In this paper we examine the causal impact of competition on management quality. We analyze the hospital sector where … geographic proximity is a key determinant of competition, and English public hospitals where political competition can be used to … construct instrumental variables for market structure. Since almost all major English hospitals are government run, closing …

between hospitals. Patients were given choice of location for hospital care and provided information on the quality and … approximately 68,000 discharges per year per hospital from 160 hospitals. We find that the effect of competition is to save lives … without raising costs. Patients discharged from hospitals located in markets where competition was more feasible were less …

effective way to increase the quality signal and attract patients. A regulator who is concerned about equity may protect the …

This study investigates hospitals’ dynamic incentives to select patients when hospitals are remunerated according to a … framework. Patients differ in severity within a DRG. Providers are to some extent altruistic. For low altruism, a downward … spiral of prices is possible which induces hospitals to focus on low-severity cases. For high altruism, dynamic price …

This paper studies the impact of hospital competition on waiting times. We use a Salop-type model, with hospitals that … between neighbouring hospitals (competitive segment), and low-benefit patients who decide whether or not to demand treatment … differ in (geographical) location and, potentially, waiting time, and two types of patients; high-benefit patients who choose …

is the definition, by the third-party payer, of a set of preferred providers. The insured patients have different access …

hospitals, the responsiveness of patients to greater choice, the provision of information and the use of fixed prices. The paper …

in Peru and Uganda. I find that rich patients are more likely than other patients to bribe in public health care ….37 in Uganda. Bribes in the Ugandan public sector appear to be fees-for-service extorted from the richer patients amongst … paid by patients who do not pay official fees. I do not find evidence that the public health care sector in either Peru or …