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http://ssrn.com/abstract=1738924
 
 

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The Effect of Competition on Process and Outcome Quality within Hospital Care in the Netherlands


Michiel J. Bijlsma


CPB Netherlands Bureau of Economic Policy Analysis; Tilburg Law and Economics Center (TILEC)

Pierre Koning


CPB Netherlands Bureau of Economic Policy Analysis

Victoria Shestalova


Netherlands Bureau for Economic Policy Analysis

January 12, 2011

TILEC Discussion Paper No. 2011-002

Abstract:     
This study examines the impact of competition on hospital quality. Our panel covers all Dutch hospitals in the period 2004–2008, in which the transparency of hospital quality information increased substantially. The paper contributes to the existing literature by including both outcome and process indicators of quality. We find that competition explains the cross-sectional differences in process indicators, but not in outcome indicators. In particular, more competition in the hospital’s catchment area leads to more operation cancellations at short notice and more delays of hip fracture injury operations for elderly patients. Both results suggest that competition increases the utilization of operation capacity. At the same time, hospitals that face more competition perform check-ups for chronic patients more frequently and organize diagnostic processes more efficiently.

Number of Pages in PDF File: 51

Keywords: competition in healthcare, quality, voluntary disclosure

JEL Classification: I1, L1

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Date posted: January 12, 2011  

Suggested Citation

Bijlsma, Michiel J. and Koning, Pierre and Shestalova, Victoria, The Effect of Competition on Process and Outcome Quality within Hospital Care in the Netherlands (January 12, 2011). TILEC Discussion Paper No. 2011-002. Available at SSRN: http://ssrn.com/abstract=1738924 or http://dx.doi.org/10.2139/ssrn.1738924

Contact Information

Michiel J. Bijlsma (Contact Author)
CPB Netherlands Bureau of Economic Policy Analysis ( email )
P.O. Box 80510
2508 GM The Hague, 2585 JR
Netherlands
Tilburg Law and Economics Center (TILEC)
Warandelaan 2
Tilburg, 5000 LE
Netherlands
Pierre Koning
CPB Netherlands Bureau of Economic Policy Analysis ( email )
P.O. Box 80510
2508 GM The Hague, 2585 JR
Netherlands
+31 703383380 (Phone)
+31 703383350 (Fax)
Victoria Shestalova
Netherlands Bureau for Economic Policy Analysis ( email )
2508 GM The Hague
Netherlands
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