The Impact of Hospital Competition on Maternity Care in the English Hospital Market

Yıl 2018, Cilt: 16 Sayı: 32, 451 - 470, 29.11.2018

Merve Ertok Onurlu

Öz

Abstract

 

The policies
focusing on the improvements in the quality of health care services have become
very popular in recent years. One of the main government policies which can
improve quality in health care can be considered as hospital competition. In
this paper, I examine whether, hospital competition can improve the quality
indicators for maternity care. I investigate whether increasing competition
among NHS (National Health Service) hospitals can lead to any improvements in
rate of 28 days of emergency readmissions, baby’s mortality, rate of elective
c-sections and rates of birth complications at hospital level after 2010 for
England by exploiting a suitable econometric setting (difference in differences
design).  According to the weighted fixed
effects regression, there is some evidence of a reduction in emergency
readmissions rate within 28 days of discharge (1 unit increase in market
concentration measure reduces emergency readmission rate within 28 days of
discharge by almost 0.0004 admissions (per 1000 admissions). 

Anahtar Kelimeler

Analysis of Health Care Markets, Market Concentration, Hospital Competition, Hospital Quality, Applied Econometrics, Weighted Fixed Effects Model

Kaynakça

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