 |
 |
I'm unclear what sort of assistance you are wanting, Alison+Alyson. I cannot find ref. to Clarkson in the version I have downloaded - what page is it on please? JOHN BIBBY On 17 November 2010 12:23, Macfarlane, Alison <[log in to unmask]>wrote: > Can anyone help here, please? I have read the second of these two papers. > They use econometric concepts and models, including the > Herfindahl-Hirschmann concentration index, the Clarkson Index and the > ‘differences-in-differences’ approach to modelling change. > > > > What I have noticed is that. > > 1. Elective surgery episodes, in which ‘choice’ will have been > introduced have been used to classify hospitals, or is it trusts, but the > analyses focus on acute myocardial infarction in which people go to the > nearest A&E department. > > 2. When ‘choice’ was introduced, some people were made to ‘choose’ > private hospitals with spare capacity or Intermediate sector treatment > units, which did not submit data to HES, so may not have been included in > this analysis. > > 3. There doesn’t seem to be any allowance for selective transfer > between hospitals once admitted. > > > > Alison > > > > *From:* Allyson Pollock [mailto:[log in to unmask]] > *Sent:* 16 November 2010 18:09 > *To:* Macfarlane, Alison > *Cc:* [log in to unmask] Kirkwood; Sylvia Godden > *Subject:* Re: papers > > > > On the LSE website can download > > > > Zack Cooper, Stephen Gibbons, Simon Jones, Alistair McGuire. "Does Hospital > Competition Save Lives? Evidence from the English NHS Patient Choice > Reforms" > LSE Health Working Paper No 16<http://www2.lse.ac.uk/LSEHealthAndSocialCare/LSEHealth/pdf/Workingpapers/WP16.pdf>. > London. > > Zack Cooper, Julian Le Grand. "Unpacking the Relationship Between Patient > Choice and Equity in Health Care". > > > > > > Also > > > > > Death by Market Power: Reform, Competition and Patient Outcomes in the > National Health Service | Martin Gaynor, Rodrigo Moreno-Serra, Carol > PropperMartin Gaynor, Rodrigo Moreno-Serra, Carol Propper: NBER<http://jhpplnewsandnotes.wordpress.com/2010/07/16/death-by-market-power-reform-competition-and-patient-outcomes-in-the-national-health-service-martin-gaynor-rodrigo-moreno-serra-carol-proppermartin-gaynor-rodrigo-moreno-serra-carol-propper-n/> > > *Martin Gaynor <http://papers.nber.org/authors/martin_gaynor>*, *Rodrigo > Moreno-Serra <http://papers.nber.org/authors/rodrigo_moreno-serra>*, *Carol > Propper <http://papers.nber.org/authors/carol_propper>*. *Death by Market > Power: Reform, Competition and Patient Outcomes in the National Health > Service. *NBER Working Paper No. 16164, July 2010. > > The effect of competition on the quality of health care remains a contested > issue. Most empirical estimates rely on inference from non experimental > data. In contrast, this paper exploits a pro-competitive policy reform to > provide estimates of the impact of competition on hospital outcomes. The > English government introduced a policy in 2006 to promote competition > between hospitals. Patients were given choice of location for hospital care > and provided information on the quality and timeliness of care. Prices, > previously negotiated between buyer and seller, were set centrally under a > DRG type system. Using this policy to implement a difference-in-differences > research design we estimate the impact of the introduction of competition on > not only clinical outcomes but also productivity and expenditure. Our data > set is large, containing information on approximately 68,000 discharges per > year per hospital from 162 hospitals. We find that the effect of competition > is to save lives without raising costs. Patients discharged from hospitals > located in markets where competition was more feasible were less likely to > die, had shorter length of stay and were treated at the same cost. Source: > NBER <http://papers.nber.org/papers/w16164>. > > This entry was posted on Friday, July 16th, 2010 at 10:09 PM and is filed > under NN20-Articles-Papers<http://en.wordpress.com/tag/nn20-articles-papers/>. > You can follow any responses to this entry through the RSS 2.0<http://jhpplnewsandnotes.wordpress.com/2010/07/16/death-by-market-power-reform-competition-and-patient-outcomes-in-the-national-health-service-martin-gaynor-rodrigo-moreno-serra-carol-proppermartin-gaynor-rodrigo-moreno-serra-carol-propper-n/feed/> feed. > You can leave a response<http://jhpplnewsandnotes.wordpress.com/2010/07/16/death-by-market-power-reform-competition-and-patient-outcomes-in-the-national-health-service-martin-gaynor-rodrigo-moreno-serra-carol-proppermartin-gaynor-rodrigo-moreno-serra-carol-propper-n/#respond>, > or trackback<http://jhpplnewsandnotes.wordpress.com/2010/07/16/death-by-market-power-reform-competition-and-patient-outcomes-in-the-national-health-service-martin-gaynor-rodrigo-moreno-serra-carol-proppermartin-gaynor-rodrigo-moreno-serra-carol-propper-n/trackback/> from > your own site. > > > > On 16 Nov 2010, at 17:55, Macfarlane, Alison wrote: > > > > Dear all, > > > > Do you have the papers? > > > > Ali > > > > *From:* Allyson Pollock [mailto:[log in to unmask]] > *Sent:* 16 November 2010 17:04 > *To:* [log in to unmask] Kirkwood; Macfarlane, Alison; Sylvia > Godden > *Subject:* papers > > > > From Independent and ow doing the rounds - can we take a look at urgently > . Ali I dont understand the modelling - who can we ask? > > > > > > Indep on Sunday > > Once again, we know "what works". It is the Blair reforms. Brown tried to > tone down some of the more market-sounding language because a lot of people > don't like it, but he didn't really slow the momentum. Some recent academic > research has produced dramatic, and under-reported, findings. A paper this > summer by Martin Gaynor, Rodrigo Moreno-Serra and Carol Propper of Bristol > University and Imperial College assessed the change in 2006 to give patients > the right to choose their hospital: "The effect of competition is to save > lives without raising costs. Patients discharged from hospitals located in > markets where competition was more feasible were less likely to die, had > shorter length of stay and were treated at the same cost." This was no > one-off. A similar study by Zack Cooper and others at the LSE published in > January came to the same stark conclusion that patients were more likely to > die where there was a monopoly provider of NHS services > > > ****************************************************** Please note that if > you press the 'Reply' button your message will go only to the sender of this > message. If you want to reply to the whole list, use your mailer's > 'Reply-to-All' button to send your message automatically to > [log in to unmask] Disclaimer: The messages sent to this list are > the views of the sender and cannot be assumed to be representative of the > range of views held by subscribers to the Radical Statistics Group. To find > out more about Radical Statistics and its aims and activities and read > current and past issues of our newsletter you are invited to visit our web > site www.radstats.org.uk. > ******************************************************* ****************************************************** Please note that if you press the 'Reply' button your message will go only to the sender of this message. If you want to reply to the whole list, use your mailer's 'Reply-to-All' button to send your message automatically to [log in to unmask] Disclaimer: The messages sent to this list are the views of the sender and cannot be assumed to be representative of the range of views held by subscribers to the Radical Statistics Group. To find out more about Radical Statistics and its aims and activities and read current and past issues of our newsletter you are invited to visit our web site www.radstats.org.uk. *******************************************************