Hospital Concentration and Patient Health Gain

Health care reforms in England during the last decade have been influenced by the idea that encouraging competition between hospitals, but with prices fixed nationally, will increase the quality of care for patients. A principal criticism of existing empirical studies is how they measure quality of care.

This Lunchtime Seminar will discuss a study* wherein the authors use the new Patient Reported Outcome Measures (PROMs) data. It directly assesses both the improvements in patients’ health after elective primary hip replacement and the severity of ill health before treatment.The study also links PROMs data and NHS’s Hospital Episode Statistics data in England in for 2011–2012 to analyse the association between hospital market concentration and health improvement for this procedure for the 337 public and independent hospitals that provided NHS-funded hip surgery that year.

The results of the analyses will be presented and discussed at the seminar.

Presenters: Dr Yan Feng, Senior Researcher, Office of Health Economics, and Anita Charlesworth, Chief Economist, Health Foundation, UK

Discussant: Professor Hugh Gravelle, Professor of Economics, Centre for Health Economics, University of York

When: Monday, 22 September 2014, 12:00-2:00 PM (buffet lunch provided)

Where: Sir Alexander Fleming Room at OHE

*Feng, Y., Pistollato, M., Charlesworth, A., Devlin, N., Propper, C. and Sussex, J., 2014. Association between market concentration of hospitals and patient health gain following hip replacement surgery. Journal of Health Services Research & Policy (in press).

Monday, 22 September 2014