dc.description.abstract | Due to the difference in objective function of hospital ownerships, it turns out different financial incentives and managements. This paper aims to analysis the relationship among hospital owners, patients’ treatment outcomes and medical utilizations. We concluded the third and the forth stage breast cancer patients in this sample. The data was from Taiwan National Health Insurance and Taiwan Cancer Registry between 2007 and 2012. We control patients’cancer stage, then we used one-year and three-year mortality rates to measure the patients’ treatment outcomes. Additionally, we adopted one-year and three-year medical dot to estimate the patients’medical utilization. Concerning that patients might choose admitted hospital depend on their illness severity, we utilized the two-stage least square model to diminish the sample self-selection bias. The five instruments used in this paper are as following: the numbers of medical center of patients’ house within 30 kilometers, the numbers of regional public hospitals of patients’ house within 30 kilometers, the numbers of regional nonprofit of patients’ house within 30 kilometers, the shortest distance between religious nonprofit medical center and the patient’s house, and the dummy variable which represents if there is any medical colleges in town. The result shows that, compared to the religious nonprofit hospital, the public hospital has a positive significant influence on three-year mortality rate. Furthermore, the public hospital and the general nonprofit hospital have the negative significant influence on one-year and three-year dot. These results prove that the treatment outcomes and medical utilization are affected by hospital ownership. | en_US |