An Analysis of the Supplier-Induced Demand in the Hospital sector : Switching Regime Estimates for Belgium [printed text] / Jacques Bughin, Author . - Université Catholique de Louvain (UCL), 1991 . - 35 p.. - ( IRES Discussion Paper; 1991-006) . Paper to be presented at the 8ème Journées de Microéconomie Appliquée, Caen, 1991, May 30-31 Languages : English ( eng)
| Descriptors: |
Indexation
Belgium ; Hospital Bed Capacity ; Length of Stay ; Models, Theoretical
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| Abstract: |
This paper attempts to provide some new evidence of the so called 'supplier-induced demand effect' in the hospital sector. By means of an endogenous regime switching model, the maximum likelihood estimates for Belgium are consistent with the idea that hospitals in excess-capacity actually increase the average length of stay of their patients, above what should have been if one considers only the 'patients' case-mix' of the hospitals. The model also includes the possibility of spatial spillovers which should appear as a consequence of this disequilibrium regimes. Those spillovers not only provide a better explanation of the patients dispersion among hospitals. They also decrease the 'supplier-induced demand' effect generated by hospitals by reducing the original extent of the excess-supplied situation. The model seems robust with regard to some consistency tests we have carried out.; e.g., it is shown that hospital sectors in predominant excess-demand (resp., excess-supply) are generally those where the net emigration balance is positive, (resp., negative). |
| Link for e-copy: |
https://ecommunities.belgium.be/ecomswitch/start?func=doc.fetch&nodeId=6252260&v [...] |
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PDF |
| Record link: |
https://kce.docressources.info/index.php?lvl=notice_display&id=851 |
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