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Author: | Propper, C. Burgess, S. Gossage, D. |
Title: | Competition and quality: Evidence from the NHS internal market 1991-9 |
Journal: | Economic Journal
2008 : JAN, VOL. 118:525, p. 138-170 |
Index terms: | competition quality health service hospitals United Kingdom |
Language: | eng |
Abstract: | This study identifies the impact of competition on quality using policy change by the U.K. government. Differences in competition over time and space are used to explore the impact of competition in an environment with limited quality signals with hospitals competing mainly on price. Using AMI mortality as a measure of hospital quality, it is found that the relationship btw. competition and this measure of quality is negative. Competition is also gound to reduce waiting times. |
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