The Impact of the NHS Reforms on Queues and Surgical Outcomes in England: Evidence from Hip Fracture Patients
AbstractNational Health Service (NHS) reform introduced incentives for efficiency and cost effectiveness, yet little is known about their effectiveness in reducing waiting times for surgery or improving postsurgical outcomes. This paper finds that waiting times for hip fracture surgery declined after the NHS reforms and patients were more likely to be discharged to another provider. However, hospitals have not simply shifted the burden of care to other providers, since lengths of stay ending in a discharge to home fell. The effect of wait time on surgical outcomes is small in magnitude and cannot explain the postreform improvements in outcomes.
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Bibliographic InfoArticle provided by Royal Economic Society in its journal The Economic Journal.
Volume (Year): 109 (1999)
Issue (Month): 457 (July)
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- Daniele Fabbri & Chiara Monfardini, 2006.
"Rationing The Public Provision Of Healthcare In The Presence Of Private Supplements: Evidence From The Italian Nhs,"
CHILD Working Papers
wp21_06, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY.
- Fabbri, Daniele & Monfardini, Chiara, 2009. "Rationing the public provision of healthcare in the presence of private supplements: Evidence from the Italian NHS," Journal of Health Economics, Elsevier, vol. 28(2), pages 290-304, March.
- Daniele Fabbri & Chiara Monfardini, 2006. "Rationing the Public Provision of Health Care in the Presence of Private Supplements: Evidence from the Italian NHS," Health, Econometrics and Data Group (HEDG) Working Papers 06/14, HEDG, c/o Department of Economics, University of York.
- Cookson R & Laudicella M, 2009. "Do the poor still cost more? The relationship between small area income deprivation and length of stay for elective hip replacement in the English NHS from 2001/2 to 2006/7," Health, Econometrics and Data Group (HEDG) Working Papers 09/07, HEDG, c/o Department of Economics, University of York.
- Croxson, Bronwyn & Propper, Carol & Shearer, Arran, 2000.
"Waiting Times for Hospital Admissions: the Impact of GP Fundholding,"
CEPR Discussion Papers
2489, C.E.P.R. Discussion Papers.
- Propper, Carol & Croxson, Bronwyn & Shearer, Arran, 2002. "Waiting times for hospital admissions: the impact of GP fundholding," Journal of Health Economics, Elsevier, vol. 21(2), pages 227-252, March.
- Laudicella, Mauro & Li Donni, Paolo & Smith, Peter C., 2013.
"Hospital readmission rates: Signal of failure or success?,"
Journal of Health Economics,
Elsevier, vol. 32(5), pages 909-921.
- Laudicella, M & Smith, PC, 2012. "Hospital readmission rates: signal of failure or success?," Working Papers 9224, Imperial College, London, Imperial College Business School.
- Zack Cooper & Stephen Gibbons & Simon Jones & Alistair McGuire, 2010.
"Does hospital competition save lives?: evidence from the English NHS patient choice reforms,"
LSE Research Online Documents on Economics
28584, London School of Economics and Political Science, LSE Library.
- Zack Cooper & Stephen Gibbons & Simon Jones & Alistair McGuire, 2011. "Does Hospital Competition Save Lives? Evidence From The English NHS Patient Choice Reforms," Economic Journal, Royal Economic Society, vol. 121(554), pages F228-F260, 08.
- Zack Cooper & Steve Gibbons & Simon Jones & Alistair McGuire, 2010. "Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms," SERC Discussion Papers 0041, Spatial Economics Research Centre, LSE.
- Farnworth, Michael G., 2003. "A game theoretic model of the relationship between prices and waiting times," Journal of Health Economics, Elsevier, vol. 22(1), pages 47-60, January.
- Laudicella, Mauro & Siciliani, Luigi & Cookson, Richard, 2012.
"Waiting times and socioeconomic status: Evidence from England,"
Social Science & Medicine,
Elsevier, vol. 74(9), pages 1331-1341.
- Laudicella, M.; & Siciliani, L.; & Cookson, R.;, 2010. "Waiting Times and Socioeconomic Status: Evidence from England," Health, Econometrics and Data Group (HEDG) Working Papers 10/05, HEDG, c/o Department of Economics, University of York.
- Raymond Y.T. Yeung & Gabriel M. Leung & Sarah M. McGhee & Janice M. Johnston, 2004. "Waiting time and doctor shopping in a mixed medical economy," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1137-1144.
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