全球智库信息集成服务系统(G2TT): DP7880 The Impact of Competition on Management Quality: Evidence from Public Hospitals

G2TT

来源类型	Discussion paper
规范类型	论文
来源ID	DP7880
	DP7880 The Impact of Competition on Management Quality: Evidence from Public Hospitals
	John Van Reenen; Carol Propper; Nicholas Bloom; Stephan Seiler
发表日期	2010-06-01
出版年	2010
语种	英语
摘要	In this paper we examine the causal impact of competition on management quality. We analyze the hospital sector where geographic proximity is a key determinant of competition, and English public hospitals where political competition can be used to construct instrumental variables for market structure. Since almost all major English hospitals are government run, closing hospitals in areas where the governing party has a small majority is rare due to fear of electoral punishment. We find that management quality - measured using a new survey tool - is strongly correlated with financial and clinical outcomes such as survival rates from emergency heart attack admissions (AMI). More importantly, we find that higher competition (as indicated by a greater number of neighboring hospitals) is positively correlated with increased management quality, and this relationship strengthens when we instrument the number of local hospitals with local political competition. Adding another rival hospital increases the index of management quality by one third of a standard deviation and leads to a 10.7% reduction in heart-attack mortality rates.
主题	Industrial Organization ; Public Economics
关键词	Management Hospitals Competition Productivity
URL	https://cepr.org/publications/dp7880
来源智库	Centre for Economic Policy Research (United Kingdom)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/536717
推荐引用方式 GB/T 7714	John Van Reenen,Carol Propper,Nicholas Bloom,et al. DP7880 The Impact of Competition on Management Quality: Evidence from Public Hospitals. 2010.