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Cited by 490

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.

Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms

Open access
Cooper, Zack, Gibbons, Stephen, Jones, Simon, McGuire, Alistair·2011·The Economic Journal
DOI 10.1111/j.1468-0297.2011.02449.x
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Abstract

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.

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Cites

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Citations

Cites

Show all 45 references

Research works printed but not linked: 30

  1. Committee on Second Hand Smoke Exposure and Acute Coronary Events, 2009, Second Hand Smoke Exposure and Cardiovascular Effects
  2. Communities and Local Government Department, 2009, ‘Indices of Deprivation 2004’
  3. Cooper, 2010, Does Hospital Competition Improve Efficiency? An Analysis of the Recent Market‐based Reforms to the English NHS
  4. Cooper, 2010, Does Hospital Competition Save Lives? Evidence From the NHS Patient Choice Reforms
  5. Davies, 2001, Refinement of the HCUP Quality Indicators. Technical Review Number 4 (Prepared by UCSF‐Stanford Evidence‐based Practice Center under Contract No. 290‐97‐0013)
  6. Department of Health, 2002, Delivering the NHS Plan – Next Steps on Investment, Next Steps on Reform
  7. Department of Health, 2004, ‘The NHS improvement plan: putting people at the heart of public services’
  8. Department of Health, 2005, ‘A short guide to NHS foundation trusts’
  9. Department of Health, 2009, ‘Department of Health payment by results webpage
  10. Department of Health, 2009, ‘NHS choice time line
  11. Department of Health, 2009, ‘NHS choose and book website
  12. Dranove, 1992, Monopolistic competition when price and quality are not perfectly observable, Rand Journal of Economics, 23, 247, 10.2307/2555987 · doi:10.2307/2555987
  13. Gaynor, 2004, Competition and quality in hospital markets. What do we know? What don’t we know?, Economie Publique, 15, 3
  14. Gaynor, 2010, Death by Market Power: Reform, Competition and Patient Outcomes in the National Health Services, 10.3386/w16164 · doi:10.3386/w16164
  15. Gowrisankaran, 2003, Competition, payers, and hospital quality, Health Services Research, 38, 1403, 10.1111/j.1475-6773.2003.00185.x · doi:10.1111/j.1475-6773.2003.00185.x
  16. Hamilton, 2000, Hospital mergers and acquisitions: does market consolidation harm patients?, Journal of Health Economics, 19, 767
  17. Klein, 1999, Markets, politicians and the NHS, British Medical Journal, 319, 1383, 10.1136/bmj.319.7222.1383 · doi:10.1136/bmj.319.7222.1383
  18. Klein, 2006, The New Politics of the NHS: From Creation to Reinvention
  19. Le Grand, 1999, Competition, cooperation, or control? Tales from the British National Health Service, Health Affairs, 18, 27, 10.1377/hlthaff.18.3.27 · doi:10.1377/hlthaff.18.3.27
  20. Le Grand, 1998, Learning from the NHS Internal Market
  21. Propper, 1996, Market structure and prices: the responses of hospitals in the UK national health service to competition, Journal of Public Economics, 61, 307, 10.1016/0047-2727(95)01561-2 · doi:10.1016/0047-2727(95)01561-2
  22. Propper, 2008, Competition and quality: evidence from the NHS internal market 1991–1996, ECONOMIC JOURNAL, 118, 138, 10.1111/j.1468-0297.2007.02107.x · doi:10.1111/j.1468-0297.2007.02107.x
  23. Propper, 1998, The effects of regulation and competition in the NHS internal market: the case of GP fundholder prices, Journal of Health Economics, 17, 645, 10.1016/S0167-6296(98)00029-0 · doi:10.1016/s0167-6296(98)00029-0
  24. Sage, 2003, Why competition law matters to health care quality, Health Affairs (Millwood), 22, 31, 10.1377/hlthaff.22.2.31 · doi:10.1377/hlthaff.22.2.31
  25. Sari, 2002, Do competition and managed care improve quality?, Health Economics, 11, 571, 10.1002/hec.726 · doi:10.1002/hec.726
  26. Shen, 2003, The effect of financial pressure on the quality of care in hospitals, Journal of Health Economics, 22, 243, 10.1016/S0167-6296(02)00124-8 · doi:10.1016/s0167-6296(02)00124-8
  27. Soderlund, 1997, Impact of the NHS reforms on English hospital productivity: an analysis of the first three years, British Medical Journal, 315, 1126, 10.1136/bmj.315.7116.1126 · doi:10.1136/bmj.315.7116.1126
  28. Volpp, 2003, Market reform in New Jersey and the effect on mortality from acute myocardial infarction, Health Services Research, 38, 515, 10.1111/1475-6773.00131 · DOI
  29. Walker, 2009, Myocardial Ischemia National Audit Project (MINAP). How the NHS manages heart attacks
  30. World Health Organization, 2009, ‘International Classification of Diseases 10 Code Framework’

Cited by

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Metadata

Authors
Cooper, Z., Gibbons, S., Jones, S., & McGuire, A.
Venue
The Economic Journal
Publisher
Oxford University Press (OUP)
Published
2011-07-21
Volume
121
Issue
554
Pages
F228-F260
ISSN
  • 0013-0133 (ISSN-L)
  • 1468-0297
DOI
10.1111/j.1468-0297.2011.02449.x
OpenAlex
W2148468913
Cited by
490
References
45
FWCI
146.51
Type
journal article
Language
en
Open access
hybrid
Licence
creativecommons.org/licenses/by/3.0/ (vor, 2666 d)

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CoChat. (2026). Citation check: Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms. https://app.cochat.ai/papers/10.1111/j.1468-0297.2011.02449.x
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Cooper, Z., Gibbons, S., Jones, S., & McGuire, A. (2011). Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms. The Economic Journal. https://doi.org/10.1111/j.1468-0297.2011.02449.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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