Guo Miao, Guo Lei, Li Yang
College of Finance and Statistics, Hunan University, Changsha, China.
School of Government, University of Chinese Academy of Social Science, Beijing, China.
Eur J Health Econ. 2024 Mar;25(2):207-220. doi: 10.1007/s10198-023-01571-0. Epub 2023 Mar 13.
This study investigates whether reliance on monetary donations alters nonprofit firms' behaviors. Specifically, in the hospice industry, a shorter patients' length of stay (LOS) speeds up overall patient turnover, allowing a hospice to serve more patients and expand its donation network. We measure hospices' donation reliance using the donation-revenue ratio, which indicates the importance of donations for revenue structure. By exploiting the supply shifter of donation, we adopt the number of donors as an instrument to control for the potential endogeneity issue. Our result suggests that a one-percentage-point increase in the donation-revenue ratio decreases patient LOS by 8%. Hospices that are more reliant on donations serve patients diagnosed with diseases that have shorter life expectancies to achieve a lower average LOS of all patients' stay. Overall, we find that monetary donations alter the behavior of nonprofit organizations.
本研究调查了对货币捐赠的依赖是否会改变非营利性公司的行为。具体而言，在临终关怀行业，患者较短的住院时长会加快整体患者周转速度，使临终关怀机构能够服务更多患者并扩大其捐赠网络。我们使用捐赠收入比来衡量临终关怀机构对捐赠的依赖程度，该比率表明捐赠对收入结构的重要性。通过利用捐赠的供给转移因素，我们采用捐赠者数量作为工具来控制潜在的内生性问题。我们的结果表明，捐赠收入比每增加一个百分点，患者住院时长就会减少8%。更依赖捐赠的临终关怀机构会为被诊断患有预期寿命较短疾病的患者提供服务，以使所有患者住院的平均时长更低。总体而言，我们发现货币捐赠会改变非营利组织的行为。
