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GP Utilisation in Northern Ireland - Exploiting the Gatekeeper Function

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Author Info
Pat McGregor (University of Ulster)
Pat McKee (University of Ulster)
Ciaran O’Neill (University of Ulster)
Abstract

Using data from the Northern Ireland Household Panel survey we demonstrate that attendance at outpatients is determined solely by respondent health. This is consistent with the GP acting as a gatekeeper to other services. Attendance thus provides valuable information on illness severity. Splitting the sample into two statistically distinct groups, we estimate ordered probit regressions of GP utilisation with and without sample selection. The results indicate that ignoring outpatient attendance may result in misspecification. Further, if health is more fully measured, age becomes redundant as a determinant of utilisation and service supply, particularly accident and emergency use, is seen as a significant determinant in explaining GP visits.

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File URL: http://www.esr.ie/Vol37_1/04_McGregor_article.pdf
File Format: application/pdf
File Function: First version, 2006
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Publisher Info
Article provided by Economic and Social Studies in its journal Economic and Social Review.

Volume (Year): 37 (2006)
Issue (Month): 1 ()
Pages: 71-90
Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
Handle: RePEc:eso:journl:v:37:y:2006:i:1:p:71-90

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  1. Starfield, Barbara & Shi, Leiyu, 2002. "Policy relevant determinants of health: an international perspective," Health Policy, Elsevier, vol. 60(3), pages 201-218, June. [Downloadable!] (restricted)
  2. Nolan, Anne & Nolan, Brian, 2003. "A Cross-Sectional Analysis of the Utilisation of GP Services in Ireland: 1987-2001," Papers HRBWP01, Economic and Social Research Institute (ESRI). [Downloadable!]
  3. David Madden & Anne Nolan & Brian Nolan, 2005. "GP reimbursement and visiting behaviour in Ireland," Health Economics, John Wiley & Sons, Ltd., vol. 14(10), pages 1047-1060. [Downloadable!]
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  4. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income-related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647. [Downloadable!]
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This page was last updated on 2009-11-30.


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