Beckert, Walter (2021) Divided by choice? Private providers, patient choice and hospital sorting in the English National Health Service. Health Economics 30 (4), pp. 820-839. ISSN 1099-1050.
|
Text
42468.pdf - Author's Accepted Manuscript Download (400kB) | Preview |
Abstract
This paper studies patient choice of provider following government reforms in the 2000s, which allowed for-profit surgical centers to compete with existing public National Health Service (NHS) hospitals in England. For-profit providers offer significant benefits, notably shorter waiting times. We estimate the extent to which different types of patients benefit from the reforms, and we investigate mechanisms that cause differential benefits. Our counterfactual simulations show that, in terms of the value of access, entry of for-profit providers benefitted the richest patients twice as much as the poorest, and white patients six times as much as ethnic minority patients. Half of these differences is explained by healthcare geography and patient health, while primary care referral practice plays a lesser, though non-negligible role. We also show that, with capitated reimbursement, different compositions of patient risks between for-profit surgical centers and existing public hospitals put public hospitals at a competitive disadvantage.
Metadata
| Item Type: | Article |
|---|---|
| Additional Information: | This is the peer reviewed version of the article, which has been published in final form at the link above. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
| Keyword(s) / Subject(s): | Patient choice, demand for healthcare, contracting out public services, in- equality |
| School: | Birkbeck Faculties and Schools > Faculty of Business and Law > Birkbeck Business School |
| Research Centres and Institutes: | Commodities Finance Centre |
| Depositing User: | Administrator |
| Date Deposited: | 04 Jan 2021 14:16 |
| Last Modified: | 02 Aug 2023 18:06 |
| URI: | https://eprints.bbk.ac.uk/id/eprint/42468 |
Statistics
Additional statistics are available via IRStats2.
Archive Staff Only (login required)
