Effect of patient choice and hospital competition on service configuration and technology adoption within cancer surgery: a national, population-based study.

ABSTRACT:

Background

There is a scarcity of evidence about the role of patient choice and hospital competition policies on surgical cancer services. Previous evidence has shown that patients are prepared to bypass their nearest cancer centre to receive surgery at more distant centres that better meet their needs. In this national, population-based study we investigated the effect of patient mobility and hospital competition on service configuration and technology adoption in the National Health Service (NHS) in England, using prostate cancer surgery as a model.

Methods

We mapped all patients in England who underwent radical prostatectomy between Jan 1, 2010, and Dec 31, 2014, according to place of residence and treatment location. For each radical prostatectomy centre we analysed the

SUBMITTER: Aggarwal A 

PROVIDER: S-EPMC5666166 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature