Competition and Inequality: Evidence from the English National Health Service 1991–2001

Cookson, Richard; Dusheiko, Mark; Hardman, Geoffrey; Martin, Stephen
July 2010
Journal of Public Administration Research & Theory;Jul2010 Supplement 2, Vol. 20 Issue suppl_2, pi181
Academic Journal
The article presents a study which aims to provide empirical evidence regarding the impact of hospital competition on socioeconomic medical care inequality in English National Health Service (NHS). It uses administrative data on variations in NHS hospital utilization rates. It compares inequality differences every year between areas with noncompetitive and potentially competitive local hospital industry. It finds that the difference of baseline 1991 in area inequality gradients between noncompetitive and potentially competitive groups did not vary in any of the years from 1992 to 2001. It notes that there is no evidence that competition had impact on socioeconomic medical care inequalities in use of heart revascularization or hip replacement.


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