G2TT
来源类型Discussion paper
规范类型论文
来源IDDP9250
DP9250 Free to Choose? Reform and Demand Response in the EnglishNational Health Service
Marty Gaynor; Carol Propper; Stephan Seiler
发表日期2012-12-09
出版年2012
语种英语
摘要The impacts of choice in public services are controversial. We exploit a reform in the English National Health Service to assess the impact of relaxing constraints on patient choice. We estimate a demand model to evaluate whether increased choice increased demand elasticity faced by hospitals with regard to clinical quality and waiting time for an important surgical procedure. We nd substantial impacts of the removal of restrictions. Patients became more responsive to clinical quality. Sicker patients and better informed patients were more aected. We leverage our model to calculate potential benets. We nd increased demand responsiveness led to a signicant reduction in mortality and an increase in patient welfare. The elasticity of demand faced by hospitals increased post-reform, giving hospitals potentially large incentives to improve their quality of care and nd suggestive evidence that hospitals responded strongly to the enhanced incentives due to increased demand elasticity. The results suggests greater choice can enhance quality.
主题Public Economics
关键词Demand estimation Health care reform Patient choice
URLhttps://cepr.org/publications/dp9250
来源智库Centre for Economic Policy Research (United Kingdom)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/538086
推荐引用方式
GB/T 7714
Marty Gaynor,Carol Propper,Stephan Seiler. DP9250 Free to Choose? Reform and Demand Response in the EnglishNational Health Service. 2012.
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