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The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria
Evidence about the Nigerian health indicators show that the quality of health care in Nigeria is low and inflation of health care prices also persists. Theoretically, by observing the market concentration, inferences can be drawn as to how hospitals conduct themselves, which allows the evaluation of...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Routledge
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231408/ https://www.ncbi.nlm.nih.gov/pubmed/34221255 http://dx.doi.org/10.1080/20016689.2021.1938895 |
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author | Awoyemi, Bosede Olanike Olaniyan, Olanrewaju |
author_facet | Awoyemi, Bosede Olanike Olaniyan, Olanrewaju |
author_sort | Awoyemi, Bosede Olanike |
collection | PubMed |
description | Evidence about the Nigerian health indicators show that the quality of health care in Nigeria is low and inflation of health care prices also persists. Theoretically, by observing the market concentration, inferences can be drawn as to how hospitals conduct themselves, which allows the evaluation of the market performance. Therefore, the effects of market concentration on the health care price and quality were examined. Market concentration was measured by Herfindahl Hirschman Index (HHI) and four hospital concentration ratios (CR(4)). The values of HHI were disaggregated into the less and more concentrated markets. Quality of health care was measured by the staff-nurse-patient ratio. Ordinary Least Square (OLS) was used to estimate the effects of market concentration on price and quality of health care. The price of health care was found to be 13.4% lower in the less concentrated markets than in the more concentrated market. Income significantly and positively influenced health care prices by 17.8%. Also, a low HHI lead to 33.4% increase in Staff-nurse Patient Ratio (SPR) indicating that the quality of health care was higher in less concentrated markets as hospitals increased the treatment intensity via staff-nurse patient ratio. A less concentrated market is linked with higher health care quality and lower health care prices. Therefore, a strategy that will reduce market concentration so as to enhance consumer welfare in terms of price and quality is recommended. |
format | Online Article Text |
id | pubmed-8231408 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Routledge |
record_format | MEDLINE/PubMed |
spelling | pubmed-82314082021-07-01 The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria Awoyemi, Bosede Olanike Olaniyan, Olanrewaju J Mark Access Health Policy Original Research Article Evidence about the Nigerian health indicators show that the quality of health care in Nigeria is low and inflation of health care prices also persists. Theoretically, by observing the market concentration, inferences can be drawn as to how hospitals conduct themselves, which allows the evaluation of the market performance. Therefore, the effects of market concentration on the health care price and quality were examined. Market concentration was measured by Herfindahl Hirschman Index (HHI) and four hospital concentration ratios (CR(4)). The values of HHI were disaggregated into the less and more concentrated markets. Quality of health care was measured by the staff-nurse-patient ratio. Ordinary Least Square (OLS) was used to estimate the effects of market concentration on price and quality of health care. The price of health care was found to be 13.4% lower in the less concentrated markets than in the more concentrated market. Income significantly and positively influenced health care prices by 17.8%. Also, a low HHI lead to 33.4% increase in Staff-nurse Patient Ratio (SPR) indicating that the quality of health care was higher in less concentrated markets as hospitals increased the treatment intensity via staff-nurse patient ratio. A less concentrated market is linked with higher health care quality and lower health care prices. Therefore, a strategy that will reduce market concentration so as to enhance consumer welfare in terms of price and quality is recommended. Routledge 2021-06-22 /pmc/articles/PMC8231408/ /pubmed/34221255 http://dx.doi.org/10.1080/20016689.2021.1938895 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Article Awoyemi, Bosede Olanike Olaniyan, Olanrewaju The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title | The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title_full | The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title_fullStr | The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title_full_unstemmed | The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title_short | The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria |
title_sort | effects of market concentration on health care price and quality in hospital markets in ibadan, nigeria |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231408/ https://www.ncbi.nlm.nih.gov/pubmed/34221255 http://dx.doi.org/10.1080/20016689.2021.1938895 |
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