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The impact of quality on the demand for outpatient services in Cyprus

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  • Kara Hanson
  • Winnie C. Yip
  • William Hsiao

Abstract

Health policy reforms in a number of countries seek to improve provider quality by sharpening the incentives they face, for example by exposing them to greater competition. For this to succeed, patients must be responsive to quality in their choice of provider. This paper uses data from Cyprus to estimate the effect of quality on patients' choice between public and private outpatient care. It improves on the existing literature by using a more comprehensive set of quality attributes which allows the dimensions of quality that have the largest effect on patient choice of provider to be identified. We also introduce an innovative way of measuring patients' perceptions of quality in a household survey. We find that patients' choice of provider is sensitive to quality, and that interpersonal quality is more important than either technical quality or system‐related factors. Copyright © 2004 John Wiley & Sons, Ltd.

Suggested Citation

  • Kara Hanson & Winnie C. Yip & William Hsiao, 2004. "The impact of quality on the demand for outpatient services in Cyprus," Health Economics, John Wiley & Sons, Ltd., vol. 13(12), pages 1167-1180, December.
    • Handle: RePEc:wly:hlthec:v:13:y:2004:i:12:p:1167-1180
    DOI: 10.1002/hec.898
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    References listed on IDEAS

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    Cited by:

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    2. Zi Yang Wang & Jie Song & Xing Lin Feng, 2023. "A prediction model of patient satisfaction: policy evaluation and sensitivity analysis," Flexible Services and Manufacturing Journal, Springer, vol. 35(2), pages 455-486, June.
    3. Kai Shen Lim & Wei Aun Yap & Winnie Yip, 2022. "Consumer choice and public‐private providers: The role of perceived prices," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1898-1925, September.
    4. Heather Klemick & Kenneth L. Leonard & Melkiory C. Masatu, 2007. "Defining Access to Health Care: Evidence on the Importance of Quality and Distance in Rural Tanzania," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 91(2), pages 347-358.
    5. Qian, Dongfu & Lucas, Henry & Chen, Jiaying & Xu, Ling & Zhang, Yaoguang, 2010. "Determinants of the use of different types of health care provider in urban China: A tracer illness study of URTI," Health Policy, Elsevier, vol. 98(2-3), pages 227-235, December.
    6. Mariétou H. Ouayogodé & Kurt E. Schnier, 2021. "Patient selection in the presence of regulatory oversight based on healthcare report cards of providers: the case of organ transplantation," Health Care Management Science, Springer, vol. 24(1), pages 160-184, March.
    7. Eduardo Fe & Timothy Powell‐Jackson & Winnie Yip, 2017. "Doctor Competence and the Demand for Healthcare: Evidence from Rural China," Health Economics, John Wiley & Sons, Ltd., vol. 26(10), pages 1177-1190, October.
    8. Laura Anselmi & Mylène Lagarde & Kara Hanson, 2015. "Health service availability and health seeking behaviour in resource poor settings: evidence from Mozambique," Health Economics Review, Springer, vol. 5(1), pages 1-13, December.
    9. McPake, Barbara & Hanson, Kara & Adam, Christopher, 2007. "Two-tier charging strategies in public hospitals: Implications for intra-hospital resource allocation and equity of access to hospital services," Journal of Health Economics, Elsevier, vol. 26(3), pages 447-462, May.
    10. Marco Varkevisser & Stéphanie Geest & Frederik Schut, 2010. "Assessing hospital competition when prices don’t matter to patients: the use of time-elasticities," International Journal of Health Economics and Management, Springer, vol. 10(1), pages 43-60, March.
    11. Ziyu Liu & Ke Zhao & Jinquan Liu & Yongfu Liu, 2023. "The Impact of Household Debt on the Health of the Elderly in China: Evidence from China Family Panel Studies," IJERPH, MDPI, vol. 20(4), pages 1-21, February.

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