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

Nancy Wolff, Mark Schlesinger

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


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 languageAmerican English
Pages (from-to)203-236
Number of pages34
JournalNonprofit and Voluntary Sector Quarterly
Issue number2
StatePublished - Jun 1998

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)


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