Biorn, Erik and Godager, Geir (2008): Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data. Published in: , Vol. 2008-3, No. HERO Working Paper (May 2008)
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Abstract
The impact of quality on the demand facing health care providers has important implications for the industrial organization of health care markets. In this paper we study the consumers' choice of general practitioner (GP) assuming they are unable to observe the true quality of GP services. A panel data set for 484 Norwegian GPs, with summary information on their patient stocks, renders the opportunity to identify and measure the impact of GP quality on the demand, accounting for patient health heterogeneity in several ways. We apply modeling and estimation procedures involving latent structural variables, inter alia, a LISREL type of model, is used. The patient excess mortality rate at the GP level is one indicator of the quality. We estimate the effect of this quality variable on the demand for each GP's services. Our results, obtained from two different econometric model versions, indicate that GP quality has a clear positive effect on demand.
Item Type: | MPRA Paper |
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Original Title: | Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data |
Language: | English |
Keywords: | GP services; Health care quality; Health care demand; Latent variables; LISREL; Panel data; Norway |
Subjects: | I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C23 - Panel Data Models ; Spatio-temporal Models H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H75 - State and Local Government: Health ; Education ; Welfare ; Public Pensions I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health D - Microeconomics > D8 - Information, Knowledge, and Uncertainty > D83 - Search ; Learning ; Information and Knowledge ; Communication ; Belief ; Unawareness C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C33 - Panel Data Models ; Spatio-temporal Models |
Item ID: | 8793 |
Depositing User: | Erik Biorn |
Date Deposited: | 20 May 2008 02:40 |
Last Modified: | 29 Sep 2019 05:04 |
References: | Arrow, K.E. 1963. Uncertainty and the welfare economics of medical care. American Economic Review 53, 941-973. Aigner, D.J., Hsiao, C., Kapteyn, A., and Wansbeek, T. (1984): Latent Variable Models in Econometrics, in Griliches, Z. and M.D. Intriligator (eds.): Handbook of econometrics, vol. II, Amsterdam: North-Holland, 1321-1393. Burns, L.R. and Wholey, D.R. (1992): The Impact of Physician Characteristics in Conditional Choice Models for Hospital Care. Journal of Health Economics 11, 43-62. Chirikos, Thomas N.(1992): Quality Competition in Local Hospital Markets: Some Econometric Evidence from the Period 1982-1988. Social Science & Medicine 34, 1011-1021. Dranove, D. and Satterthwaite, M.A., (2000): The Industrial Organization Of Health Care Markets, in A.J. Culyer and J.P. Newhouse (eds.): Handbook of Health Economics, vol.1. Amsterdam: Elsevier Science, pp. 1093-1139. Gaynor, M. (2006): What Do We Know About Competition And Quality In Health Care Markets? NBER working paper No. w12301. National Bureau of Economic Research. Godager, G.(2008): Consumer Choice and Patient Selection in Health Care: Evidence From the Reform in Norwegian General Practice. Unpublished working Paper. Godager, G., and Lurås, H. (2007): Dual Job Holding General Practitioners: The E®ect of Patient Shortage. Unpublished working Paper. Goldberger, A.S. (1972): Structural Equation Methods in the Social Sciences. Econometrica 40, 979-1001 Howard, D.H. (2005): Quality and Consumer Choice in Healthcare: Evidence from Kidney Transplantation. Topics in Economic Analysis & Policy. Hsiao, C. (2003): Analysis of Panel Data, Second edition. Cambridge: Cambridge University Press. Jøreskog, K.G. (1977): Structural Equation Models in the Social Sciences: Specification, Estimation and Testing, in P.R. Krishnaiah (ed.): Applications of statistics. Amsterdam: North Holland, pp. 265-287. Jøreskog, K.G., D. Sørbom, D., du Toit, D. and du Toit. M. (2000): LISREL 8: New Statistical Features. Lincolnwood, IL: Scientific Software International. Lantz et al. (1998): Socioeconomic Factors, Health Behaviors, and Mortality. Results From a Nationally Representative Prospective Study of US Adults. The Journal of the American Medical Association 279, 1703-1708 Lee, L.F., and Gri±ths, W.E. (1979): The Prior Likelihood and Best Unbiased Prediction in Stochastic Coe±cient Linear Models. Working Papers in Econometrics and Applied Statistics No. 1. Department of Economic Statistics, University of New England. Luft, H.S. et al. (1990): Does Quality In°uence Choice of Hospital? Journal of the American Medical Association 263, 2899-2906. Lurås, H., Paulsen, B. and Finnvold, J.E. (2003): De fleste fikk den de ville ha. (In Norwegian.) Samfunnsspeilet 05/2003. Ma, C.T.A. (1994): Health Care Payment Systems: Cost and Quality Incentives. Journal of Economics and Management Strategy 3, 93-112. Papas G., et al. (1993): The Increasing Disparity in Mortality Between Socioeconomic Groups in the United States, 1960 and 1986. The New England Journal of Medicine 329, 103-109. Statistics Norway (2005a): Dødelighetstabeller 2004. (In Norwegian.) Oslo: Statistics Norway. http://www.ssb.no/emner/02/02/10/dode/arkiv/tab-2005-04-28-05.html. Statistics Norway (2005b): Folkemengde, etter kjønn og etåºarig alder. (In Norwegian.) Oslo: Statistics Norway. http//:statbank.ssb.no/statistikkbanken. Statistics Norway (2006a): Indeks for levekårsproblemer og delindekser for enkeltindikatorer http://www.ssb.no/vis/emner/03/hjulet/tabell-04.html Statistics Norway (2006b): Alders- og kjønnsstandardisert dødelighet. Gjennomsnitt for årene 2001-2005. Dødelighet per 100 000 innbyggere. Konfidensintervall for dødelighetsraten. http://www.ssb.no/emner/03/hjulet/tabell-08.1.html |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/8793 |