Does Quality Affect Patients’ Choice of Doctor? Evidence from the UK

56 Pages Posted: 9 Jul 2013

See all articles by Hugh Gravelle

Hugh Gravelle

University of York, Centre for Health Economics

Carol Propper

Imperial College London Business School; Centre for Economic Policy Research (CEPR); University of Bristol - Leverhulme Centre for Market and Public Organisation (CMPO)

Date Written: July 2013

Abstract

Provider competition is a currently popular healthcare reform model. A necessary condition for greater competition to improve quality is that providers will face higher demand if they improve their quality. We test this crucial assumption in an important part of the health care market using data on the choices made by 3.4 million English patients from amongst nearly 1000 family doctor practices. We find that patients do respond to quality: a one standard deviation increase in a publicly available measure of clinical quality would increase the number of patients a practice would attract by around 15%.

Keywords: choice, competition, demand, family practice, healthcare, Quality

JEL Classification: I11, I18

Suggested Citation

Gravelle, Hugh S. and Propper, Carol, Does Quality Affect Patients’ Choice of Doctor? Evidence from the UK (July 2013). CEPR Discussion Paper No. DP9534. Available at SSRN: https://ssrn.com/abstract=2291335

Hugh S. Gravelle (Contact Author)

University of York, Centre for Health Economics ( email )

Alcuin A Block
University of York
York, YO10 5DD
United Kingdom

Carol Propper

Imperial College London Business School ( email )

South Kensington Campus
Exhibition Road
London SW7 2AZ, SW7 2AZ
United Kingdom

Centre for Economic Policy Research (CEPR)

London
United Kingdom

University of Bristol - Leverhulme Centre for Market and Public Organisation (CMPO) ( email )

12 Priory Road
Bristol BS8 1TN
United Kingdom

HOME PAGE: http://www.bris.ac.uk/Depts/Economics/department/profiles/propper.htm

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