Competition and Quality: Evidence from the NHS Internal Market 1991-1999

Simon Burgess (), Denise Gossage and Carol Propper

The Centre for Market and Public Organisation from The Centre for Market and Public Organisation, University of Bristol, UK

Abstract: Payer-driven competition has been widely advocated as a means of increasing efficiency in health care markets. The 1990s reforms to the UK health service followed this path. We examine whether competition led to better outcomes for patients, as measured by death rates after treatment following heart attacks. We exploit differences in competition over time and space to identify the impact of competition. Using data on mortality as a measure of hospital quality and exploiting the policy change during the 1990s, we find that the relationship between competition and quality of care appears to be negative.

Keywords: competition; health care; mortality; quality of care (search for similar items in EconPapers)
JEL-codes: H4 I1 L8 (search for similar items in EconPapers)
Pages: 45 pages
Date: 2003-05
New Economics Papers: this item is included in nep-com, nep-hea and nep-mfd
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://www.bris.ac.uk/Depts/CMPO/workingpapers/wp77.pdf (application/pdf)
Our link check indicates that this URL is bad, the error code is: 404 Not Found (http://www.bris.ac.uk/Depts/CMPO/workingpapers/wp77.pdf [302 Moved Temporarily]--> https://www.bris.ac.uk/Depts/CMPO/workingpapers/wp77.pdf [301 Moved Permanently]--> https://www.bristol.ac.uk/Depts/CMPO/workingpapers/wp77.pdf [301 Moved Permanently]--> http://www.bristol.ac.uk/cmpo/publications/papers/2003/wp77.pdf [302 Moved Temporarily]--> https://www.bristol.ac.uk/cmpo/publications/papers/2003/wp77.pdf)

Related works:
Working Paper: Competition and Quality: Evidence from the NHS Internal Market 1991-1999 (2003)
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:bri:cmpowp:03/077

Access Statistics for this paper

More papers in The Centre for Market and Public Organisation from The Centre for Market and Public Organisation, University of Bristol, UK Contact information at EDIRC.
Bibliographic data for series maintained by ().