Intended for healthcare professionals

Letters Competition in healthcare

Competition could substantially benefit healthcare

BMJ 2011; 343 doi: (Published 25 July 2011) Cite this as: BMJ 2011;343:d4727
  1. Martin Gaynor, professor1,
  2. Rodrigo Moreno-Serra, junior research fellow2,
  3. Carol Propper, professor3
  1. 1H John Heinz III School of Public Policy and Management, Carnegie Mellon University, Pittsburgh, PA, USA
  2. 2Imperial College Business School, Imperial College London, London, UK
  3. 3Department of Economics, University of Bristol, Bristol BS8 1TN, UK
  1. carol.propper{at}

In response to May’s concern that competition achieves relatively small gains,1 we have attempted some “back of the envelope” valuations of the gains from the choice and competition policy.

Our research suggests that an average hospital’s all cause standardised mortality rate fell by 0.3% …

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