Gutacker, Nils orcid.org/0000-0002-2833-0621, Siciliani, Luigi orcid.org/0000-0003-1739-7289, Moscelli, Giuseppe et al. (1 more author) (2016) Choice of hospital:which type of quality matters? Journal of Health Economics. pp. 230-246. ISSN 0167-6296
Abstract
The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Published by Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months |
Keywords: | quality,demand,healthcare,hospitals,competition,patient reported outcomes,Competition,Demand,Hospitals,Patient reported outcomes,Quality,Healthcare,Hospitals/standards,State Medicine,Choice Behavior,Hospital Mortality,Humans,Arthroplasty, Replacement, Hip,Logistic Models,Quality of Health Care |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) |
Funding Information: | Funder Grant number POLICY RESEARCH PROGRAMME CENTRAL COMMISSIONING FACILITY 103/0001 |
Depositing User: | Pure (York) |
Date Deposited: | 25 Aug 2016 11:22 |
Last Modified: | 16 Oct 2024 13:12 |
Published Version: | https://doi.org/10.1016/j.jhealeco.2016.08.001 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.jhealeco.2016.08.001 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:104097 |
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