Is there evidence that competition in healthcare is a good thing? No.BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d4494 (Published 15 July 2011) Cite this as: BMJ 2011;343:d4494
We’re unhappy with the wording of the original correction that we published for this head to head debate (BMJ 2011;343:d4337, doi:10.1136/bmj.d4337). The following version is more informative:
In his head to head article, Nicholas Mays describes a study by Cooper et al as showing that a one standard deviation increase in the measures of competition was generally associated with only a 0.2-0.3% greater reduction in acute myocardial infarction death rates than might otherwise have been expected. In fact, Cooper et al’s findings imply that a one standard deviation increase in competition led to an absolute reduction of 0.9% in acute myocardial infarction mortality over three years, from a baseline of 13.8% in 2006.
Cite this as: BMJ 2011;343:d4494