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Free to choose? The impact of healthcare reform


  • Martin Gaynor
  • Carol Propper
  • Stephan Seiler


Has the introduction of greater choice and competition in healthcare in England led to improved outcomes for patients? The authors assess changes in the quality of care that hospitals provided for cardiac surgery patients following the mid-2000s reforms.

Suggested Citation

  • Martin Gaynor & Carol Propper & Stephan Seiler, 2013. "Free to choose? The impact of healthcare reform," CentrePiece - The Magazine for Economic Performance 397, Centre for Economic Performance, LSE.
  • Handle: RePEc:cep:cepcnp:397

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    References listed on IDEAS

    1. Frijters, Paul & Johnston, David W. & Shields, Michael A., 2008. "Happiness Dynamics with Quarterly Life Event Data," IZA Discussion Papers 3604, Institute for the Study of Labor (IZA).
    2. Raphael, Steven & Winter-Ember, Rudolf, 2001. "Identifying the Effect of Unemployment on Crime," Journal of Law and Economics, University of Chicago Press, vol. 44(1), pages 259-283, April.
    3. Carol Propper & Simon Burgess & Anne Bolster & George Leckie & Kelvyn Jones & Ron Johnston, 2007. "The Impact of Neighbourhood on the Income and Mental Health of British Social Renters," Urban Studies, Urban Studies Journal Limited, vol. 44(2), pages 393-415, February.
    4. Brian Jacob & Lars Lefgren & Enrico Moretti, 2007. "The Dynamics of Criminal Behavior: Evidence from Weather Shocks," Journal of Human Resources, University of Wisconsin Press, vol. 42(3).
    5. Whitley, Rob & Prince, Martin, 2005. "Fear of crime, mobility and mental health in inner-city London, UK," Social Science & Medicine, Elsevier, vol. 61(8), pages 1678-1688, October.
    6. Lawrence F. Katz & Jeffrey R. Kling & Jeffrey B. Liebman, 2001. "Moving to Opportunity in Boston: Early Results of a Randomized Mobility Experiment," The Quarterly Journal of Economics, Oxford University Press, vol. 116(2), pages 607-654.
    7. Francesca Cornaglia & Naomi E. Feldman & Andrew Leigh, 2014. "Crime and Mental Well-Being," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 110-140.
    8. Brazier, John & Roberts, Jennifer & Deverill, Mark, 2002. "The estimation of a preference-based measure of health from the SF-36," Journal of Health Economics, Elsevier, vol. 21(2), pages 271-292, March.
    9. Steve Gibbons, 2004. "The Costs of Urban Property Crime," Economic Journal, Royal Economic Society, vol. 114(499), pages 441-463, November.
    10. Frijters, Paul & Johnston, David W. & Shields, Michael A., 2010. "Mental Health and Labour Market Participation: Evidence from IV Panel Data Models," IZA Discussion Papers 4883, Institute for the Study of Labor (IZA).
    11. repec:pri:indrel:dsp01qz20ss50t is not listed on IDEAS
    12. Michael Shields & Stephen Wheatley Price & Mark Wooden, 2009. "Life satisfaction and the economic and social characteristics of neighbourhoods," Journal of Population Economics, Springer;European Society for Population Economics, vol. 22(2), pages 421-443, April.
    13. Leigh L. Linden & Jonah E. Rockoff, 2006. "There Goes the Neighborhood? Estimates of the Impact of Crime Risk on Property Values From Megan's Laws," NBER Working Papers 12253, National Bureau of Economic Research, Inc.
    14. Thaler, Richard, 1978. "A note on the value of crime control: Evidence from the property market," Journal of Urban Economics, Elsevier, vol. 5(1), pages 137-145, January.
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    More about this item


    Demand estimation; non-price competition; health economics; patient choice; health care reform;

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L13 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance - - - Oligopoly and Other Imperfect Markets
    • L30 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - General

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