Spatial competition and quality: Evidence from the English family doctor market
File(s)
Author(s)
Gravelle, Hugh
Lui, Dan
Propper, Carol
Santos, Rita
Type
Journal Article
Abstract
We examine whether family doctor firms in England respond to local competition by increasing their quality. We measure quality in terms of clinical performance and patient-reported satisfaction to capture its multi-dimensional nature. We use a panel covering 8 years for over 8000 English general practices. We measure competition as the number of rival doctors within a small distance and control for a large number of potential confounders. We find that increases in local competition are associated with increases in patient satisfaction and to a lesser extent in clinical quality. However, the magnitude of the effect is small.
Date Issued
2019-12-01
Date Acceptance
2019-10-14
Citation
Journal of Health Economics, 2019, 68
ISSN
0167-6296
Publisher
Elsevier
Journal / Book Title
Journal of Health Economics
Volume
68
Copyright Statement
© 2019 Elsevier B.V. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
Commission of the European Communities
Economic & Social Research Council (ESRC)
Grant Number
788529
ES/J023108/1
Subjects
Social Sciences
Science & Technology
Life Sciences & Biomedicine
Economics
Health Care Sciences & Services
Health Policy & Services
Business & Economics
Quality
Healthcare
Choice
Competition
Family
Physicians
PAY-FOR-PERFORMANCE
HOSPITAL COMPETITION
HEALTH-CARE
PATIENT CHOICE
CONSOLIDATION
INCREASE
BEHAVIOR
OUTCOMES
TRENDS
REFORM
Choice
Competition
Family
Healthcare
Physicians
Quality
Economic Competition
England
Family Practice
Humans
Patient Reported Outcome Measures
Patient Satisfaction
Physicians, Family
Quality of Health Care
Humans
Family Practice
Physicians, Family
Economic Competition
Patient Satisfaction
Quality of Health Care
England
Patient Reported Outcome Measures
1117 Public Health and Health Services
1402 Applied Economics
1403 Econometrics
Health Policy & Services
Publication Status
Published
Article Number
102249
Date Publish Online
2019-10-17