Exploring the risks of fragmentation in health care markets – An analysis of inpatient care in Georgia

Mari Tvaliashvili, Lela Sulaberidze, Catherine Goodman, Kara Hanson and George Gotsadze

Social Science & Medicine, 2024, vol. 362, issue C

Abstract: Private providers play an important role in health systems in low-and middle-income countries. In many such contexts, markets are characterized by a high number of relatively small private facilities. The potential risks from highly concentrated healthcare markets are well-researched, and feature in the “Theories of Harm” investigated by competition regulators. However, there is limited evidence on markets that exhibit substantial harms as a result of very low concentration. This paper explores the risks associated with such market fragmentation, drawing on the example of Georgia, which has a largely privatized provider network.

Date: 2024
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DOI: 10.1016/j.socscimed.2024.117428

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