This paper investigates how changes in hospital choice sets affect levels of patient demand for elective hospital care. We exploit a set of reforms in England that opened up the market for publicly-funded patients to private hospitals. Impacts on demand are estimated using variation in distance...

Reforms to public services have extended consumer choice by allowing for the entry of private providers. The aim is to generate competitive pressure to improve quality when consumers choose between providers. However, for many services new entrants could also affect whether a consumer demands...

A common reform used to increase consumer choice and competition in public services has been to allow private providers to compete with public incumbents. However, there remains a concern that not all consumers are able to benefit equally from wider choice. We consider the case of publicly...

This paper examines the impacts of private hospital entry on publicly funded elective care in England. From 2006, private hospitals were encouraged to enter certain publicly funded markets to compete with existing public hospitals and stimulate quality improvements. Studying elective hip...

Health spending per capita in England has more than doubled since 1997, yet relatively little is known about how that spending is distributed across the population. This paper uses administrative National Health Service (NHS) hospital records to examine key features of public hospital spending...

This paper considers the micro-econometric analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). It proposes a two-stage choice model that encompasses both, patient and GP level optimization, and it discusses...

We show that children who are born at the weekend or just before are less likely to be breastfed, owing to poorer breastfeeding support services at weekends. We use this variation to estimate the effect of breastfeeding on children's development for a sample of uncomplicated births from low...

Incorrect knowledge of the health production function may lead to inefficient household choices, and thereby to the production of suboptimal levels of health. This paper studies the effects of a randomised intervention in rural Malawi which, over a six-month period, provided mothers of young...

This paper provides evidence on household responses to the relaxation of one barrier constraining adoption of health practices - lack of information - in a resource constrained setting. It examines the effects of a randomized intervention in Malawi which provides mothers with information on...