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Competition and Quality: Evidence from the NHS Internal Market 1991-9
Oleh:
Propper, Carol
;
Burgess, Simon
;
Gossage, Denise
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Economic Journal (EBSCO) vol. 118 no. 525 (Jan. 2008)
,
page 138-170.
Topik:
NHS Internal Market
;
UK Government
;
AMI Mortality
;
Competitive Market
Fulltext:
138.pdf
(271.75KB)
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
EE28.27
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
This article explits policy change by the UK government to identify the impact of competition on quality. It uses differences in competition over time and space to examine the impact of competition in an environment with limited quality signals in which hospitals competed mainly on price. Using AMI mortality as a measure of hospital quality we find that the relationship between competition and this measure of quality is negative. We also find that competition reduced waiting times. Our results indicate that hospitals in competitive markets reduced unmeasured and unobserved quality in order to improve measured and observed waiting times.
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