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Choice of hospital: Which type of quality matters?

Gutacker, N, Siciliani, L, Moscelli, Giuseppe and Gravelle, H (2016) Choice of hospital: Which type of quality matters? Journal of Health Economics, 50. pp. 230-246.

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The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
Gutacker, N
Siciliani, L
Gravelle, H
Date : 22 August 2016
DOI : 10.1016/j.jhealeco.2016.08.001
Copyright Disclaimer : © 2016 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (
Uncontrolled Keywords : Quality Demand Healthcare Hospitals Competition Patient reported outcomes
Depositing User : Melanie Hughes
Date Deposited : 13 Mar 2018 09:57
Last Modified : 16 Jan 2019 19:08

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