Corresponding author: Zack Cooper, The Centre for Economic Performance, London School of Economics, Houghton Street, London WC2A 2AE. Email: firstname.lastname@example.org.
Does Hospital Competition Save Lives? Evidence From The English NHS Patient Choice Reforms†
Article first published online: 21 JUL 2011
© 2011 The Author(s). The Economic Journal © 2011 Royal Economic Society
The Economic Journal
Volume 121, Issue 554, pages F228–F260, August 2011
How to Cite
Cooper, Z., Gibbons, S., Jones, S. and McGuire, A. (2011), Does Hospital Competition Save Lives? Evidence From The English NHS Patient Choice Reforms. The Economic Journal, 121: F228–F260. doi: 10.1111/j.1468-0297.2011.02449.x
We would like to thank Hugh Gravelle, Mireia Jofre-Bonet, Julian Le Grand, John Van Reenen, Joan Costa-Font, three anonymous referees and the editorial staff at this Journal for their feedback on earlier drafts of this article. We would also like to thank participants at the various forums where earlier drafts of this article were presented for their valuable contributions. This research was funded by an LSE PhD Studentship and an ESRC Postdoctoral Fellowship. All errors are our own.
- Issue published online: 21 JUL 2011
- Article first published online: 21 JUL 2011
Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style estimator to test whether hospital quality (measured using mortality from acute myocardial infarction) improved more quickly in more competitive markets after these reforms came into force in 2006. We find that after the reforms were implemented, mortality fell (i.e. quality improved) for patients living in more competitive markets. Our results suggest that hospital competition can lead to improvements in hospital quality.