Choice of hospital: which type of quality matters?

Nils Gutacker; Luigi Siciliani; Giuseppe Moscelli; Hugh Stanley Emrys Gravelle

doi:10.1016/j.jhealeco.2016.08.001

Choice of hospital: which type of quality matters?

Nils Gutacker, Luigi Siciliani, Giuseppe Moscelli, Hugh Stanley Emrys Gravelle

Research output: Contribution to journal › Article › peer-review

Abstract

The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.

Original language	English
Pages (from-to)	230-246
Number of pages	17
Journal	Journal of Health Economics
Volume	50
Early online date	22 Aug 2016
DOIs	https://doi.org/10.1016/j.jhealeco.2016.08.001
Publication status	Published - Dec 2016

Bibliographical note

© 2016 Published by Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months

Keywords

quality
demand
healthcare
hospitals
competition
patient reported outcomes
Competition
Demand
Hospitals
Patient reported outcomes
Quality
Healthcare
Hospitals/standards
State Medicine
Choice Behavior
Hospital Mortality
Humans
Arthroplasty, Replacement, Hip
Logistic Models
Quality of Health Care

Access to Document

10.1016/j.jhealeco.2016.08.001Licence: CC BY-NC-ND

Gutacker_hospital_choice
© 2016 Published by Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months
Accepted author manuscript, 749 KBLicence: Unspecified

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138156/Licence: CC BY-NC-ND

Hugh Stanley Emrys Gravelle
- hg8york.acuk
- Centre for Health Economics - Professor, Former employee
Person: Academic

DoH PRP PRU: ESHCRU - Economics of Health and Social Care Systems
Mason, A. R., Goddard, M. K., Gravelle, H. S. E., Jacobs, R., Rice, N., Siciliani, L. & Street, A. D.
1/01/10 → 30/06/19
Project: Research project (funded) › Research

Cite this

@article{ac5ee7cf38574412bef9e99a927ebbbd,

title = "Choice of hospital: which type of quality matters?",

abstract = "The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.",

keywords = "quality, demand, healthcare, hospitals, competition, patient reported outcomes, Competition, Demand, Hospitals, Patient reported outcomes, Quality, Healthcare, Hospitals/standards, State Medicine, Choice Behavior, Hospital Mortality, Humans, Arthroplasty, Replacement, Hip, Logistic Models, Quality of Health Care",

author = "Nils Gutacker and Luigi Siciliani and Giuseppe Moscelli and Gravelle, {Hugh Stanley Emrys}",

note = "{\textcopyright} 2016 Published by Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher{\textquoteright}s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months ",

year = "2016",

month = dec,

doi = "10.1016/j.jhealeco.2016.08.001",

language = "English",

volume = "50",

pages = "230--246",

journal = "Journal of Health Economics",

issn = "0167-6296",

publisher = "Elsevier",

}

TY - JOUR

T1 - Choice of hospital

T2 - which type of quality matters?

AU - Gutacker, Nils

AU - Siciliani, Luigi

AU - Moscelli, Giuseppe

AU - Gravelle, Hugh Stanley Emrys

N1 - © 2016 Published by Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. Embargo period : 18 months

PY - 2016/12

Y1 - 2016/12

N2 - The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.

AB - The implications of hospital quality competition depend on what type of quality affects choice of hospital. Previous studies of quality and choice of hospitals have used crude measures of quality such as mortality and readmission rates rather than measures of the health gain from specific treatments. We estimate multinomial logit models of hospital choice by patients undergoing hip replacement surgery in the English NHS to test whether hospital demand responds to quality as measured by detailed patient reports of health before and after hip replacement. We find that a one standard deviation increase in average health gain increases demand by up to 10%. The more traditional measures of hospital quality are less important in determining hospital choice.

KW - quality

KW - demand

KW - healthcare

KW - hospitals

KW - competition

KW - patient reported outcomes

KW - Competition

KW - Demand

KW - Hospitals

KW - Patient reported outcomes

KW - Quality

KW - Healthcare

KW - Hospitals/standards

KW - State Medicine

KW - Choice Behavior

KW - Hospital Mortality

KW - Humans

KW - Arthroplasty, Replacement, Hip

KW - Logistic Models

KW - Quality of Health Care

U2 - 10.1016/j.jhealeco.2016.08.001

DO - 10.1016/j.jhealeco.2016.08.001

M3 - Article

SN - 0167-6296

VL - 50

SP - 230

EP - 246

JO - Journal of Health Economics

JF - Journal of Health Economics

ER -

Choice of hospital: which type of quality matters?

Abstract

Bibliographical note

Keywords

Access to Document

Profiles

Hugh Stanley Emrys Gravelle

Projects

DoH PRP PRU: ESHCRU - Economics of Health and Social Care Systems

Cite this