By the same authors

The effect of hospital ownership on quality of care: evidence from England

Research output: Contribution to journalArticle

Standard

The effect of hospital ownership on quality of care : evidence from England. / Moscelli, G.; Gravelle, H.; Siciliani, Luigi; Gutacker, N.

In: Journal of Economic Behavior & Organization, Vol. 153, 09.2018, p. 322-344.

Research output: Contribution to journalArticle

Harvard

Moscelli, G, Gravelle, H, Siciliani, L & Gutacker, N 2018, 'The effect of hospital ownership on quality of care: evidence from England', Journal of Economic Behavior & Organization, vol. 153, pp. 322-344. https://doi.org/10.1016/j.jebo.2018.05.009

APA

Moscelli, G., Gravelle, H., Siciliani, L., & Gutacker, N. (2018). The effect of hospital ownership on quality of care: evidence from England. Journal of Economic Behavior & Organization, 153, 322-344. https://doi.org/10.1016/j.jebo.2018.05.009

Vancouver

Moscelli G, Gravelle H, Siciliani L, Gutacker N. The effect of hospital ownership on quality of care: evidence from England. Journal of Economic Behavior & Organization. 2018 Sep;153:322-344. https://doi.org/10.1016/j.jebo.2018.05.009

Author

Moscelli, G. ; Gravelle, H. ; Siciliani, Luigi ; Gutacker, N. / The effect of hospital ownership on quality of care : evidence from England. In: Journal of Economic Behavior & Organization. 2018 ; Vol. 153. pp. 322-344.

Bibtex - Download

@article{869f538e1ecf4f548b42149f3b1a7048,
title = "The effect of hospital ownership on quality of care: evidence from England",
abstract = "We investigate whether quality of care differs between public and private hospitals in England using data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospital sites. Private hospitals treat patients with fewer comorbidities and past hospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. But patients’ choice of hospital may influenced by their unobserved morbidity. After instrumenting the choice of hospital type by the difference in distances from the patient to the nearest public and the nearest private hospital, the effect of private ownership changes sign and is statistically insignificant. Similar results are obtained with coarsened exact matching. We also find no quality differences between hospitals specialising in planned treatments and other hospitals, nor between for-profit and not-for-profit private hospitals. Our results show the importance of controlling for unobserved patient heterogeneity when comparing quality of public and private hospitals.",
keywords = "ownership, hospital, quality, choice, distance, endogeneity",
author = "G. Moscelli and H. Gravelle and Luigi Siciliani and N. Gutacker",
note = "{\circledC} 2018 Elsevier B.V. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy.",
year = "2018",
month = "9",
doi = "10.1016/j.jebo.2018.05.009",
language = "English",
volume = "153",
pages = "322--344",
journal = "Journal of Economic Behavior & Organization",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - The effect of hospital ownership on quality of care

T2 - Journal of Economic Behavior & Organization

AU - Moscelli, G.

AU - Gravelle, H.

AU - Siciliani, Luigi

AU - Gutacker, N.

N1 - © 2018 Elsevier B.V. All rights reserved. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy.

PY - 2018/9

Y1 - 2018/9

N2 - We investigate whether quality of care differs between public and private hospitals in England using data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospital sites. Private hospitals treat patients with fewer comorbidities and past hospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. But patients’ choice of hospital may influenced by their unobserved morbidity. After instrumenting the choice of hospital type by the difference in distances from the patient to the nearest public and the nearest private hospital, the effect of private ownership changes sign and is statistically insignificant. Similar results are obtained with coarsened exact matching. We also find no quality differences between hospitals specialising in planned treatments and other hospitals, nor between for-profit and not-for-profit private hospitals. Our results show the importance of controlling for unobserved patient heterogeneity when comparing quality of public and private hospitals.

AB - We investigate whether quality of care differs between public and private hospitals in England using data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospital sites. Private hospitals treat patients with fewer comorbidities and past hospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. But patients’ choice of hospital may influenced by their unobserved morbidity. After instrumenting the choice of hospital type by the difference in distances from the patient to the nearest public and the nearest private hospital, the effect of private ownership changes sign and is statistically insignificant. Similar results are obtained with coarsened exact matching. We also find no quality differences between hospitals specialising in planned treatments and other hospitals, nor between for-profit and not-for-profit private hospitals. Our results show the importance of controlling for unobserved patient heterogeneity when comparing quality of public and private hospitals.

KW - ownership

KW - hospital, quality

KW - choice

KW - distance

KW - endogeneity

U2 - 10.1016/j.jebo.2018.05.009

DO - 10.1016/j.jebo.2018.05.009

M3 - Article

VL - 153

SP - 322

EP - 344

JO - Journal of Economic Behavior & Organization

JF - Journal of Economic Behavior & Organization

ER -