33 Pages Posted: 24 Jul 2011
Date Written: August 2011
Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference‐in‐difference‐style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after these reforms came into force in 2006. We find that after the reforms were implemented, mortality fell (i.e. quality improved) for patients living in more competitive markets. Our results suggest that hospital competition can lead to improvements in hospital quality.
Suggested Citation: Suggested Citation
Cooper, Zack and Gibbons, Stephen and Jones, Simon and McGuire, Alistair, Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms (August 2011). The Economic Journal, Vol. 121, Issue 554, pp. F228-F260, 2011. Available at SSRN: https://ssrn.com/abstract=1892629 or http://dx.doi.org/10.1111/j.1468-0297.2011.02449.x
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