Research output: Working paper › Discussion paper
The effect of hospital ownership on quality of care : evidence from England. / Moscelli, Giuseppe; Gravelle, Hugh Stanley Emrys; Siciliani, Luigi; Gutacker, Nils.
Centre for Health Economics, University of York, 2017. p. 1-34 (CHE Research Paper; No. 145).Research output: Working paper › Discussion paper
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TY - UNPB
T1 - The effect of hospital ownership on quality of care
T2 - evidence from England.
AU - Moscelli,Giuseppe
AU - Gravelle,Hugh Stanley Emrys
AU - Siciliani,Luigi
AU - Gutacker,Nils
PY - 2017/3
Y1 - 2017/3
N2 - We investigate whether quality of care differs between public and private hospitals in England with data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospitalsites. Private hospitals treat patients with fewer comorbidities and pasthospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. Conversely, 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 ownership is smaller and 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 ofpublic and private hospitals.
AB - We investigate whether quality of care differs between public and private hospitals in England with data on 3.8 million publicly-funded patients receiving 133 planned (non-emergency) treatments in 393 public and 190 private hospitalsites. Private hospitals treat patients with fewer comorbidities and pasthospitalisations. Controlling for observed patient characteristics and treatment type, private hospitals have fewer emergency readmissions. Conversely, 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 ownership is smaller and 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 ofpublic and private hospitals.
KW - ownership
KW - hospital
KW - quality
KW - choice
KW - distance
KW - Endogeneity
M3 - Discussion paper
T3 - CHE Research Paper
SP - 1
EP - 34
BT - The effect of hospital ownership on quality of care
PB - Centre for Health Economics, University of York
ER -