Inside the Black Box: How Competition between Hospitals Improves Quality and Integration of Services

Chris Pike
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引用次数: 2

Abstract

Recent economic research has shown that fixed-price quality competition in the NHS in England is benefiting patients and taxpayers. This research has focused primarily on important outcomes of competition, for example the number of lives saved. In this paper we focus on the mechanism of competition (sometimes referred to as the ‘black box’) which has led to these higher quality outcomes. This paper uses information obtained by the Co-operation and Competition Panel (CCP) in its investigations into hospital trust mergers over the period May 2011 to May 2012, to illuminate this ‘black box’. In particular, this paper highlights the types of actions taken by hospital trusts facing competition that are likely to improve the quality of the patient’s treatment as well as the patient’s experience. Competition is one of the levers that can deliver benefits for patients and taxpayers protect and promote the interests of people who use health care services.
黑箱内部:医院之间的竞争如何提高服务质量和整合
最近的经济研究表明,英国国家医疗服务体系中固定价格的质量竞争使患者和纳税人受益。这项研究主要关注竞争的重要结果,例如挽救的生命数量。在本文中,我们将关注导致这些高质量结果的竞争机制(有时被称为“黑箱”)。本文利用合作与竞争委员会(CCP)在2011年5月至2012年5月期间对医院信托合并的调查中获得的信息,来阐明这个“黑匣子”。特别是,本文强调了医院信托面临竞争所采取的行动类型,这些行动可能会提高患者的治疗质量以及患者的体验。竞争是可以为患者和纳税人带来好处的杠杆之一,保护和促进使用卫生保健服务的人的利益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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