Financial Incentives and Competitive Pressure: The Case of the Hospital Industry
研究法国非营利医院在监管改革后面临更强财务激励和竞争压力的反应，发现它们增加了手术量但整体行业活动未膨胀，且非营利医院财务状况恶化。
Abstract In the late 2000s, a regulatory reform dramatically strengthened the incentives of French nonprofit (NP) hospitals to attract patients. Exploiting exhaustive data for surgery treatments between 2005 and 2008, and modeling hospitals as supplying utility to patients, we show that increased competitive pressure on NP hospitals caused them to perform more procedures, but did not inflate overall activity at the industry level. Although they have gained market shares over their for-profit (FP) counterparts, NP hospitals have been significantly worse off after the reform. To adjust to stronger financial incentives, they incurred an additional effort (pecuniary and non-pecuniary costs) equivalent to about a quarter of their annual revenue.