Competition and quality : evidence from the NHS internal market 1991-9
Author: Simon M. Burgess
Publisher:
Published: 2003
Total Pages: 46
ISBN-13:
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Author: Simon M. Burgess
Publisher:
Published: 2003
Total Pages: 46
ISBN-13:
DOWNLOAD EBOOKAuthor: Carol Propper
Publisher:
Published: 2003
Total Pages: 44
ISBN-13:
DOWNLOAD EBOOKAuthor: Martin Gaynor
Publisher: Now Publishers Inc
Published: 2006
Total Pages: 83
ISBN-13: 1601980078
DOWNLOAD EBOOKProvides an economic assessment of the impact of competition on quality in health care markets. This book offers performance standards for competition; findings from economic theory; and, empirical evidence on health care competition and quality.
Author: Julian Le Grand
Publisher:
Published: 1998
Total Pages: 212
ISBN-13:
DOWNLOAD EBOOKThe 1990 NHS and Community Care Act was the most radical upheaval of the NHS since its foundation and attracted world-wide attention A comprehensive review of the evidence is offered to assess the impact of the NHS reforms on health authority purchasing; local commissioning; GP fundholding; total purchasing, and NHS trusts.
Author: Theodosia Stavroulaki
Publisher: Bloomsbury Publishing
Published: 2023-01-26
Total Pages: 291
ISBN-13: 1509943358
DOWNLOAD EBOOKMarket driven healthcare is massively divisive. Opponents argue that a competition approach to medical treatment negatively impacts on quality, while advocates point to increased efficiencies. This book casts a critical eye over both positions to show that the concerns over quality are in fact real. Taking a two part approach, it unveils the fault lines along which healthcare provision and the pursuit of quality would in certain cases clash. It then shows how competition authorities can only effectively assess competition concerns when they ask the fundamental question of how the concept of healthcare quality should be defined and factored into their decisions. Drawing on UK, US and EU examples, it explores antitrust and merger cases in hospital, medical and health insurance markets to give an accurate depiction of the reality and challenges of regulating competition in healthcare provision.
Author: Mark V. Pauly
Publisher: Elsevier
Published: 2012-01-05
Total Pages: 1149
ISBN-13: 0444535926
DOWNLOAD EBOOK"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].
Author: Emma Hall
Publisher:
Published: 2008
Total Pages: 0
ISBN-13:
DOWNLOAD EBOOKLabor market regulation can have harmful unintended consequences. In many markets, especially for public sector workers, pay is regulated to be the same for individuals across heterogeneous geographical labor markets. We would predict that this will mean labor supply problems and potential falls in the quality of service provision in areas with stronger labor markets. In this paper we exploit panel data from the population of English acute hospitals where pay for medical staff is almost flat across the country. We predict that areas with higher outside wages should suffer from problems of recruiting, retaining and motivating high quality workers and this should harm hospital performance. We construct hospital-level panel data on both quality - as measured by death rates (within hospital deaths within thirty days of emergency admission for acute myocardial infarction, AMI) - and productivity. We present evidence that stronger local labor markets significantly worsen hospital outcomes in terms of quality and productivity. A 10% increase in the outside wage is associated with a 4% to 8% increase in AMI death rates. We find that an important part of this effect operates through hospitals in high outside wage areas having to rely more on temporary "agency staff" as they are unable to increase (regulated) wages in order to attract permanent employees. By contrast, we find no systematic role for an effect of outside wages of performance when we run placebo experiments in 42 other service sectors (including nursing homes) where pay is unregulated.
Author: Badi H. Baltagi
Publisher: Emerald Group Publishing
Published: 2018-05-30
Total Pages: 406
ISBN-13: 1787145425
DOWNLOAD EBOOKThis volume covers a wide range of existing and emerging topics in applied health economics, including behavioural economics, medical care risk, social insurance, discrete choice models, cost-effectiveness analysis, health and immigration, and more.
Author: Calum Paton
Publisher: Springer Nature
Published: 2022-05-06
Total Pages: 208
ISBN-13: 3030998185
DOWNLOAD EBOOKThis book provides an original analysis of the trajectory of health policy reform in the United Kingdom from the beginning of the ‘Thatcher reforms’ in the 1980s right up to the latest changes in England in 2022. Rooted in political science and health policy analysis, it tackles key arguments around the ‘new integration’ of the NHS since 2015, what the new and emerging NHS structure represents, the UK’s poor response to the Covid-19 crisis, and the future threat to a comprehensive public NHS. It includes significant new material on what has happened since 2015, such as the politics of the Covid-19 pandemic, the effects of Brexit, and the conundrum of ‘social care’. The book is a scholarly and polemical analysis from an expert who has studied the politics of health services for more than forty years. It will be a key resource for students, academics and policy makers.
Author: Agency for Healthcare Research and Quality/AHRQ
Publisher: Government Printing Office
Published: 2014-04-01
Total Pages: 385
ISBN-13: 1587634333
DOWNLOAD EBOOKThis User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.