Does Quality Affect Patients' Choice of Doctor? Evidence from England

被引:61
|
作者
Santos, Rita
Gravelle, Hugh
Propper, Carol
机构
[1] Univ York, York YO10 5DD, N Yorkshire, England
[2] Univ Bristol, Bristol BS8 1TH, Avon, England
[3] Imperial Coll London, London, England
[4] CEPR, London, England
来源
ECONOMIC JOURNAL | 2017年 / 127卷 / 600期
基金
英国经济与社会研究理事会;
关键词
SCHOOLS BENEFIT STUDENTS; GENERAL-PRACTICE; PUBLIC-SCHOOLS; PRIMARY-CARE; REGULATED MARKET; HOSPITAL CHOICE; COMPETITION; INCENTIVES; ASTERISK; OUTCOMES;
D O I
10.1111/ecoj.12282
中图分类号
F [经济];
学科分类号
02 ;
摘要
Reforms giving users of public services choice of provider aim to improve quality. But such reforms will work only if quality affects choice of provider. We test this crucial prerequisite in the English health care market by examining the choice of 3.4million individuals of family doctor. Family doctor practices provide primary care and control access to non-emergency hospital care, the quality of their clinical care is measured and published and care is free. In this setting, clinical quality should affect choice. We find that a 1standard deviation increase in clinical quality would increase practice size by around 17%.
引用
收藏
页码:445 / 494
页数:50
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