Access, hospital ownership, and competition between for-profit and nonprofit institutions

Nancy Wolff; Mark Schlesinger

doi:https://doi.org/10.1177/0899764098272006

Access, hospital ownership, and competition between for-profit and nonprofit institutions

Nancy Wolff, Mark Schlesinger

Edward J. Bloustein School of Planning and Public Policy, Center for Survey Research

Rutgers, The State University

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

The authors argue that past studies of ownership inadequately control for the ways in which competition alters ownership-related differences. Survey data from 1975, 1980, and 1986 are used to estimate the changing effect of hospital ownership and between-sector competition on access to inpatient psychiatric care over a period when for-profit competition was increasing. Results show that during the noncompetitive period (1975), nonprofit psychiatric hospitals were more willing to admit costly patients. As cross-ownership competition increased, nonprofit hospitals became more willing to admit uninsured and underinsured patients, but they also grew more sensitive to cost of care. For-profit hospitals became more sensitive to the generosity of reimbursement but less sensitive to cost of care.

Original language	American English
Pages (from-to)	203-236
Number of pages	34
Journal	Nonprofit and Voluntary Sector Quarterly
Volume	27
Issue number	2
DOIs	https://doi.org/10.1177/0899764098272006
State	Published - Jun 1998

ASJC Scopus subject areas

Social Sciences (miscellaneous)

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abstract = "The authors argue that past studies of ownership inadequately control for the ways in which competition alters ownership-related differences. Survey data from 1975, 1980, and 1986 are used to estimate the changing effect of hospital ownership and between-sector competition on access to inpatient psychiatric care over a period when for-profit competition was increasing. Results show that during the noncompetitive period (1975), nonprofit psychiatric hospitals were more willing to admit costly patients. As cross-ownership competition increased, nonprofit hospitals became more willing to admit uninsured and underinsured patients, but they also grew more sensitive to cost of care. For-profit hospitals became more sensitive to the generosity of reimbursement but less sensitive to cost of care.",

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Access, hospital ownership, and competition between for-profit and nonprofit institutions

Abstract

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