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Does hospital ownership affect patient experience? An investigation into public–private sector differences in England

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  • Pérotin, Virginie
  • Zamora, Bernarda
  • Reeves, Rachel
  • Bartlett, Will
  • Allen, Pauline

Abstract

Using patient experience survey data, the paper investigates whether hospital ownership affects the level of quality reported by patients whose care is funded by the National Health Service in areas other than clinical quality. We estimate a switching regression model that accounts for (i) some observable characteristics of the patient and the hospital episode; (ii) selection into private hospitals; and (iii) unmeasured hospital characteristics captured by hospital fixed effects.

Suggested Citation

  • Pérotin, Virginie & Zamora, Bernarda & Reeves, Rachel & Bartlett, Will & Allen, Pauline, 2013. "Does hospital ownership affect patient experience? An investigation into public–private sector differences in England," Journal of Health Economics, Elsevier, vol. 32(3), pages 633-646.
    • Handle: RePEc:eee:jhecon:v:32:y:2013:i:3:p:633-646
    DOI: 10.1016/j.jhealeco.2013.03.003
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    Cited by:

    1. Walter Beckert & Elaine Kelly, 2021. "Divided by choice? For‐profit providers, patient choice and mechanisms of patient sorting in the English National Health Service," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 820-839, April.
    2. Suzanne Ruwaard & Rudy Douven, 2014. "Quality and hospital choice for cataract treatments: the winner takes most," CPB Discussion Paper 272, CPB Netherlands Bureau for Economic Policy Analysis.
    3. Hai Yuan & Hang Li & ZhaoWei Hou, 2020. "Is it worth outsourcing essential public health services in China?—Evidence from Beilin District of Xi'an," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1486-1502, November.
    4. DeVolder, Russell & Serra-Sastre, Victoria & Zamora, Bernarda, 2020. "Examining the variation across acute trusts in patient delayed discharge," Health Policy, Elsevier, vol. 124(11), pages 1226-1232.
    5. Moscone, Francesco & Siciliani, Luigi & Tosetti, Elisa & Vittadini, Giorgio, 2020. "Do public and private hospitals differ in quality? Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 83(C).
    6. Goodair, Benjamin, 2023. "‘Accident and emergency’? Exploring the reasons for increased privatisation in England's NHS," Health Policy, Elsevier, vol. 138(C).
    7. Reo Takaku & Atsushi Yamaoka, 2019. "Payment systems and hospital length of stay: a bunching-based evidence," International Journal of Health Economics and Management, Springer, vol. 19(1), pages 53-77, March.
    8. Pauline Allen & Will Bartlett & Virginie Perotin & Bernarda Zamora & Simon Turner, 2011. "New Forms Of Provider In The English National Health Service," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 82(1), pages 77-95, March.
    9. Wen, Tianzuo & Qiang, Wei & Liu, Xingjian, 2022. "Exploring the geography of urban comprehensive development in mainland Chinese cities," Land Use Policy, Elsevier, vol. 115(C).
    10. Moscelli, Giuseppe & Gravelle, Hugh & Siciliani, Luigi & Gutacker, Nils, 2018. "The effect of hospital ownership on quality of care: Evidence from England," Journal of Economic Behavior & Organization, Elsevier, vol. 153(C), pages 322-344.
    11. Barron, David N. & West, Elizabeth, 2017. "The quasi-market for adult residential care in the UK: Do for-profit, not-for-profit or public sector residential care and nursing homes provide better quality care?," Social Science & Medicine, Elsevier, vol. 179(C), pages 137-146.
    12. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Cookson, Richard, 2018. "Socioeconomic inequality of access to healthcare: Does choice explain the gradient?," Journal of Health Economics, Elsevier, vol. 57(C), pages 290-314.
    13. Carine Milcent, 2023. "The sorting effect in healthcare access: Those left behind," PSE-Ecole d'économie de Paris (Postprint) halshs-04346767, HAL.
    14. Martin Chalkley, 2018. "Private Provision of Publicly Funded Health Care: The Economics of Ownership," Briefing 002055, Office of Health Economics.
    15. Carine Milcent, 2023. "The sorting effect in healthcare access: Those left behind," Working Papers hal-03960599, HAL.
    16. Carine Milcent, 2023. "The sorting effect in healthcare access: Those left behind," PSE-Ecole d'économie de Paris (Postprint) halshs-04208620, HAL.
    17. Suzanne Ruwaard & Rudy Douven, 2014. "Quality and hospital choice for cataract treatments: the winner takes most," CPB Discussion Paper 272.rdf, CPB Netherlands Bureau for Economic Policy Analysis.
    18. Milcent, Carine, 2023. "The sorting effect in healthcare access: Those left behind," Economics & Human Biology, Elsevier, vol. 51(C).
    19. Shimaa Elkomy & Zahra Murad & Veronica Veleanu, 2018. "Does Leadership Matter for Healthcare Service Quality? Evidence from NHS England," Working Papers in Economics & Finance 2018-08, University of Portsmouth, Portsmouth Business School, Economics and Finance Subject Group.
    20. Carine Milcent, 2023. "The sorting effect in healthcare access: Those left behind," Post-Print halshs-04208620, HAL.
    21. Carine Milcent, 2023. "The sorting effect in healthcare access: Those left behind," Post-Print halshs-04346767, HAL.

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    More about this item

    Keywords

    Patient experience; Public–private sector differences; Hospital ownership; National Health Service; UK;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L33 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Comparison of Public and Private Enterprise and Nonprofit Institutions; Privatization; Contracting Out
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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