Bibliographische Detailangaben
| Titel: |
Do Pro-Competition Healthcare Reforms Always Bring Health Benefits? Evidence from China. |
| Autoren: |
Peng Z; School of Public Health, Southeast University, Nanjing, China., Laporte A; Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Wei X; Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Pan J; West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China., Coyte PC; Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. |
| Quelle: |
Health systems and reform [Health Syst Reform] 2025 Dec 31; Vol. 11 (1), pp. 2507975. Date of Electronic Publication: 2025 Jun 09. |
| Publikationsart: |
Journal Article |
| Sprache: |
English |
| Info zur Zeitschrift: |
Publisher: Taylor & Francis Group Country of Publication: United States NLM ID: 101697320 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2328-8620 (Electronic) Linking ISSN: 23288620 NLM ISO Abbreviation: Health Syst Reform Subsets: MEDLINE |
| Imprint Name(s): |
Original Publication: Philadelphia, PA : Taylor & Francis Group, [2015]- |
| MeSH-Schlagworte: |
Health Care Reform* , Economic Competition*/statistics & numerical data , Quality of Health Care*/statistics & numerical data, China ; Humans ; Length of Stay/statistics & numerical data ; Female ; Patient Readmission/statistics & numerical data ; Male ; Middle Aged |
| Abstract: |
It is already a common practice for many health care systems in the world to opt for mixed markets where different types of health care facilities compete against each other to offer high-quality health care to patients. Nevertheless, little is known about the effects of the interaction between hospitals of the same or different type on patient health outcomes. This study estimated the impacts of aggregate and specific types of hospital competition by hospital-type on the quality of inpatient care using an analysis dataset comprising 267,183 individuals from China. The Herfindahl-Hirschman index was employed to measure the degree of hospital competition, with length of stay, readmission and mortality being used to measure the quality of inpatient care. The Poisson and binomial logistic models combined with the instrumental variable approach were constructed to estimate the impacts of hospital competition. This study generated three key findings: 1) aggregate hospital competition reduced the quality of inpatient care, as evidenced by a rise in the odds of readmission and length of stay; 2) intra-type hospital competition reduced the quality of inpatient care and in general had larger effects on reducing the quality of inpatient care than inter-type hospital competition; and 3) the only exception was in the way that competition between private nonprofit hospitals contributed to better quality of inpatient care. The overarching suggestion is that instead of treating competition as a panacea for improving health, a flexible plan tailored to specific conditions is needed. |
| Contributed Indexing: |
Keywords: Competition reforms; healthcare quality; hospital competition |
| Entry Date(s): |
Date Created: 20250609 Date Completed: 20250609 Latest Revision: 20250609 |
| Update Code: |
20250611 |
| DOI: |
10.1080/23288604.2025.2507975 |
| PMID: |
40489637 |
| Datenbank: |
MEDLINE |
Nájsť tento článok vo Web of Science