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

50 Pages Posted: 1 Mar 2017

See all articles by Rita Santos

Rita Santos

University of York - Centre for Health Economics

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: March 2017

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%.

Suggested Citation

Santos, Rita and Gravelle, Hugh S. and Propper, Carol, Does Quality Affect Patients’ Choice of Doctor? Evidence from England (March 2017). The Economic Journal, Vol. 127, Issue 600, pp. 445-494, 2017. Available at SSRN: https://ssrn.com/abstract=2924895 or http://dx.doi.org/10.1111/ecoj.12282

Rita Santos (Contact Author)

University of York - Centre for Health Economics ( email )

York YO10 5DD
United Kingdom

Hugh S. Gravelle

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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