Pujol, F.E., Hancock, R., Hviid, M. et al. (2 more authors) (2021) Market concentration, supply, quality and prices paid by local authorities in the English care home market. Health Economics, 30 (8). pp. 1886-1909. ISSN 1057-9230
Abstract
We investigate the impact of exogenous local conditions which favor high market concentration on supply, price and quality in local markets for care homes for older people in England. We extend the existing literature in: (i) considering supply capacity as a market outcome alongside price and quality; (ii) taking account of the chain structure of care home supply and differences between the nursing home and residential care home sectors; (iii) using an econometric approach based on reduced form relationships that treats market concentration as a jointly determined outcome of a complex market. We find that areas susceptible to a high degree of market concentration tend to have greatly restricted supply of care home places and (to a lesser extent) a higher average public cost, than areas susceptible to low degree of market concentration. There is no significant evidence that conditions favoring high market concentration affect average care home quality.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Health Economics published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/4.0/) which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Keywords: | care homes; market concentration; price; quality; supply |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Funding Information: | Funder Grant number ECONOMIC & SOCIAL RESEARCH COUNCIL ES/L009153/1 ECONOMIC & SOCIAL RESEARCH COUNCIL ES/L011859/1 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 19 May 2021 16:34 |
Last Modified: | 25 Feb 2022 14:16 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1002/hec.4286 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:174372 |