Death by Market Power: Reform, Competition, and Patient Outcomes in the National Health Service
Death by Market Power: Reform, Competition, and Patient Outcomes in the National Health Service
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DOI：
10.1257/pol.5.4.134
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发表时间：
2013-11-01
影响因子：
5.3
通讯作者：
Propper, Carol
中科院分区：
文献类型：
--
作者：
Gaynor, Martin;Moreno-Serra, Rodrigo;Propper, Carol
竞争对保健质量的影响仍然是一个有争议的问题。大多数经验估计依赖于非实验数据的推断。与此相反，本文利用一个亲竞争的政策改革，提供竞争对医院结果的影响估计。英国政府在2006年推出了一项政策，以促进医院之间的竞争。使用这一政策，以实现差异中的差异研究设计，我们估计的影响，引入竞争不仅对临床结果，而且生产力和支出。我们发现，竞争的效果是在不增加成本的情况下拯救生命。
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from nonexperimental 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. 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. We find that the effect of competition is to save lives without raising costs.