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    Divided by choice? Private providers, patient choice and hospital sorting in the English National Health Service

    Beckert, Walter and Kelly, E. (2016) Divided by choice? Private providers, patient choice and hospital sorting in the English National Health Service. In: 2016 International Conference of the Association for Public Policy Analysis and Management (APPAM), 13-14 Jun 2016, London, UK. (Unpublished)

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    Official URL: http://www.appam.org/events/international-conferen...

    Abstract

    Extensions of choice over public services typically aim to generate increases in competition between providers and improvements in quality, but there remains a concern that not all types of consumer are able to engage in choice. Recent reforms to the English National Healthcare Service (NHS) extended choice, by allowing patients to receive elective hospital care at privately owned hospitals in addition to traditional NHS hospitals. This paper estimates a model of patient level hospital choice, in order to understand why some types of patients are more likely to choose a privately owned hospital. The results identify mechanisms relating to local hospital provision, heterogeneous patients' preferences and GP advice that drive diff�erential patterns of healthcare services use. And they suggest extending choice requires promotion of access to reduce inequities in health care provision.

    Metadata

    Item Type: Conference or Workshop Item (Paper)
    Additional Information: Presented and discussed at the 2016 International Conference of the Association for Public Policy Analysis and Management (APPAM) and discussed by Prof. James Macinko (UCLA)
    Keyword(s) / Subject(s): consumer choice, healthcare, sorting, inequality
    School: Birkbeck Faculties and Schools > Faculty of Business and Law > Birkbeck Business School
    Research Centres and Institutes: Commodities Finance Centre
    Depositing User: Walter Beckert
    Date Deposited: 14 Jun 2016 13:32
    Last Modified: 02 Aug 2023 17:24
    URI: https://eprints.bbk.ac.uk/id/eprint/15459

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