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Waiting time and doctor shopping in a mixed medical economy

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  • Raymond Y.T. Yeung
  • Gabriel M. Leung
  • Sarah M. McGhee
  • Janice M. Johnston

    (Department of Community Medicine, The University of Hong Kong, China)

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    Abstract

    Waiting time generally acts as a rationing mechanism in the public health care system. In theory, patients who have a higher valuation of time are more likely to seek alternative care (i.e. doctor shopping) if there is a parallel private sector than those who have weaker time preference. However, the existing settings of many health care systems do not allow patients to reveal their preference of such. The data presented in this study suggest a positive association between patients' expressed value of time and doctor shopping behaviour in Hong Kong. Patients who were assigned longer waiting times relative to their expected horizon were more likely to seek private alternative care. Copyright © 2004 John Wiley & Sons, Ltd.

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    File URL: http://hdl.handle.net/10.1002/hec.871
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

    Volume (Year): 13 (2004)
    Issue (Month): 11 ()
    Pages: 1137-1144

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    Handle: RePEc:wly:hlthec:v:13:y:2004:i:11:p:1137-1144

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    Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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    1. Lindsay, Cotton M & Feigenbaum, Bernard, 1984. "Rationing by Waiting Lists," American Economic Review, American Economic Association, American Economic Association, vol. 74(3), pages 404-17, June.
    2. Stéphane Luchini & Christel Protière & Jean-Paul Moatti, 2003. "Eliciting several willingness to pay in a single contingent valuation survey: application to health care," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 12(1), pages 51-64.
    3. Carol Propper, 1995. "The Disutility of Time Spent on the United Kingdom's National Health Service Waiting Lists," Journal of Human Resources, University of Wisconsin Press, vol. 30(4), pages 677-700.
    4. Cullis, John G & Jones, Philip R, 1986. "Rationing by Waiting Lists: An Implication," American Economic Review, American Economic Association, American Economic Association, vol. 76(1), pages 250-56, March.
    5. Besley, Timothy & Hall, John & Preston, Ian, 1999. "The demand for private health insurance: do waiting lists matter?," Journal of Public Economics, Elsevier, Elsevier, vol. 72(2), pages 155-181, May.
    6. Bishai, David M. & Lang, Hui Chu, 2000. "The willingness to pay for wait reduction: the disutility of queues for cataract surgery in Canada, Denmark, and Spain," Journal of Health Economics, Elsevier, Elsevier, vol. 19(2), pages 219-230, March.
    7. J.A. Goddard & M. Tavakoli, 1998. "Referral rates and waiting lists: some empirical evidence," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 7(6), pages 545-549.
    8. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, Elsevier, vol. 71(1), pages 141-164, January.
    9. Hanning, Marianne & Spangberg, Ulrika Winblad, 2000. "Maximum waiting time -- a threat to clinical freedom?: Implementation of a policy to reduce waiting times," Health Policy, Elsevier, Elsevier, vol. 52(1), pages 15-32, May.
    10. Seung-Hoon Yoo & Seung-Jun Kwak & Tai-Yoo Kim, 2001. "Modelling willingness to pay responses from dichotomous choice contingent valuation surveys with zero observations," Applied Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 33(4), pages 523-529.
    11. Iversen, Tor, 1997. "The effect of a private sector on the waiting time in a national health service," Journal of Health Economics, Elsevier, Elsevier, vol. 16(4), pages 381-396, August.
    12. Hamilton, Barton H & Bramley-Harker, Robert Edward, 1999. "The Impact of the NHS Reforms on Queues and Surgical Outcomes in England: Evidence from Hip Fracture Patients," Economic Journal, Royal Economic Society, Royal Economic Society, vol. 109(457), pages 437-62, July.
    13. Johannesson, Magnus & Johansson, Per-Olov & Söderqvist, Tore, 1997. "Time Spent on Waiting Lists for Medical Care: An Insurance Approach," Working Paper Series in Economics and Finance 192, Stockholm School of Economics.
    14. Nichols, D & Smolensky, E & Tideman, T N, 1971. "Discrimination by Waiting Time in Merit Goods," American Economic Review, American Economic Association, American Economic Association, vol. 61(3), pages 312-23, June.
    15. Croxson, Bronwyn & Propper, Carol & Shearer, Arran, 2000. "Waiting Times for Hospital Admissions: the Impact of GP Fundholding," CEPR Discussion Papers, C.E.P.R. Discussion Papers 2489, C.E.P.R. Discussion Papers.
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    Cited by:
    1. Wang, Ming-Jye & Lin, Shu-Ping, 2010. "Study on doctor shopping behavior: Insight from patients with upper respiratory tract infection in Taiwan," Health Policy, Elsevier, Elsevier, vol. 94(1), pages 61-67, January.
    2. Peter Hulshof & Richard Boucherie & Erwin Hans & Johann Hurink, 2013. "Tactical resource allocation and elective patient admission planning in care processes," Health Care Management Science, Springer, Springer, vol. 16(2), pages 152-166, June.
    3. Wong, Irene O.L. & Lindner, Michael J. & Cowling, Benjamin J. & Lau, Eric H.Y. & Lo, Su-Vui & Leung, Gabriel M., 2010. "Measuring moral hazard and adverse selection by propensity scoring in the mixed health care economy of Hong Kong," Health Policy, Elsevier, Elsevier, vol. 95(1), pages 24-35, April.
    4. Guang-Zhen Sun & Yew-Kwang Ng, 2009. "The age-dependent value of time: a life cycle analysis," Journal of Economics, Springer, Springer, vol. 97(3), pages 233-250, July.
    5. Cisse, Boubou & Luchini, Stephane & Moatti, Jean Paul, 2007. "Progressivity and horizontal equity in health care finance and delivery: What about Africa?," Health Policy, Elsevier, Elsevier, vol. 80(1), pages 51-68, January.
    6. Wong, Irene Oi Ling & Chan, Wai-Sum & Choi, Sarah & Lo, Su-Vui & Leung, Gabriel Matthew, 2006. "Moral hazard or realised access to care?: Empirical observations in Hong Kong," Health Policy, Elsevier, Elsevier, vol. 75(3), pages 251-261, February.

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