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The effects on waiting times of expanding provider choice:evidence from a policy experiment

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Author Info
Diane Dawson (Centre for Health Economics, University of York)
Hugh Gravelle () (Centre for Health Economics, University of York)
Rowena Jacobs () (Centre for Health Economics, University of York)
Stephen Martin () (Department of Economics, University of York)
Peter C Smith () (Centre for Health Economics, University of York)

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Abstract

Long waiting times for inpatient treatment in the UK National Health Service have long been a source of great popular and political concern, and therefore a target for policy initiatives. One such is the London Patient Choice Project, under which patients at risk of breaching inpatient waiting time targets were offered the choice of an alternative hospital with a guaranteed shorter wait. This paper uses a difference in difference econometric methodology to infer the impact of the choice project on ophthalmology waiting times. In line with our theoretical predictions, it finds that the project led to lower average waiting times in the London region and a convergence in waiting times amongst London hospitals.

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File URL: http://www.york.ac.uk/inst/che/pdf/rp1.pdf
File Format: application/pdf
File Function: First version, 2005
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Publisher Info
Paper provided by Centre for Health Economics, University of York in its series Working Papers with number 001cherp.

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Length: 23 pages
Date of creation: Mar 2005
Date of revision:
Handle: RePEc:chy:respap:1cherp

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

  1. Hugh Gravelle & Peter Smith & Ana Xavier, 2003. "Performance signals in the public sector: the case of health care," Oxford Economic Papers, Oxford University Press, vol. 55(1), pages 81-103, January.
  2. Sascha O. Becker & Andrea Ichino, 2002. "Estimation of average treatment effects based on propensity scores," Stata Journal, StataCorp LP, vol. 2(4), pages 358-377, November. [Downloadable!]
  3. repec:rus:hseeco:122140 is not listed on IDEAS
  4. Richard Blundell & Monica Costa Dias, 2000. "Evaluation methods for non-experimental data," Fiscal Studies, Institute for Fiscal Studies, vol. 21(4), pages 427-468, January. [Downloadable!]
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Merehau Cindy Mervin & Sukhan Jackson, 2009. "How can we improve waiting time for elective surgery in Australian public hospitals?," Discussion Papers Series 387, School of Economics, University of Queensland, Australia. [Downloadable!]
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