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Assessing welfare effects of the European Choice Agenda: the case of health care in the United Kingdom

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  • Zigante, Valentina

Abstract

Choice and competition policies in public services are popular reform strategies in the member states of the European Union (EU). The European choice agenda is based on the view in the EU of, "social policy as a productive factor," and the need for, "modernisation," of the EU welfare states. This user-led, consumer oriented approach highlights the need to understand the effects of the choice and competition policies in public service. In conventional welfare economic the focus lies on analysis of efficiency, quality and equity effects and the current empirical evidence show varying results. This paper discusses choice policies in European countries and uses the case of choice in health care in the UK is to assess the welfare effects of choice and competition. The UK has a highly developed consumerist policy, and as it has served as a role model for other European countries implementing choice policies. The welfare effects are assessed using satisfaction with the NHS and subjective well-being as an indicator of individual welfare, gained from the introduction of choice of hospital in 2006. Further the equity aspect of choice is assessed by analysing variation in welfare effects between socio economic groups. The results indicate positive effects of choice, particularly for middle class individuals.

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  • Zigante, Valentina, 2011. "Assessing welfare effects of the European Choice Agenda: the case of health care in the United Kingdom," LSE Research Online Documents on Economics 53449, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:53449
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    File URL: http://eprints.lse.ac.uk/53449/
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    1. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 269-293, July.
    2. Cabiedes, Laura & Guillén, Ana, 2001. "Adopting and adapting managed competition: health care reform in Southern Europe," Social Science & Medicine, Elsevier, vol. 52(8), pages 1205-1217, April.
    3. Joan Costa-Font & Joan Rovira, 2005. "Eliciting preferences for collectively financed health programmes: the 'willingness to assign' approach," Applied Economics, Taylor & Francis Journals, vol. 37(14), pages 1571-1583.
    4. Zack Cooper & Stephen Gibbons & Simon Jones & Alistair McGuire, 2011. "Does Hospital Competition Save Lives? Evidence From The English NHS Patient Choice Reforms," Economic Journal, Royal Economic Society, vol. 121(554), pages 228-260, August.
    5. Bruno S. Frey, 2018. "Economics of Happiness," SpringerBriefs in Economics, Springer, number 978-3-319-75807-7, September.
    6. Propper, Carol & Burgess, Simon & Green, Katherine, 2004. "Does competition between hospitals improve the quality of care?: Hospital death rates and the NHS internal market," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1247-1272, July.
    7. Bruno S. Frey & Alois Stutzer, 2005. "Beyond outcomes: measuring procedural utility," Oxford Economic Papers, Oxford University Press, vol. 57(1), pages 90-111, January.
    8. Cass R. Sunstein & Richard H. Thaler, 2003. "Libertarian paternalism is not an oxymoron," Conference Series ; [Proceedings], Federal Reserve Bank of Boston, vol. 48(Jun).
    9. Ada Ferrer-i-Carbonell, 2002. "Subjective Questions to Measure Welfare and Well-being," Tinbergen Institute Discussion Papers 02-020/3, Tinbergen Institute.
    10. Yew‐Kwang Ng, 1988. "Economic Efficiency Versus Egalitarian Rights," Kyklos, Wiley Blackwell, vol. 41(2), pages 215-237, May.
    11. Ng, Yew-Kwang, 1988. "Economic Efficiency versus Egalitarian Rights," Kyklos, Wiley Blackwell, vol. 41(2), pages 215-237.
    12. Frey, Bruno S & Stutzer, Alois, 2000. "Happiness, Economy and Institutions," Economic Journal, Royal Economic Society, vol. 110(466), pages 918-938, October.
    13. Barr, Nicholas, 2001. "The Welfare State as Piggy Bank: Information, Risk, Uncertainty, and the Role of the State," OUP Catalogue, Oxford University Press, number 9780199246595, Decembrie.
    14. Richard H. Thaler & Cass R. Sunstein, 2023. "Libertarian paternalism," Chapters, in: Cass R. Sunstein & Lucia A. Reisch (ed.), Research Handbook on Nudges and Society, chapter 1, pages 10-16, Edward Elgar Publishing.
    15. Frijters, Paul, 2000. "Do individuals try to maximize general satisfaction?," Journal of Economic Psychology, Elsevier, vol. 21(3), pages 281-304, June.
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    Keywords

    welfare; health care; United Kingdom;
    All these keywords.

    JEL classification:

    • Z00 - Other Special Topics - - General - - - General

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