Essays on Policy Issues in Non-Pro t Markets
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Authors
Hamel Barker, Eliane
Date
Type
thesis
Language
eng
Keyword
Non-profit markets , Hospitals , Directed mergers , Administered-prices , Charities , CEO compensation , NGOs , Healthcare reform , Closures , Amalgamations , Hospital systems , Choice , Restructuring , Healthcare , Gender pay gap
Alternative Title
Abstract
This dissertation focuses on policy issues in non-profit markets using tools from the industrial organization and labour literatures. The first essay investigates the impact of hospital closures and mergers. We use data on a large wave of directed hospital mergers and closures in the province of Ontario, Canada to investigate the impact of hospital reorganization on patient welfare. We estimate a model of patient hospital choice on data collected before the reorganization, finding that both distance and hospital quality are determinants of choice. The model is then used to understand the short-run and long-run welfare impact of reorganization. Results suggest that cost savings and efficiency are not the only factors to consider when restructuring in settings where patients do not pay for services. Hospital access and quality must be considered. The second essay investigates the market for senior management in the U.S. charities sector. Using charity-level data from 990 Forms filed for the U.S. Internal Revenue Service, we document two new stylized facts not previously documented in the literature. First, we find that female managers are more likely to receive compensation than male managers. Second, conditional on receiving compensation, female managers receive 8% lower total compensation than their male counterparts. We show the gender pay gap is only present in the largest charities (top two quintiles in the revenue distribution). Both findings are robust to the inclusion of charity classification fixed effects (between estimator) and charity fixed effects (within estimator). Our exploration of mechanisms driving the gender pay gap in this context points out a mismatch between pay dispersion and performance dispersion. While pay dispersion across genders is consistent with organizations perceiving male managers as differentiated unlike female managers, and there are no differences in performance dispersion supporting this perception.
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Queen's University's Thesis/Dissertation Non-Exclusive License for Deposit to QSpace and Library and Archives Canada
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Copying and Preserving Your Thesis
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ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.