Does quality affect patients’ choice of Doctor? Evidence from England

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Title: Does quality affect patients’ choice of Doctor? Evidence from England
Author(s): Santos, R
Gravelle, H
Propper, C
Item Type: Journal Article
Abstract: 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 3.4 million 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 1 standard deviation increase in clinical quality would increase practice size by around 17%.
Publication Date: 23-Feb-2016
Date of Acceptance: 13-Jan-2014
URI: http://hdl.handle.net/10044/1/24551
DOI: https://dx.doi.org/10.1111/ecoj.12282
ISSN: 1468-0297
Publisher: Wiley
Start Page: 445
End Page: 494
Journal / Book Title: Economic Journal
Volume: 127
Issue: 600
Copyright Statement: © 2015 The Authors. The Economic Journal published by John Wiley & Sons Ltd on behalf of Royal Economic Society This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: Economic & Social Research Council (ESRC)
Funder's Grant Number: ES/J023108/1
Keywords: 14 Economics
Economics
Publication Status: Published
Appears in Collections:Imperial College Business School



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