Effects of Market Structure and Patient Choice on Hospital Quality for Planned Patients

Giuseppe Moscelli, Hugh Gravelle and Luigi Siciliani

No 1118, School of Economics Discussion Papers from School of Economics, University of Surrey

Abstract: We investigate the change in the effect of market structure on planned hospital quality for three high-volume treatments, using a quasi difference-in-differences approach based on the relaxation of patient constraints on hospital choice in England. We employ control functions to allow for time-varying endogeneity from unobserved patient characteristics. We find that the choice reforms reduced quality for hip and knee replacement but not for coronary bypass, This is likely due to hospitals making a larger loss on hip and knee replacements, since robustness checks rule out changes in length of stay, new competitors’ entry and hospital-level mortality as possible confounders.

JEL-codes: H51 I11 I18 L32 L33 (search for similar items in EconPapers)
Pages: 52 pages
Date: 2018-10
New Economics Papers: this item is included in nep-com, nep-eur and nep-hea
References: Add references at CitEc
Citations: View citations in EconPapers (8)

Downloads: (external link)
https://repec.som.surrey.ac.uk/2018/DP11-18.pdf (application/pdf)

Related works:
Working Paper: Effects of market structure and patient choice on hospital quality for planned patients (2019)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:sur:surrec:1118

Access Statistics for this paper

More papers in School of Economics Discussion Papers from School of Economics, University of Surrey Contact information at EDIRC.
Bibliographic data for series maintained by Ioannis Lazopoulos ().