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

Carol Propper, Simon Burgess () and Denise Abraham

No 169, Royal Economic Society Annual Conference 2003 from Royal Economic Society

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. 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)
Date: 2003-06-04
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Citations: View citations in EconPapers (5)

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Working Paper: Competition and Quality: Evidence from the NHS Internal Market 1991-1999 (2003)
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