Cooper, Zack, Gibbons, Stephen 
ORCID: 0000-0002-2871-8562, Jones, Simon and McGuire, Alistair ORCID: 0000-0002-5367-9841
(2011)
Does hospital competition save lives? Evidence from the English NHS patient choice reforms.
The 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. The Economic Journal published by John Wiley & Sons Ltd on behalf of Royal Economic Society. |
| Divisions: | Social Policy LSE Health Geography & Environment |
| Subjects: | H Social Sciences > HB Economic Theory R Medicine > RA Public aspects of medicine |
| JEL classification: | 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 |
| Date Deposited: | 07 Aug 2012 13:03 |
| Last Modified: | 01 Nov 2024 05:22 |
| Funders: | London School of Economics and Political Science PhD Studentship, Economic and Social Research Council (ESRC) Postdoctoral Fellowship |
| URI: | http://eprints.lse.ac.uk/id/eprint/45167 |
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