Historical and longitudinal small area analysis of the effects of market-oriented reform on equity of access to NHS care
Lead Research Organisation:
University of York
Department Name: Centre for Health Economics
Abstract
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Organisations
| Description | I found that "internal market" competition in the English NHS in the 1990s had no discernable impact on socioeconomic inequality in the use of hip replacement or heart revascularisation procedures. |
| Exploitation Route | I have developed methods for using small area level administrative data to analyse the effects of competition and other policy interventions on socioeconomic inequality in health care. I continue to use these methods in my own programme of research, now funded by the NIHR. |
| Sectors | Healthcare |
| URL | http://www.york.ac.uk/che/research/equity/competition/ |
| Description | The findings on competition in the NHS were presented at workshops attended by senior UK academics working in the field and senior policy makers from the Department of Health. As far as I know senior people in the policy making community are now aware that past pro-competition reforms of the NHS in fact had no measurable impact on healthcare inequality, despite dire warnings of such impacts at the time. However, it is not possible to say what actual impact these findings had on subsequent naitonal policy on competition in the NHS. |
| First Year Of Impact | 2009 |
| Sector | Healthcare |
| Impact Types | Policy & public services |