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Does ownership affect the provision of health services in Ireland? - The Case of Hip Replacements in Public and Private Clinics

Author

Listed:
  • Gerald O'Nolan

    (Department of Economics, University of Limerick)

  • Stephen Kinsella

    (Department of Economics, University of Limerick; Geary Institute, University College Dublin)

  • Eoin Reeves

    (Department of Economics, University of Limerick)

Abstract

This paper examines how ownership affects professional behaviour, treatment quality and patient satisfaction in the case of hip replacements in Ireland. We use quantitative data for public hospitals and the author's own surveys for the private sector and qualitative data from 12 interviews, following the methodology of Andersen and Jakobsen (2010). We find that patient satisfaction is higher in the private sector though the private sector has fewer patients with complications. The surgeons' choice of operating environment is made in light of the back-up facilities available and not influenced by economic considerations. The treatment in both sectors is identical and there is no difference in clinical outcomes due to the professional norms of the consultant surgeons. Ownership of facilities does not affect the clinical outcomes in provision of hip replacements in Ireland.

Suggested Citation

  • Gerald O'Nolan & Stephen Kinsella & Eoin Reeves, 2011. "Does ownership affect the provision of health services in Ireland? - The Case of Hip Replacements in Public and Private Clinics," Working Papers 201129, Geary Institute, University College Dublin.
    • Handle: RePEc:ucd:wpaper:201129
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