The Centre for Market and Public Organisation Extending Choice in English Health Care: the Implications of the Economic Evidence Extending Choice in English Health Care: the Implications of the Economic Evidence
The Centre for Market and Public Organisation Extending Choice in English Health Care: the Implications of the Economic Evidence Extending Choice in English Health Care: the Implications of the Economic Evidence
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市场和公共组织中心 扩展英国医疗保健的选择：经济证据的影响 扩展英国医疗保健的选择：经济证据的影响
DOI：
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发表时间：
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期刊：
影响因子：
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通讯作者：
Simon Burgess
中科院分区：
文献类型：
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作者：
C. Propper;Deborah Wilson;Simon Burgess
CMPO的主要目的是了解公共部门、国家边界和最近私有化的实体内的活动设计，目的是开展研究，评估和通报这些活动的政策。摘要扩大医疗保健的选择范围目前在英国和其他国家的政治家中很受欢迎。那些提倡选择的人诉诸于一个简单的经济论点。竞争压力有助于提高私营企业的效率，而消费者的选择则是提高效率的主要动力。让服务使用者有选择的能力会对保健提供者施加竞争压力，与私营市场类似，它们将提高自己的竞争力以吸引业务。本文对这一假设进行了仔细审查，审查了关于医疗保健选择的理论和经验经济证据。审查认为，目前的英语选择政策的几个相互关联的方面：医院之间的竞争，病人的反应，更多的选择，提供信息和使用固定价格。本文的结论是，竞争既没有强有力的理论支持，也没有实证支持，但在某些情况下，竞争改善了结果。本文最后讨论了这些文献对促进英国NHS竞争的政策的影响。
The principal aim of the CMPO is to develop understanding of the design of activities within the public sector, on the boundary of the state and within recently privatised entities with the objective of developing research in, and assessing and informing policy toward, these activities. Abstract Extending choice in health care is currently popular amongst English, and other, politicians. Those promoting choice make an appeal to a simple economic argument. Competitive pressure helps make private firms more efficient and consumer choice acts as a major driver for efficiency. Giving service users the ability to choose applies competitive pressure to health care providers and, analogously with private markets, they will raise their game to attract business. The paper subjects this assumption to the scrutiny provided by a review of the theoretical and empirical economic evidence on choice in health care. The review considers several interlocking aspects of the current English choice policy: competition between hospitals, the responsiveness of patients to greater choice, the provision of information and the use of fixed prices. The paper concludes that there is neither strong theoretical nor empirical support for competition, but that there are cases where competition has improved outcomes. The paper ends with a discussion of the implications of this literature for policies to promote competition in the English NHS.
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影响因子：
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作者：
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DOI：
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发表时间：
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