Moscelli, Giuseppe, Gravelle, Hugh Stanley Emrys orcid.org/0000-0002-7753-4233, Siciliani, Luigi orcid.org/0000-0003-1739-7289 et al. (1 more author) (2017) The effect of hospital ownership on quality of care:evidence from England. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York
Abstract
We investigate whether quality of care differs between public and private hospitals in England with data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospitalsites. Private hospitals treat patients with fewer comorbidities and past hospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. Conversely, after instrumenting the choice of hospital type by the difference in distances from the patient to the nearest public and the nearest private hospital, the effect of ownership is smaller and statistically insignificant. Similar results are obtained with coarsened exact matching. We also find no quality differences between hospitals specialising in planned treatments and other hospitals, nor between for-profit and not-for-profit private hospitals. Our results show the importance of controlling for unobserved patient heterogeneity when comparing quality of public and private hospitals.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | ownership,hospital,quality,choice,distance,Endogeneity |
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) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 12 Sep 2018 09:00 |
Last Modified: | 16 Oct 2024 11:36 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135412 |
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