The hospital service sector and inflation.
Item
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Title
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The hospital service sector and inflation.
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Identifier
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AAI8914767
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identifier
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8914767
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Creator
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Jones, Kristine.
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Contributor
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Adviser: Michael Grossman
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Date
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1988
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Language
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English
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Publisher
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City University of New York.
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Subject
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Economics, Commerce-Business | Health Sciences, Health Care Management
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Abstract
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The primary aim of this dissertation is to construct a model of the hospital sector capable of testing various hospital inflation theories. The central theme is that hospital inflation may be a consequence of excess demand for hospital services. The initial argument suggests that the nature of medical services, in this case, hospital services, is such that physicians have sufficient influence on consumers to shift the demand schedule in their own behalf. Next, it is argued, that under some conditions, physicians would benefit from a market characterized by excess demand for hospital services. For instance, the existence of excess demand frees the physician from merely treating those patients who can afford the total costs associated with a stay in a hospital. At a price less than market-clearing, physicians may opt to treat those patients that satisfy their particular taste for risk. Finally, the period following a period with excess demand is likely to experience a price increase.;A secondary aim of the dissertation is to derive a maximum likelihood function for the proposed hospital sector model. The market model is atypical since it does not contain a market clearing equation, but an equation which equates the observed number of hospital admissions with the minimum of quantity demanded or quantity supplied. A nuance of the model is that it is never known whether the observed number of admissions in corresponding with quantity demanded, quantity supplied or both. As a result, the model can be treated as an endogenous switching model, with unknown switching. Given the model's design, the likelihood function has the form of a bivariate probit search function.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.