| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w16164 |
| 来源ID | Working Paper 16164 |
| Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service | |
| Martin Gaynor; Rodrigo Moreno-Serra; Carol Propper | |
| 发表日期 | 2010-07-12 |
| 出版年 | 2010 |
| 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 162 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 | Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Nonprofits |
| URL | https://www.nber.org/papers/w16164 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/573859 |
| 推荐引用方式 GB/T 7714 | Martin Gaynor,Rodrigo Moreno-Serra,Carol Propper. Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Service. 2010. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w16164.pdf（467KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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