荷兰混合长期护理市场的市场扭曲:探索性分析
Yvonne Krabbe-Alkemade1, Peter Makai2,3, Marcel Canoy1,2
1School of Business and Economics, https://ror.org/008xxew50Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Health economics, policy, and law
|November 12, 2025
概括
在荷兰的长期护理市场上,营利性提供者与非营利性提供者相比,没有增加风险选择,升级或质量降低. 这表明,仅仅是所有权类型可能不会导致市场扭曲.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 老年学是指老年学的学科.
背景情况:
- 混合医疗保健市场可以提高福利,但容易受到扭曲.
- 国际文献表明,长期护理市场存在扭曲.
- 荷兰市场的特点是非营利性住房养老院和越来越多的营利性进入,包括私募股权 (PE).
研究的目的:
- 调查荷兰机构长期护理部门潜在的市场扭曲情况.
- 为了比较营利性 (PE-owned) 和非营利性提供者在风险选择,升级和护理质量方面.
- 确定所有权类型是否影响荷兰长期护理市场的扭曲.
主要方法:
- 对70岁以上痴呆症患者的2017-2021年索赔数据的分析.
- 使用多项逻辑和考克斯比例危险模型.
- 提供者类型之间的风险选择,升级和护理质量 (可避免的住院,死亡率) 的比较.
主要成果:
- 没有证据表明营利性提供商增加了风险选择.
- 没有证据表明营利性提供商的升级率更高.
- 与非营利性机构相比,营利性机构的护理质量 (住院,死亡率) 没有证据表明较低.
结论:
- 荷兰机构长期护理市场没有强有力的证据表明基于所有权类型的扭曲.
- 这些发现与国际文献形成鲜明对比,表明其他因素,如护理设置和融资更有影响.
- 单独的所有权类型可能不是这个市场不利激励的主要驱动因素.
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