Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms
Bibliographic Data
| ID | 9704600 |
|---|---|
| Authors | Zosia Cooper (0000-0002-3206-9948, London School of Economics and Political Science), Zack Cooper (0000-0003-3270-2464, London School of Economics and Political Science), Stephen Gibbons (0000-0002-2871-8562, London School of Economics and Political Science), Simon Jones (0000-0002-8267-5647, London School of Economics and Political Science), Alistair Mcguire (0000-0002-5367-9841, London School of Economics and Political Science) |
| Year | 2011 |
| Volume | 121 |
| Issue | 554 |
| Pages | F228-F260 |
| Publication date | 2011-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Economic Journal (JOURNAL) |
| Journal identifiers | ISSN: 0013-0133 • E-ISSN: 1468-0297 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1111/j.1468-0297.2011.02449.x |
| PMID | 25821239 |
| PMCID | PMC4373154 |
| OpenAlex | W2148468913 |
| Language | EN |
| Citations received | 48 |
| References cited | 43 |
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
Business · Competition (biology · Difference in differences · Economics · Fell · Quality (philosophy · Test (biology · Global Health Care Issues · Health Services Management and Policy · Healthcare Policy and Management · Medicine
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| Unique citing works | 48 |
|---|---|
| Citations per year | 3,2 |
| Citation span | 2011 - 2025 (15) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 48 |