Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
نویسندگان
چکیده
منابع مشابه
Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms*
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) improv...
متن کاملDoes Hospital Competition Save Lives? Evidence From The Recent English NHS Choice Reforms
This paper examines whether or not hospital competition in a market with fixed reimbursement prices can prompt improvements in clinical quality. In January 2006, the British government introduced a major extension of their market-based reforms to the English National Health Service. From January 2006 onwards, every patient in England could choose their hospital for secondary care, and hospitals...
متن کاملNo evidence that patient choice in the NHS saves lives.
The Health and Social Care Bill 2011 has been framed to abolish direct parliamentary control and public accountability for the National Health Service (NHS) in England. In the face of enormous public opposition to the Bill, the UK Government stood down the legislative process between April and June, 2011. Prime Minister David Cameron used the temporary pause to advance the case for the Bill and...
متن کاملDoes Hospital Competition Improve Efficiency? An Analysis of the Recent Market-Based Reforms to the English NHS
This paper uses a difference-in-difference estimator to test whether the introduction of patient choice and hospital competition in the English NHS in January 2006 has prompted hospitals to become more efficient. Efficiency was measured using hospitals’ average length of stay (LOS) for patients undergoing elective hip replacement. LOS was broken down into its two key components: the time from a...
متن کاملDoes Medicare save Lives?
Health insurance characteristics shift at age 65 as most people become eligible for Medicare. We measure the impacts of these changes on patients who are admitted to hospitals through emergency departments for conditions with similar admission rates on weekdays and weekends. The age profiles of admissions and comorbidities for these patients are smooth at age 65, suggesting that the severity of...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: The Economic Journal
سال: 2011
ISSN: 0013-0133,1468-0297
DOI: 10.1111/j.1468-0297.2011.02449.x