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首页> 外文期刊>Journal of health economics >Can governments do it better? Merger mania and hospital outcomes in the English NHS
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Can governments do it better? Merger mania and hospital outcomes in the English NHS

机译：政府可以做得更好吗？英语NHS中的合并狂热和医院结果

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The literature on mergers between private hospitals suggests that such mergers often produce little benefit. Despite this, the UK government has pursued an active policy of hospital mergers, arguing that such consolidations will bring improvements for patients. We examine whether this promise is met. We exploit the fact that between 1997 and 2006 in England around half the short term general hospitals were involved in a merger, but that politics means that selection for a merger may be random with respect to future performance. We examine the impact of mergers on a large set of outcomes including financial performance, productivity, waiting times and clinical quality and find little evidence that mergers achieved gains other than a reduction in activity. Given that mergers reduce the scope for competition between hospitals the findings suggest that further merger activity may not be the appropriate way of dealing with poorly performing hospitals.
机译：有关私立医院之间合并的文献表明，这种合并通常不会产生什么好处。尽管如此，英国政府仍采取积极的医院合并政策，认为这种合并将为患者带来改善。我们检查是否实现了这一承诺。我们利用了这样一个事实，即在1997年至2006年期间，约有一半的短期普通医院参与了合并，但是政治意味着合并的选择对于未来的表现可能是随机的。我们研究了合并对包括财务业绩，生产力，等待时间和临床质量在内的一大堆结果的影响，除了活动减少以外，几乎没有证据表明合并取得了收益。鉴于合并减少了医院之间竞争的范围，研究结果表明，进一步的合并活动可能不是应对表现不佳的医院的适当方法。

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