ArticleHealth economics2021
Divided by choice? For-profit providers, patient choice and mechanisms of patient sorting in the English National Health Service.
Article in Health economics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Patients' choice of healthcare provider for primary hip and knee arthroplasty: a national register-based observational cohort study of 62,676 patients from Norway, 2014-2018.Acta orthopaedica · 2026Observational
- Geospatial analysis in addressing surgical care inequities: A scoping review and methodological guide.PLOS digital health · 2026Article
- Primary Healthcare Centre Improvement and Privatisation in the Kingdom of Saudi Arabia: A Systematic Review.Cureus · 2024Review
- A decade of outsourcing in health and social care in England: What was it meant to achieve?Social policy & administration · 2024Article
- Patient outcomes, efficiency, and adverse events for elective hip and knee replacement in private and NHS hospitals: a population-based cohort study in England.The Lancet regional health. Europe · 2024Article
- Stroke but no hospital admission: Lost opportunity for whom?PloS one · 2024Article
- Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary.International journal of health economics and management · 2023Article
- "Shopping around" for treatment is not a solution to cancer backlog.BMJ (Clinical research ed.) · 2022Article
- Patient preferences and choices as a reflection of trust-A cluster analysis comparing postsurgical perceptions in a private and a public hospital.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation.The Lancet. Public health · 2022Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper studies patient choice of provider following government reforms in the 2000s, which allowed for-profit surgical centers to compete with existing public National Health Service (NHS) hospitals in England. For-profit providers offer significant benefits, notably shorter waiting times. We estimate the extent to which different types of patients benefit from the reforms, and we investigate mechanisms that cause differential benefits. Our counterfactual simulations show that, in terms of the value of access, entry of for-profit providers benefitted the richest patients twice as much as the poorest, and white patients six times as much as ethnic minority patients. Half of these differences is explained by healthcare geography and patient health, while primary care referral practice plays a lesser, though non-negligible role. We also show that, with capitated reimbursement, different compositions of patient risks between for-profit surgical centers and existing public hospitals put public hospitals at a competitive disadvantage.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.