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

Espuny Pujol, Ferran, Hancock, Ruth ORCID: 0009-0005-9260-4120, 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 (United Kingdom), 30 (8). 1886 - 1909. ISSN 1057-9230

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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
Official URL:	https://onlinelibrary.wiley.com/journal/10991050
Additional Information:	© 2021 The Authors
Divisions:	Care Policy and Evaluation Centre
Subjects:	H Social Sciences > HC Economic History and Conditions H Social Sciences > HF Commerce
Date Deposited:	01 Dec 2021 18:24
Last Modified:	09 Nov 2024 06:42
URI:	http://eprints.lse.ac.uk/id/eprint/112780

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