The Effects of Hospital Competition on the Quality of Health Care in OECD hospital markets
(2013) NEKP01 20132Department 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)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/4139646
- author
- Khabarova, Anna LU
- supervisor
- organization
- course
- NEKP01 20132
- year
- 2013
- 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}}, language = {{eng}}, note = {{Student Paper}}, title = {{The Effects of Hospital Competition on the Quality of Health Care in OECD hospital markets}}, year = {{2013}}, }