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Does hospital competition save lives?: evidence from the English NHS patient choice reforms

Cooper, Zack, Gibbons, Stephen, Jones, Simon and McGuire, Alistair (2011) Does hospital competition save lives?: evidence from the English NHS patient choice reforms. Economic Journal, 121 (554). F228-F260. ISSN 0013-0133

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Abstract

Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after these reforms came into force in 2006. We find that after the reforms were implemented, mortality fell (i.e. quality improved) for patients living in more competitive markets. Our results suggest that hospital competition can lead to improvements in hospital quality.

Item Type: Article
Official URL: http://www.res.org.uk/view/economichome.html
Additional Information: © 2011 The Authors
Library of Congress subject classification: H Social Sciences > HB Economic Theory
R Medicine > RA Public aspects of medicine
Journal of Economic Literature Classification System: L - Industrial Organization > L1 - Market Structure, Firm Strategy, and Market Performance
R - Urban, Rural, and Regional Economics > R0 - General
I - Health, Education, and Welfare > I1 - Health
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Departments > Geography and Environment
Collections > Economists Online
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 07 Aug 2012 13:03
URL: http://eprints.lse.ac.uk/45167/

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