Defining hospital markets – an application to the German hospital sector

Health Economics Review

Table 1 Descriptive statistics of the full sample and on diagnosis based sub-samples

	Number of patients	Number of hospitals	Number of hospital systems	Share of single hospitals (%)	Size of a hospital system (mean)	Size of a hospital system (SD)
Total	16,561,426	1,517	910	45.0	1.67	2.25
*Standard procedures*
Nonsurgical procedures
PNEU**	200,618	1,294	759	42.4	1.70	2.11
STROKE** ¹⁾	274,743	1,287	762	42.9	1.69	2.04
BIRTH	604,436	860	579	52.0	1.49	1.56
Surgical procedures
APP**	68,198	1,108	679	45.8	1.63	1.96
CHOL*	154,667	1,147	687	44.3	1.67	2.08
Orthopaedic surgical procedures
HAP	138,102	1,016	654	49.5	1.55	1.90
KAP	135,236	935	617	51.3	1.52	1.77
HIP***	98,084	1,118	680	45.0	1.64	2.05
ENDO	371,422	1,207	728	44.9	1.66	2.16
*Complex surgical procedures*
AAA	8,210	386	305	69.9	1.27	1.07
CABG ²⁾	35,916	76	62	69.7	1.23	0.73

Notes: For diagnoses market with */**/*** more than 25%/50%/75% of all admissions were emergency admissions; ¹⁾13% of all stroke patients were transferred from another hospital; ²⁾32% of all CABG patients were transferred from another hospital. For all other diagnoses the share of transferred patients was less than 5%. PNEU - pneumonia; APP - appendectomy; CHOL - cholecystectomy; HAP - hip arthroplasty; KAP - knee arthroplasty; HIP - hip fracture; ORTHO - joint category for HAP, KAP and HIP; AAA - intact abdominal aortic aneurysm; CABG - coronary artery bypass surgery.

ISSN: 2191-1991