This study shows how spatial information about product supply and dema
nd can be used to determine the geographic extent of markets. It demon
strates that markets thus defined allow finer-grained measurement of c
ompetitive conditions than is possible using conventional approaches.
Two procedures are developed and contrasted: one, called a natural mar
ket approach, is drawn from the Industrial Organization economics lite
rature; the second, called an enactment approach, is associated with t
he open systems perspective on organizations. Applied to a set of hosp
itals in the San Francisco Bay area, geographic market boundaries esta
blished in these ways are shown to lead to finely defined markets, and
to reveal strong variation in competitive conditions across the area-
variation not detectable if conventional approaches to market definiti
on are used. It is shown that these approaches have applications beyon
d geographic market definition, and can also be applied to define mark
ets in terms of product or service types.