Patient choice and the effects of hospital market structure on mortality for AMI, hip fracture and stroke patients

Hugh Gravelle, Giuseppe Moscelli, Rita Santos and Luigi Siciliani

No 106cherp, Working Papers from Centre for Health Economics, University of York

Abstract: We examine (a) the effect of market structure on the level of mortality for AMI, hip fracture, and stroke between 2002/3 and 2010/11 and (b) whether this effect changed after the introduction of Choice policy in 2006 which gave patients the right to a wider choice of hospital. For AMI and hip fracture, hospitals with more rivals had higher mortality at the beginning of the period but this effect became smaller over the period. We find that the decline in the detrimental effect of market structure predated the introduction of Choice. Market structure had no effect on stroke mortality.

Keywords: competition; quality; hospital; choice (search for similar items in EconPapers)
JEL-codes: H51 I11 I18 L32 L33 (search for similar items in EconPapers)
Pages: 57 pages
Date: 2014-12
New Economics Papers: this item is included in nep-com and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (10)

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Persistent link: https://EconPapers.repec.org/RePEc:chy:respap:106cherp

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