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Does hospital ownership affect patient experience? An investigation into public–private sector differences in England?

Does hospital ownership affect patient experience? An investigation into public–private sector differences in England?

Pérotin, Virginie, Zamora, Bernarda, Reeves, Rachel, Bartlett, Will and Allen, Pauline (2013) Does hospital ownership affect patient experience? An investigation into public–private sector differences in England? Journal of Health Economics, 32 (3). pp. 633-646. ISSN 0167-6296 (doi:10.1016/j.jhealeco.2013.03.003)

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Abstract

Using patient experience survey data, the paper investigates whether hospital ownership affects the level of quality reported by patients whose care is funded by the National Health Service in areas other than clinical quality. We estimate a switching regression model that accounts for (i) some observable characteristics of the patient and the hospital episode; (ii) selection into private hospitals; and (iii) unmeasured hospital characteristics captured by hospital fixed effects.
We find that the experience reported by patients in public and private hospitals is different, i.e. most dimensions of quality are delivered differently by the two types of hospitals, with each sector offering greater quality in certain specialties or to certain groups of patients. However, the sum of all ownership effects is not statistically different from zero at sample means. In other words, hospital ownership in and of itself does not affect the level of quality of the average patient’s reported experience. Differences in mean reported quality levels between the private and public sectors are entirely attributable to patient characteristics, the selection of patients into public or private hospitals and unobserved characteristics specific to individual hospitals, rather than to hospital ownership.

Item Type: Article
Additional Information: [1] First published online: 16 March 2013. [2] Published in print: May 2013. [3] Published as: Journal of Health Economics, (2013), Vol. 32, (3), pp.633–646.
Uncontrolled Keywords: patient experience, public–private sector differences, hospital ownership, National Health Service, NHS, UK
Subjects: H Social Sciences > HG Finance
R Medicine > R Medicine (General)
Pre-2014 Departments: School of Health & Social Care
School of Health & Social Care > Centre for Nursing & Healthcare Research
Related URLs:
Last Modified: 14 Oct 2016 09:24
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
URI: http://gala.gre.ac.uk/id/eprint/9971

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