CommentNo evidence that patient choice in the NHS saves lives
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Cited by (43)
Heterogeneous effects of patient choice and hospital competition on mortality
2018, Social Science and MedicineCitation Excerpt :For example, an altruistic provider may be producing such high quality that marginal cost exceeds price, and so may reduce quality to offset the increase in demand when restrictions on choice are relaxed.) The empirical evidence on hospital competition and quality in fixed price health care systems is mixed and intensely debated (Bevan and Skellern, 2011; Bloom et al., 2011; Gaynor et al., 2012; OHE, 2012; Pollock et al., 2011). In the English National Health Service (NHS) before 2006 patient choice of hospitals for elective hospital treatment was constrained to local NHS hospitals with contracts with the patient's health authority.
Effect of patient choice and hospital competition on service configuration and technology adoption within cancer surgery: a national, population-based study
2017, The Lancet OncologyCitation Excerpt :Attempts to coordinate cancer care services through centralisation and regionalisation have largely ignored the fact that patients are prepared to bypass their local services for treatment. This occurrence is partly due to the paucity of empirical evidence about the extent of patient mobility.28–30 Additionally, cancer care plans have exerted limited control of the available services and technology at the individual hospital level (eg, introduction of new devices and practices of care), which can serve as proxy measures of quality in the absence of quality indicators.31
The impact of New Public Management on efficiency: An analysis of Madrid's hospitals
2015, Health PolicyCitation Excerpt :Theory suggests that NPM-related policies may enhance the efficiency of public service delivery, such as healthcare provision (for a comprehensive overview of NPM and efficiency, see [9]). However, the benefits of NPM-related tools in healthcare delivery have been already questioned from an international perspective (see, for example, [10–13]). Moreover, there is no clear evidence supporting efficiency gains as regards the use of new management formulas in Spain,2 which is adding fuel to an already heated debate in relation to the pros and cons of introducing new management formulas in public hospitals.
Reputations count: Why benchmarking performance is improving health care across the world
2019, Health Economics, Policy and LawThe health effects of the global financial crisis: Can we reconcile the differing views? A network analysis of literature across disciplines
2015, Health Economics, Policy and LawEngland
2023, National Health Services of Western Europe: Challenges, Reforms and Future Perspectives