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The Association of Market Mix of Hospital Ownership With Medical Disputes: Evidence From China

机译:与医疗纠纷的医院所有权市场组合协会:来自中国的证据

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The prevalence and severity of medical disputes in China have attracted the attention of society and academia, and how to alleviate medical disputes has become a major concern. Following the implementation of a series of policies, the private sector in China’s hospital market has expanded rapidly over the past decade. It remains unknown whether the market mix of hospital ownership could alleviate medical disputes, this study aims to bridge the gap. Data are collected from all hospitals (2171) in Sichuan province, China, from 2012 to 2015. Using a negative binomial hurdle model, the results show that for hospitals with disputes, the private hospital market share has an inverted U-shaped relationship with the number of disputes. However, no significant relationship is found between the private hospital market share and the probability of dispute occurrence. For hospitals with disputes, competition plays a protective role in the effect of the private hospital market share on the number of disputes, hindering the increase in the number of disputes and facilitating a more rapid drop. However, medical quality is found to play an insignificant role in that effect. The findings also support encouraging new private hospitals in China rather than privatizing existing public hospitals.
机译:中国医疗纠纷的患病率和严重程度引起了社会和学术界的关注,以及如何减轻医疗纠纷已成为一个主要问题。在执行一系列政策后,中国医院市场的私营部门在过去十年中迅速扩大。该研究仍然未知是否可以减轻医疗纠纷的市场组合可以减轻医疗纠纷,旨在弥补差距。从中国四川省的所有医院(2171)收集数据,从2012年到2015年。使用消极的二项式障碍模型,结果表明,对于医院的争议,私立医院市场份额与倒立的U形关系争议的数量。然而,私立医院市场份额与争议事件的概率没有明显的关系。对于有争议的医院,竞争在私立医院市场份额对争端数量的影响中起着保护作用,阻碍了争端数量的增加,促进了更快的下降。然而,发现医疗质量在这种效果中起着微不足道的作用。调查结果还支持鼓励中国的新私立医院,而不是私有化现有的公立医院。

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