ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2018
Competition and quality indicators in the health care sector: empirical evidence from the Dutch hospital sector.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Challenging selective contracting: reforms for enhancing patient empowerment in healthcare.Israel journal of health policy research · 2025Article
- The health effect of relaxing entry regulation for private hospitals and its nonlinear characteristics: evidence from China.Frontiers in public health · 2025Article
- Transformational Leadership Style and the Quality of Nursing Care in Riyadh Second Health Cluster, Saudi Arabia.Journal of pharmacy & bioallied sciences · 2024Article
- The Impact of Hospital Competition on the Quality of Care in Europe: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Does hospital competition improve the quality of outpatient care? - empirical evidence from a quasi-experiment in a Chinese city.Health economics review · 2024Article
- Association between hospital competition and quality of prostate cancer care.BMC health services research · 2023Article
- Improving Performance in Complex Surroundings: A Mixed Methods Evaluation of Two Hospital Strategies in the Netherlands.International journal of health policy and management · 2023Article
- The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria.Journal of market access & health policy · 2021Article
- Perceived Competition and Process of Care in Rural China.Risk management and healthcare policy · 2020Article
- Hospital competition and the expenses for treatments of acute and non-acute common diseases: evidence from China.BMC health services research · 2019Article
- Does Hospital Competition Harm Inpatient Quality? Empirical Evidence from Shanxi, China.International journal of environmental research and public health · 2018Article
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Authors and funding
3 authors.
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Abstract
There is much debate about the effect of competition in healthcare and especially the effect of competition on the quality of healthcare, although empirical evidence on this subject is mixed. The Netherlands provides an interesting case in this debate. The Dutch system could be characterized as a system involving managed competition and mandatory healthcare insurance. Information about the quality of care provided by hospitals has been publicly available since 2008. In this paper, we evaluate the relationship between quality scores for three diagnosis groups and the market power indicators of hospitals. We estimate the impact of competition on quality in an environment of liberalized pricing. For this research, we used unique price and production data relating to three diagnosis groups (cataract, adenoid and tonsils, bladder tumor) produced by Dutch hospitals in the period 2008-2011. We also used the quality indicators relating to these diagnosis groups. We reveal a negative relationship between market share and quality score for two of the three diagnosis groups studied, meaning that hospitals in competitive markets have better quality scores than those in concentrated markets. We therefore conclude that more competition is associated with higher quality scores.
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