Keeping up with the Joneses: the influence of public and proprietary neighbours on voluntary hospitals.
Individual hospitals often share their markets with other nearby hospitals. In this paper we examine how a hospital's ownership and the ownership of its hospital neighbours influence the availability of selected services. The presence of a CT scanner and a newborn nursery were found to be associated with both hospital ownership (voluntary, proprietary, or public) and with the ownership of hospital neighbours. Voluntary hospitals with a proprietary neighbour were more likely to have a CT scanner. These findings suggest that the ownership configuration of local hospital markets is an important influence on patterns of service availability.
Hughes
R G
RG
Robert Wood Johnson Foundation, Princeton, NJ 08543.
Luft
H S
HS
D002391:Catchment Area, Health / Q000191:economics*; D003625:Data Collection; D003659:Decision Making, Organizational; D004465:Economic Competition; D006302:Health Services Research; D006742:Hospital Bed Capacity; D006752:Hospital Planning / Q000191:economics*; D006777:Hospitals, Proprietary / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D006788:Hospitals, Voluntary / Q000191:economics* / Q000458:organization & administration / Q000706:statistics & numerical data; D009725:Nurseries, Hospital / Q000600:supply & distribution*; D010067:Ownership / Q000191:economics*; D012044:Regression Analysis; D015898:Tomography Scanners, X-Ray Computed / Q000600:supply & distribution*; D014481:United States