Death by market power : reform, competition and patient outcomes in the national health service PDF Download

Author: Martin Gaynor
Publisher:
ISBN:
Category : Competition
Languages : en
Pages : 56

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Book Description
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Patients were given choice of location for hospital care and provided information on the quality and timeliness of care. Prices, previously negotiated between buyer and seller, were set centrally under a DRG type system. Using this policy to implement a difference-in-differences research design we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. Our data set is large, containing information on approximately 68,000 discharges per year per hospital from 162 hospitals. We find that the effect of competition is to save lives without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less likely to die, had shorter length of stay and were treated at the same cost.

Author: Martin Gaynor
Publisher:
ISBN:
Category :
Languages : en
Pages : 68

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Book Description
The effect of competition on the quality of health care remains a contested issue. Most empirical estimates rely on inference from non-experimental data. In contrast, this paper exploits a pro-competitive policy reform to provide estimates of the impact of competition on hospital outcomes. The English government introduced a policy in 2006 to promote competition between hospitals. Using this policy to implement a difference-in-differences research design, we estimate the impact of the introduction of competition on not only clinical outcomes but also productivity and expenditure. We find that the effect of competition is to save lives without raising costs.

Author: Andrew M. Jones
Publisher:
ISBN: 9781788119801
Category : Electronic books
Languages : en
Pages : 928

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Book Description
"This important collection gathers the most influential literature in the area of empirical health economics. Health economics provides empirical evidence to aid decision-making across a broad spectrum of issues in health and health care. This evidence is often derived from econometric methods. This title brings together landmark contributions to the development and application of these methods which span the field, ranging from structural models, models for health care costs and other microeconometric approaches, including bayesian methods, longitudinal data, applications to health technology assessment, along with field experiments and policy evaluation. Prefaced by an original introduction from the editor, this collection will be of interest to economic researchers and students as well as health scholar's wishing to explore the development of modern econometrics applied to health policy"--

Author: Martin Gaynor
Publisher: Now Publishers Inc
ISBN: 1601980078
Category : Business & Economics
Languages : en
Pages : 83

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Book Description
Provides an economic assessment of the impact of competition on quality in health care markets. This book offers performance standards for competition; findings from economic theory; and, empirical evidence on health care competition and quality.

Author: Mark V. Pauly
Publisher: Elsevier
ISBN: 0444535926
Category : Business & Economics
Languages : en
Pages : 1149

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Book Description
"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].

Author: Anna Dixon
Publisher:
ISBN: 9781857175967
Category : Medical care
Languages : en
Pages : 195

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Book Description
Based on a study in four areas in England, this report examines how choice of provider in the NHS is operating in practice and what impact patient choice is having on hospital providers.

Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
ISBN: 1587634333
Category : Medical
Languages : en
Pages : 385

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Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Author: Deborah HAAS-WILSON
Publisher: Harvard University Press
ISBN: 0674038118
Category : Business & Economics
Languages : en
Pages : 251

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Book Description
As millions of Americans are aware, health care costs continue to increase rapidly. Much of this increase in health care costs is due to the development of new life-sustaining drugs and procedures, but part of it is due to the increased monopoly power of physicians, insurance companies, and hospitals, as the health care sector undergoes reorganization and consolidation. There are two tools to limit the growth of monopoly power: government regulation and antitrust policy. In this timely book, Deborah Haas-Wilson argues that enforcement of the antitrust laws is the tool of choice in most cases. Focusing on the economic concepts necessary to the enforcement of the antitrust laws in health care markets, Haas-Wilson provides a useful roadmap for guiding the future of these markets.

Author: Greener, Ian
Publisher: Policy Press
ISBN: 1447329996
Category : Medical
Languages : en
Pages : 230

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Book Description
NHS reform continues to be a topical yet contentious issue in the UK. Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics. It explores work considering the Conservative internal market of the 1990s and New Labour's healthcare reorganizations, including its attempts at performance management and the reintroduction of market-based reform from 2004 to 2010. It then considers the implications of this research for current debates about healthcare reorganization in England, and internationally. As the most up-to-date summary of what research says works in English healthcare reform, this essential review is aimed at anyone interested in the wide-ranging debates about health reorganization, but especially students and academics interested in social policy, public management and health policy.

Author: Badi H. Baltagi
Publisher: Emerald Group Publishing
ISBN: 1787145425
Category : Business & Economics
Languages : en
Pages : 406

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Book Description
This volume covers a wide range of existing and emerging topics in applied health economics, including behavioural economics, medical care risk, social insurance, discrete choice models, cost-effectiveness analysis, health and immigration, and more.