Free to choose? reform and demand response in the English National Health Service: This paper uses a new model to estimate whether the increased patient choice brought into effect by the NHS reforms will increase demand on hospital services, looking particularly at clinical quality and waiting times for surgical procedures. It found that demand faced by hospitals increased post-reform, giving hospitals potentially large incentives to improve their quality of care. It also found that hospitals responded strongly to the enhanced incentives due to increased demand. Findings suggest that greater choice can enhance quality, leading to significant reductions in mortality and an increase in patient welfare.
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