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: PubMed, ScienceDirect, Wiley Online Library, and Google Scholar. The search protocol covers studies published in English between January 2015 and mid-April 2024.
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