Non-price competition strategy is a major health policy concern in many countries. This paper studies the treatment specialization choice and quality level competition among hospitals. We extend a two-stage spatial duopoly model, with the partially altruistic providers firstly choosing specialization and then determining quality level when the treatment price is set exogenously by central plann...

OBJECTIVES To examine the effects of market competition on patient-perceived quality of care under a single-payer system in Taiwan. METHODS Data came from two nationwide surveys conducted on discharged patients and National Health Insurance (NHI) hospital claim datasets in 2002 and 2004. Competition was measured by the Herfindahl-Hirschman Index (HHI). Quality of care was measured by patient-...

Over the last 30 years, the Chilean government deregulated the higher education market. As a result, universities massively expanded their network of campuses, which intensified the competition between institutions and rapidly increased enrollment. In 1990, most Chilean universities were public, and concentrated their activity around one region. Over the following 20 years, the number of privat...