Free to Choose? Reform, Choice, and Consideration Sets in the English National Health Service

被引：102

作者：

Gaynor, Martin ^{[1
,2
,3
]}

Propper, Carol ^{[2
,4
,5
]}

Seiler, Stephan ^{[6
]}

机构：

[1] Carnegie Mellon Univ, Heinz Coll, 5000 Forbes Ave, Pittsburgh, PA 15213 USA

[2] Univ Bristol, Bristol BS8 1TH, Avon, England

[3] NBER, Cambridge, MA 02138 USA

[4] Imperial Coll London, Sch Business, Tanaka Bldg,South Kensington Campus, London SW7 2AZ, England

[5] CEPR, London, England

[6] Stanford Univ, Grad Sch Business, 655 Knight Way, Stanford, CA 94305 USA

来源：

AMERICAN ECONOMIC REVIEW | 2016年 / 106卷 / 11期

关键词：

HOSPITAL CHOICE; MARKET POWER; COMPETITION; CARE; QUALITY; DEMAND; SEARCH; MODEL; INCENTIVES; INSURANCE;

D O I：

10.1257/aer.20121532

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

Choice in public services is controversial. We exploit a reform in the English National Health Service to assess the effect of removing constraints on patient choice. We estimate a demand model that explicitly captures the removal of the choice constraints imposed on patients. We find that, post-removal, patients became more responsive to clinical quality. This led to a modest reduction in mortality and a substantial increase in patient welfare. The elasticity of demand faced by hospitals increased substantially post-reform and we find evidence that hospitals responded to the enhanced incentives by improving quality. This suggests greater choice can raise quality.

引用

页码：3521 / 3557

页数：37

共 52 条

[1] STUDYING CONSIDERATION EFFECTS IN EMPIRICAL CHOICE MODELS USING SCANNER PANEL-DATA [J].