Entrepreneurship and subjective vs objective institutional performance: A decade of US hospital data

Type
journal article
Date Issued
2022-10-31
Author(s)
Shelby Meek
;
DOI
Abstract
Regional entrepreneurial activity can importantly affect the performance of local public service institutions. Yet, the literature explaining these relationships suffers from five methodological challenges: 1) inferred direction of influence; 2) unavailability of representative data; 3) blurring of objective and subjective performance; 4) a lack of longitudinal data; 5) and a lack of fine-grained regional data. This paper relies on a rich dataset from the ubiquitous institution of hospitals to explore these effects and overcome these challenges. We discriminate between objective and subjective institutional performance, suggesting that both performance categories deserve empirical attention, and may react differently to entrepreneurship. Our empirical approach applies econometric, mixed-effects regression models to a novel longitudinal dataset representing the entire hospital population in over 3000 U.S. counties between 2006 and 2018 merged with two sources of entrepreneurial activity at the county level. Interestingly, the results suggest divergent relationships: regional entrepreneurial activity positively affects objective institutional performance and also negatively affects subjective performance. Further, an institution's research designation attenuates the effect on subjective performance. These findings suggest that institutional performance is an often-overlooked byproduct of regional entrepreneurial activity and offer significant theoretical and policy implications.
Language
English
HSG Classification
contribution to scientific community
Publisher
Elsevier
Volume
51
Official URL
https://www.sciencedirect.com/science/article/pii/S0048733322001731/pdfft?crasolve=1&r=8a73d9986a79881d&ts=1721655704641&rtype=https&vrr=UKN&redir=UKN&redir_fr=UKN&redir_arc=UKN&vhash=UKN&host=d3d3LnNjaWVuY2VkaXJlY3QuY29t&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&re=X2JsYW5rXw%3D%3D&ns_h=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ns_e=X2JsYW5rXw%3D%3D&rh_fd=rrr)n%5Ed%60i%5E%60_dm%60%5Eo)%5Ejh&tsoh_fd=rrr)n%5Ed%60i%5E%60_dm%60%5Eo)%5Ejh&iv=094d2216c1ca5d8c7006df061525dc13&token=37643462303234326335393830346537613935316333383335656235616665336639613864663265323037633132643835646439313765376564663739636630386333313736336539613464653833656538363736653862313861666463626236326635653033633a373937613330663337366237616430663139316232616335&text=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&original=3f636173615f746f6b656e3d6d52544b61695a624961594141414141253341794b6f6f59305a646771546d78473732706e47775145494a58313362527677674754634c4e3449656743363639544b35435f45547735524859334b4a4938475064386e4d453570505177266d64353d3564313836383065343036613931383662356361373039633538643938393961267069643d312d73322e302d53303034383733333332323030313733312d6d61696e2e706466
URL
Contact Email Address
matthias.tietz@unisg.ch
File(s)
Thumbnail Image
Name

Meek, Tietz, 2022, ResPol, Entrepreneurship and subjective vs objective institutional performance - A decade of US hospital data.pdf

Size

3.02 MB

Format

Adobe PDF

Checksum (MD5)

f0b91ef853f4d0e99c4ae4e13278ee16