Huge underinvestment increases the need for private borrowing in the German hospital sector, the access to which is partly determined by the probability of default (PD) of individual hospitals. Using ordinary least squares and quantile regression techniques this paper provides first empirical...

In times of peak demand hospitals may fail to deliver the high standard of treatment quality that they are able to offer their patients at regular times. To assess the magnitude of these effects, this study analyzes the effects of low staff-to-patients ratios on patient outcomes empirically. We...

The objective of this paper is to identify selected forces of the decrease in the number of avoidable deaths from ischaemic heart diseases (IHD) inWest and East Germany from 1996 to 2004. Our main result reveals that the number of intracardiac catheter facilities,which are an important...

This paper investigates the relationship between health outcomes and variations in staffing levels as approximated by admissions on weekdays versus admissions on weekends. Because days of admission are potentially endogenous, we instrument on emergency admissions only, which are reasonably...

This paper considers the role of ownership form for the financial performance of German acute care hospitals and its development over time. We measure financial performance by a hospital-specific yearly probability of default (PD). Using a panel of hospital data, our models allow for state...

Over the last 20 years, acute care hospitals in most OECD have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership form respond to changes in demand and are probably best suited to deal with existing...

This paper shows that patients with private health insurance (PHI) are being offered significantly shorter waiting times than patients with statutory health insurance (SHI) in German acute hospital care. This behavior may be driven by the higher expected profitability of PHI relative to SHI...

Vor dem Hintergrund des sich in Deutschland vollziehenden demographischen Wandels steht das deutsche Gesundheitswesen vor großen Herausforderungen. Dies betrifft in besonderem Maße die im Rahmen der Gesetzlichen Krankenversicherung erbrachte Versorgung mit Gesundheitsleistungen. Während die...

Seit 2004 haben die ADMED GmbH und das RWI Essen mit verschiedenen Veröffentlichungen, unter anderem der Krankenhaus Rating Report, einen wichtigen Beitrag zu mehr Transparenz über die wirtschaftliche Lage des deutschen Gesundheitssystems, insbesondere im Krankenhausbereich, geleistet. Weniger...

Die Ökonomisierung des Gesundheitswesens und somit auch des Krankenhausmarktes macht sich seit Beginn der neunziger Jahre verstärkt in der Eigentümerstruktur der Krankenhäuser bemerkbar (Neubauer 1999). Sie äußert sich u. a. in einer Verschiebung der Anteile an der Versorgung aller...