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Proximity and waiting times in choice models for outpatient cardiological visits in Italy

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  • Chiara Seghieri
  • Martina Calovi
  • Francesca Ferrè

Abstract

We apply mixed logit regression to investigate patients' choice of non-emergency outpatient cardiovascular specialists in Tuscany, Italy. We focused on the effects of travel time and waiting time. Results reveal that patients prefer clinics nearby and with shorter waiting times. Differences in patient choice depend on age and socioeconomic conditions, thus confirming equity concerns in the access of non-acute services. Our results could be used to optimize the allocation of resources, reduce inequities and increase the efficiency and responsiveness of outpatient systems considering patient preferences.

Suggested Citation

  • Chiara Seghieri & Martina Calovi & Francesca Ferrè, 2018. "Proximity and waiting times in choice models for outpatient cardiological visits in Italy," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-10, August.
  • Handle: RePEc:plo:pone00:0203018
    DOI: 10.1371/journal.pone.0203018
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    References listed on IDEAS

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    1. Kurt R. Brekke & Hugh Gravelle & Luigi Siciliani & Odd Rune Straume, 2014. "Patient Choice, Mobility and Competition Among Health Care Providers," Developments in Health Economics and Public Policy, in: Rosella Levaggi & Marcello Montefiori (ed.), Health Care Provision and Patient Mobility, edition 127, pages 1-26, Springer.
    2. Zack Cooper & Stephen Gibbons & Simon Jones & Alistair McGuire, 2011. "Does Hospital Competition Save Lives? Evidence From The English NHS Patient Choice Reforms," Economic Journal, Royal Economic Society, vol. 121(554), pages 228-260, August.
    3. Hole, Arne Risa, 2008. "Modelling heterogeneity in patients' preferences for the attributes of a general practitioner appointment," Journal of Health Economics, Elsevier, vol. 27(4), pages 1078-1094, July.
    4. Dixon, Anna & Robertson, Ruth & Bal, Roland, 2010. "The experience of implementing choice at point of referral: a comparison of the Netherlands and England," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 295-317, July.
    5. Peter Sivey, 2012. "The effect of waiting time and distance on hospital choice for English cataract patients," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 444-456, April.
    6. Silvia Balia & Rinaldo Brau & Emanuela Marrocu, 2014. "What Drives Patient Mobility Across Italian Regions? Evidence from Hospital Discharge Data," Developments in Health Economics and Public Policy, in: Rosella Levaggi & Marcello Montefiori (ed.), Health Care Provision and Patient Mobility, edition 127, pages 133-154, Springer.
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    1. Amerigo Ferrari & Chiara Seghieri & Andrea Giannini & Paolo Mannella & Tommaso Simoncini & Milena Vainieri, 2023. "Driving time drives the hospital choice: choice models for pelvic organ prolapse surgery in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(9), pages 1575-1586, December.

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