Cooper, Zack, Gibbons, Stephen, Jones, Simon and McGuire, Alistair (2011) Does hospital competition save lives?: evidence from the English NHS patient choice reforms. The economic journal, 121 (554). F228-F260. ISSN 0013-0133
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 |
| Uncontrolled Keywords: | health care, quality, competition, choice, incentives, reimbursement |
| 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/rights/LSERO.htm |
| URL: | http://eprints.lse.ac.uk/45167/ |
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