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

Cooper, Z, Gibbons, S, Jones, Simon and Mcguire, A (2011) Does hospital competition save lives? Evidence from the English NHS patient choice reforms Economic Journal, 121 (554).

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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. © 2011 The Author(s). The Economic Journal © 2011 Royal Economic Society.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences > Surrey Business School
Authors :
Cooper, Z
Gibbons, S
Mcguire, A
Date : August 2011
DOI : 10.1111/j.1468-0297.2011.02449.x
Copyright Disclaimer : The definitive version is available at
Depositing User : Symplectic Elements
Date Deposited : 23 Jun 2017 16:13
Last Modified : 06 Jul 2019 05:11

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