Market concentration, supply, quality and prices paid by local authorities in the English care home market

Espuny Pujol, Ferran, Hancock, Ruth, Hviid, Morten, Morciano, Marcello and Pudney, Stephen (2021) Market concentration, supply, quality and prices paid by local authorities in the English care home market. Health Economics. ISSN 1057-9230

[img]
Preview
PDF (Published_Version) - Published Version
Available under License Creative Commons Attribution.

Download (865kB) | Preview

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.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Social Sciences > School of Law
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 11 May 2021 00:14
Last Modified: 12 Jun 2021 12:12
URI: https://ueaeprints.uea.ac.uk/id/eprint/79974
DOI: 10.1002/hec.4286

Actions (login required)

View Item View Item