Disentangling the Effect of Waiting Times on Hospital Choice: Evidence from a Panel Data Analysis

Quaderni - Working Paper DSE N° 1118

39 Pages Posted: 26 Mar 2018 Last revised: 31 Mar 2018

See all articles by Matteo Lippi Bruni

Matteo Lippi Bruni

University of Bologna - Department of Economics

Cristina Ugolini

University of Bologna - Department of Economics

Rossella Verzulli

University of Bologna - Department of Economics

Date Written: March 21, 2018

Abstract

This study examines the effect of waiting times on hospital choice by using patient-level data on elective Percutaneous Transluminal Coronary Angioplasty (PTCA) procedures in the Italian NHS over the years 2008-2011. We perform a multinomial logit analysis including conditional logit and mixed logit specifications. Our findings show the importance of jointly controlling for time-invariant and time varying dimensions of hospital quality in order to disentangle the effect of waiting times on hospital choice. We provide evidence that patients are responsive to changes in waiting times and aspects of clinical quality within hospitals over time, and estimate the trade-off that patients make between different hospital attributes. The results convey important policy implications for highly regulated health care markets.

Keywords: hospital choice, waiting times, hospital quality, multinomial logit models

JEL Classification: I10

Suggested Citation

Lippi Bruni, Matteo and Ugolini, Cristina and Verzulli, Rossella, Disentangling the Effect of Waiting Times on Hospital Choice: Evidence from a Panel Data Analysis (March 21, 2018). Quaderni - Working Paper DSE N° 1118. Available at SSRN: https://ssrn.com/abstract=3144985 or http://dx.doi.org/10.2139/ssrn.3144985

Matteo Lippi Bruni (Contact Author)

University of Bologna - Department of Economics ( email )

Piazza Scaravilli, 2
40126 Bologna, 40126
Italy

Cristina Ugolini

University of Bologna - Department of Economics ( email )

Piazza Scaravilli 2
Bologna, 40126
Italy

Rossella Verzulli

University of Bologna - Department of Economics ( email )

Strada Maggiore 45
Bologna, 40125
Italy

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