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来源类型Working Paper
规范类型报告
DOI10.3386/w24628
来源IDWorking Paper 24628
Inter-brand Competition in the Convenience Store Industry, Store Accessibility and Healthcare Utilization
Hung-Hao Chang; Chad D. Meyerhoefer
发表日期2018-05-21
出版年2018
语种英语
摘要We investigate the impact of access to convenience stores and competition between convenience store chains on medical care use and expenditures in Taiwan; the country with the highest density of convenience stores in the world. Our study makes use of insurance claims from 0.85 million individuals enrolled in Taiwan’s national health insurance program from 2002-2012 and administrative data on convenience store chain sales. While we find that both greater store accessibility and higher levels of inter-brand competition reduce the use and cost of outpatient medical services and prescription drugs, healthcare utilization is more responsive to changes in competition. Since convenience stores in Taiwan are typically the healthier option for ready-to-eat food, we postulate that the decline in medical care utilization is driven by a reduction in convenience store prices and increase in service quality relative to other food outlets. This is supported by findings from survey data indicating that convenience store competition is associated with greater consumption of more healthy foods, lower consumption of less healthy foods, and decreases in obesity rates. While the effects we find are precisely estimated, they are small in magnitude, with the increase in convenience store competition experienced by Taiwan over a 10-year period reducing medical expenditures on outpatient services and on prescription drugs by around one half of one percent.
主题Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health ; Industrial Organization ; Industry Studies
URLhttps://www.nber.org/papers/w24628
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/582302
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Hung-Hao Chang,Chad D. Meyerhoefer. Inter-brand Competition in the Convenience Store Industry, Store Accessibility and Healthcare Utilization. 2018.
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