Moscelli, Giuseppe, Gravelle, Hugh Stanley Emrys orcid.org/0000-0002-7753-4233 and Siciliani, Luigi orcid.org/0000-0003-1739-7289 (2019) Effects of market structure and patient choice on hospital quality for planned patients. Discussion Paper. CHE Research paper . Centre for Health Economics, University of York , York, UK.
Abstract
We investigate the change in the effect of market structure on planned hospital quality for three high-volume treatments, using a quasi difference in differences approach based on the relaxation of patient constraints on hospital choice in England. We employ control functions to allow for time-varying endogeneity from unobserved patient characteristics. We find that the choice reforms reduced quality for hip and knee replacement but not for coronary bypass. This is likely due to hospitals making a larger loss on hip and knee replacements, since robustness checks rule out changes in length of stay, new competitors’ entry and hospital-level mortality as possible confounders.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | competition,quality,hospital,choice,endogeneity,difference in difference,control function |
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: | 27 Mar 2019 09:20 |
Last Modified: | 13 Feb 2025 05:35 |
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:144098 |
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