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The Effects of Hospital Competition on the Quality of Health Care in OECD hospital markets

Khabarova, Anna LU (2013) NEKP01 20132
Department of Economics
Abstract
In an increasing number of Organizations for Economic Co-operation and Development (OECD) countries, the quality of hospital care has been subject to various forms of health policies. Despite much research on the determinants of health care quality, there is no consensus on the underlying factors of health care quality. This thesis contributes to the previous works by analyzing the relationship between hospital competition and quality of care by using data in the areas of health care outcome and utilization measures, which rarely have been examined together. This thesis also uses a comprehensive measure of hospital competition in connection with the analysis of country level data for OECD countries. The results give robust support for the... (More)
In an increasing number of Organizations for Economic Co-operation and Development (OECD) countries, the quality of hospital care has been subject to various forms of health policies. Despite much research on the determinants of health care quality, there is no consensus on the underlying factors of health care quality. This thesis contributes to the previous works by analyzing the relationship between hospital competition and quality of care by using data in the areas of health care outcome and utilization measures, which rarely have been examined together. This thesis also uses a comprehensive measure of hospital competition in connection with the analysis of country level data for OECD countries. The results give robust support for the hypothesis that hospital competition leads to improved outcome of hospital care measured in mortality and length of hospital stay. Results suggest that as the competition intensifies, hospitals are likely to be able to reduce health care mortality. These findings are also confirmed for public and mixed models of a health care system. The evidence that greater competition leads to lower length of hospital stay is partly supported by the data. On the one hand controlling for the heterogeneity in the health care systems with country-specific dummy variables leads to lower length of hospital stay. On the other hand controlling countries in the mixed model of a health care system there is evidence in favor of positive association between length of hospital stay and hospital competition but negative association for countries included in the public health care system. (Less)
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author
Khabarova, Anna LU
supervisor
organization
course
NEKP01 20132
year
type
H2 - Master's Degree (Two Years)
subject
keywords
hospital competition, health care quality, OECD, hospital capacity, average length of stay
language
English
id
4139646
date added to LUP
2013-10-30 13:24:18
date last changed
2013-10-31 03:40:09
@misc{4139646,
  abstract     = {In an increasing number of Organizations for Economic Co-operation and Development (OECD) countries, the quality of hospital care has been subject to various forms of health policies. Despite much research on the determinants of health care quality, there is no consensus on the underlying factors of health care quality. This thesis contributes to the previous works by analyzing the relationship between hospital competition and quality of care by using data in the areas of health care outcome and utilization measures, which rarely have been examined together. This thesis also uses a comprehensive measure of hospital competition in connection with the analysis of country level data for OECD countries. The results give robust support for the hypothesis that hospital competition leads to improved outcome of hospital care measured in mortality and length of hospital stay. Results suggest that as the competition intensifies, hospitals are likely to be able to reduce health care mortality. These findings are also confirmed for public and mixed models of a health care system. The evidence that greater competition leads to lower length of hospital stay is partly supported by the data. On the one hand controlling for the heterogeneity in the health care systems with country-specific dummy variables leads to lower length of hospital stay. On the other hand controlling countries in the mixed model of a health care system there is evidence in favor of positive association between length of hospital stay and hospital competition but negative association for countries included in the public health care system.},
  author       = {Khabarova, Anna},
  keyword      = {hospital competition,health care quality,OECD,hospital capacity,average length of stay},
  language     = {eng},
  note         = {Student Paper},
  title        = {The Effects of Hospital Competition on the Quality of Health Care in OECD hospital markets},
  year         = {2013},
}