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Medical guidelines, physician density, and quality of care: evidence from German SHARE data

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  • Hendrik Jürges

    ()

  • Vincent Pohl

    ()

Abstract

We use German SHARE data to study the relationship between district general practitioner density and the quality of preventive care provided to older adults. We measure physician quality of care as the degree of adherence to medical guidelines (for the management of risk factors for cardiovascular disease and the prevention of falls) as reported by patients. Contrary to theoretical expectations, we find only weak and insignificant effects of physician density on quality of care. Our results shed doubt on the notion that increasing physician supply will increase the quality of care provided in Germany’s present health care system. Copyright Springer-Verlag 2012

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Bibliographic Info

Article provided by Springer in its journal The European Journal of Health Economics.

Volume (Year): 13 (2012)
Issue (Month): 5 (October)
Pages: 635-649

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Handle: RePEc:spr:eujhec:v:13:y:2012:i:5:p:635-649

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Related research

Keywords: Physician quality of care; Physician density; Preventive care; Chronic disease management; Medical guidelines; I11; I12; J44;

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References

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  1. Parminder Raina & Vicki Torrance-Rynard & Micheline Wong & Christel Woodward, 2002. "Agreement between Self-Reported and Routinely Collected Health Care Utilisation Data among Seniors," Social and Economic Dimensions of an Aging Population Research Papers 81, McMaster University.
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  6. Stephen Morris & Hugh Gravelle, 2006. "GP supply and obesity," Working Papers 013cherp, Centre for Health Economics, University of York.
  7. Dranove, David & Wehner, Paul, 1994. "Physician-induced demand for childbirths," Journal of Health Economics, Elsevier, vol. 13(1), pages 61-73, March.
  8. Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
  9. Douglas Staiger & James H. Stock, 1994. "Instrumental Variables Regression with Weak Instruments," NBER Technical Working Papers 0151, National Bureau of Economic Research, Inc.
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  11. Carlsen, Fredrik & Grytten, Jostein, 2000. "Consumer satisfaction and supplier induced demand," Journal of Health Economics, Elsevier, vol. 19(5), pages 731-753, September.
  12. Christian Hagist & Laurence Kotlikoff, 2005. "Who's Going Broke? Comparing Growth in Healthcare Costs in Ten OECD Countries," NBER Working Papers 11833, National Bureau of Economic Research, Inc.
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Cited by:
  1. Michiel Bijlsma & Pierre Koning & Victoria Shestalova, 2013. "The Effect of Competition on Process and Outcome Quality of Hospital Care in the Netherlands," De Economist, Springer, vol. 161(2), pages 121-155, June.

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