| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w18574 |
| 来源ID | Working Paper 18574 |
| Free to Choose? Reform and Demand Response in the English National Health Service | |
| Martin Gaynor; Carol Propper; Stephan Seiler | |
| 发表日期 | 2012-11-29 |
| 出版年 | 2012 |
| 语种 | 英语 |
| 摘要 | The impacts of choice in public services are controversial. We exploit a reform in the English National Health Service to assess the impact of relaxing constraints on patient choice. We estimate a demand model to evaluate whether increased choice increased demand elasticity faced by hospitals with regard to clinical quality and waiting time for an important surgical procedure. We find substantial impacts of the removal of restrictions. Patients became more responsive to clinical quality. Sicker patients and better informed patients were more affected. We leverage our model to calculate potential benefits. We find increased demand responsiveness led to a significant reduction in mortality and an increase in patient welfare. The elasticity of demand faced by hospitals increased post-reform, giving hospitals potentially large incentives to improve their quality of care and find suggestive evidence that hospitals responded strongly to the enhanced incentives due to increased demand elasticity. The results suggests greater choice can enhance quality. |
| 主题 | Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health ; Industrial Organization ; Market Structure and Firm Performance ; Nonprofits |
| URL | https://www.nber.org/papers/w18574 |
| 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/576249 |
| 推荐引用方式 GB/T 7714 | Martin Gaynor,Carol Propper,Stephan Seiler. Free to Choose? Reform and Demand Response in the English National Health Service. 2012. |
| 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 | ||
| w18574.pdf（528KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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