For-profit vs. nonprofit : strategies of competition and collaboration in the continuing care industry
Abstract/Contents
- Abstract
- Few changes in the organization of healthcare in the United States have stimulated more interest and alarm than the rise of a new form of entrepreneurism -- Investor-owned, for-profit organizations that provide health services as a business. Although ours is a predominantly capitalistic society, there have long been concerns about the possible adverse or pernicious effects of profit motivations in healthcare. The majority of the previous empirical studies comparing performance between for-profit and nonprofit healthcare providers suggested that nonprofit providers were superior. However, few studies focus specifically on the continuing care providers. In this dissertation, I first examine the impact of ownership status ─ for-profit vs. nonprofit ─ on occupancy rate, price, and quality of service in the continuing care industry through an empirical study in California. In this empirical study, I collect data from the California Department of Social Services (CDSS) and on-site interviews in 26 Continuing Care Retirement Communities (CCRCs) in California. In the second part of this dissertation, I set up a two-sided market framework to model the competition between for-profit and nonprofit CCRCs. CCRCs serve as platforms that link together residents on one side and service providers on the other side. By highlighting this two-sided market structure, my model provides new insights to understand the increase in for-profit CCRC's market shares observed in the last decade in the US. Also, the modeling results can help the management in for-profit and nonprofit CCRCs better understand their different strategic positions and assist in their decision-making for market competition and collaboration. In the final chapter of the dissertation, I investigate how these lessons learned from the senior care industry in the U.S. can be adapted to the different cultural and social backgrounds in developing countries such as China, which is emerging as an aging society and has recently started planning and building its senior care infrastructure.
Description
| Type of resource | text |
|---|---|
| Form | electronic; electronic resource; remote |
| Extent | 1 online resource. |
| Publication date | 2016 |
| Issuance | monographic |
| Language | English |
Creators/Contributors
| Associated with | Fan, Chengcheng |
|---|---|
| Associated with | Stanford University, Department of Management Science and Engineering. |
| Primary advisor | Tse, Edison |
| Thesis advisor | Tse, Edison |
| Thesis advisor | Katila, Riitta |
| Thesis advisor | Weyant, John P. (John Peter) |
| Advisor | Katila, Riitta |
| Advisor | Weyant, John P. (John Peter) |
Subjects
| Genre | Theses |
|---|
Bibliographic information
| Statement of responsibility | Chengcheng Fan. |
|---|---|
| Note | Submitted to the Department of Management Science and Engineering. |
| Thesis | Thesis (Ph.D.)--Stanford University, 2016. |
| Location | electronic resource |
Access conditions
- Copyright
- © 2016 by Chengcheng Fan
- License
- This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).
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