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Do markets deliver? Competition and Choice in European healthcare markets

Carol Propper

The Economic Journal2026https://doi.org/10.1093/ej/ueag033article
AJG 4ABDC A*
Weight
0.50

Abstract

In the last two decades European policy makers have sought to increase the use of market mechanisms in the delivery of healthcare. These reforms introduce competition and choice into previously heavily constrained environments. This leads to a set of interesting economic issues that have been addressed in a range of papers, both theoretical and empirical. This paper examines whether this popular reform model has resulted in improvements in outcomes for patients and/or taxpayers. It synthesises the existing economic analyses, highlights what is known and what is not, and signals potential next steps for economic research.

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https://doi.org/https://doi.org/10.1093/ej/ueag033

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@article{carol2026,
  title        = {{Do markets deliver? Competition and Choice in European healthcare markets}},
  author       = {Carol Propper},
  journal      = {The Economic Journal},
  year         = {2026},
  doi          = {https://doi.org/https://doi.org/10.1093/ej/ueag033},
}

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Do markets deliver? Competition and Choice in European healthcare markets

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Evidence weight

0.50

Balanced mode · F 0.40 / M 0.15 / V 0.05 / R 0.40

F · citation impact0.50 × 0.4 = 0.20
M · momentum0.50 × 0.15 = 0.07
V · venue signal0.50 × 0.05 = 0.03
R · text relevance †0.50 × 0.4 = 0.20

† Text relevance is estimated at 0.50 on the detail page — for your query’s actual relevance score, open this paper from a search result.