The impacts of choice in public services are controversial. This paper exploits a reform in the English National Health Service to assess the impact of relaxing constraints on patient choice. The results suggest that greater choice can enhance quality.
Marty Gaynor, Carol Propper, Stephan Seiler, 09 December 2012
Marty Gaynor, Carol Propper, Stephan Seiler, 13 January 2013
Greater choice and competition in healthcare is a popular reform model. This column discusses recent research suggesting that once restrictions on choice in the UK’s NHS were lifted, patients receiving cardiac surgery became more responsive to the quality of their care. This saved lives and gave hospitals a greater incentive to improve quality.