, while the correlation remains high. Our results underline the need for more empirical research concerning the definition of the product market for hospital services.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: Hospital market; Concentration; Product market; Geographic market; Germany
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Department of Business Administration > Juniorprofessur Gesundheitsmanagement > Juniorprofessur Gesundheitsmanagement - Juniorprof. Dr. Andreas Schmid
Faculties
Faculties > Faculty of Law, Business and Economics
Faculties > Faculty of Law, Business and Economics > Department of Business Administration
Faculties > Faculty of Law, Business and Economics > Department of Business Administration > Juniorprofessur Gesundheitsmanagement
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 330 Economics
Date Deposited: 28 Nov 2014 08:07
Last Modified: 13 Apr 2016 08:43
URI: https://eref.uni-bayreuth.de/id/eprint/4225