全球智库信息集成服务系统(G2TT): DP8203 Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service

G2TT

来源类型	Discussion paper
规范类型	论文
来源ID	DP8203
	DP8203 Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service
	Marty Gaynor; Carol Propper; Rodrigo Moreno-Serra
发表日期	2011-01-17
出版年	2011
语种	英语
摘要	The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 160 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.
主题	Public Economics
关键词	Competition Hospitals Quality
URL	https://cepr.org/publications/dp8203
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/537039
推荐引用方式 GB/T 7714	Marty Gaynor,Carol Propper,Rodrigo Moreno-Serra. DP8203 Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service. 2011.