Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform

Detalhes bibliográficos
Autor(a) principal: Brekke, Kurt R.
Data de Publicação: 2018
Outros Autores: Canta, Chiara, Siciliani, Luigi, Straume, Odd Rune
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://hdl.handle.net/1822/60739
Resumo: We study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference research design due to geographical variation in the scope for competition. Using rich administrative data covering the universe of NHS hospital admissions from 1998 to 2005, we find that hospitals in more competitive areas have a sharper reduction in AMI mortality, readmissions, and length of stay than hospitals in less competitive areas. These results indicate that competition improves patient health outcomes and hospital cost efficiency, even in the Norwegian NHS with large distances, low fixed treatment prices, and mainly public hospitals.
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spelling Hospital Competition in the National Health Service: Evidence from a Patient Choice ReformPatient ChoiceHospital CompetitionQualityCost-efficiencyCiências Sociais::Economia e GestãoWe study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference research design due to geographical variation in the scope for competition. Using rich administrative data covering the universe of NHS hospital admissions from 1998 to 2005, we find that hospitals in more competitive areas have a sharper reduction in AMI mortality, readmissions, and length of stay than hospitals in less competitive areas. These results indicate that competition improves patient health outcomes and hospital cost efficiency, even in the Norwegian NHS with large distances, low fixed treatment prices, and mainly public hospitals.COMPETE, QREN, PORTUGAL 2020, Fundação para a Ciência e Tecnologia (FCT)Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)Universidade do MinhoBrekke, Kurt R.Canta, ChiaraSiciliani, LuigiStraume, Odd Rune2018-122018-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/60739enghttps://www.eeg.uminho.pt/pt/investigar/nipe/Paginas/publicacoes.aspxinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:45:40Zoai:repositorium.sdum.uminho.pt:1822/60739Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:43:32.398296Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
title Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
spellingShingle Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
Brekke, Kurt R.
Patient Choice
Hospital Competition
Quality
Cost-efficiency
Ciências Sociais::Economia e Gestão
title_short Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
title_full Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
title_fullStr Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
title_full_unstemmed Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
title_sort Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform
author Brekke, Kurt R.
author_facet Brekke, Kurt R.
Canta, Chiara
Siciliani, Luigi
Straume, Odd Rune
author_role author
author2 Canta, Chiara
Siciliani, Luigi
Straume, Odd Rune
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Brekke, Kurt R.
Canta, Chiara
Siciliani, Luigi
Straume, Odd Rune
dc.subject.por.fl_str_mv Patient Choice
Hospital Competition
Quality
Cost-efficiency
Ciências Sociais::Economia e Gestão
topic Patient Choice
Hospital Competition
Quality
Cost-efficiency
Ciências Sociais::Economia e Gestão
description We study the impact of exposing hospitals in a National Health Service (NHS) to non-price competition by exploiting a patient choice reform in Norway in 2001. The reform facilitates a difference-in-difference research design due to geographical variation in the scope for competition. Using rich administrative data covering the universe of NHS hospital admissions from 1998 to 2005, we find that hospitals in more competitive areas have a sharper reduction in AMI mortality, readmissions, and length of stay than hospitals in less competitive areas. These results indicate that competition improves patient health outcomes and hospital cost efficiency, even in the Norwegian NHS with large distances, low fixed treatment prices, and mainly public hospitals.
publishDate 2018
dc.date.none.fl_str_mv 2018-12
2018-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://hdl.handle.net/1822/60739
url https://hdl.handle.net/1822/60739
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.eeg.uminho.pt/pt/investigar/nipe/Paginas/publicacoes.aspx
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)
publisher.none.fl_str_mv Universidade do Minho. Núcleo de Investigação em Políticas Económicas (NIPE)
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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