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The impact of hospital competition on the quality of care in Europe: A systematic review

Healthcare (MDPI). 2024. Vol. 12. No. 22. Article 2218.
Timofeyev Y., Goldenova V., Mantaeva E., Jakovljević M.

This study analyzes the results of empirical studies on the impact of hospital competition (rivalry and market pressure) on the quality of care in European countries. A systematic review has been conducted according to the Preferred Reporting Items for Systematic Reviewing and Meta-Analysis (PRISMA) guidelines, using the following online databases: Web of Science, PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. The search protocol covers studies published in English between January 2015 and mid-April 2024. Eight out of 14 eligible studies document significant positive association, at least in the short term, between hospital competition and the quality of care measured through objective outcome indicators. Of the other six, one study demonstrates a negative relationship in a specific context. The findings of the remaining five studies are heterogeneous and context-dependent (two out of five) or suggest no discernible association between the two examined phenomena (three out of five). The respective contexts with positive, negative, or no statistically significant associations have been identified. The most essential impacts of competition on the quality of hospital care have been summarized and avenues for future research and policy implications have been discussed.

Research target: Health Studies
Language: English
Full text
DOI
Keywords: competitivenessrivalryQuality of carehospital caremarket pressure
Publication based on the results of:
Opportunities and limitations for the development of effective competition in the provision of health care (2024)
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