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Waiting Times for Hospital Admissions: the Impact of GP Fundholding

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Author Info
Croxson, Bronwyn
Propper, Carol
Shearer, Arran

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Abstract

Waiting times for hospital care are a significant issue in the UK National Health Service. The reforms of the health service in 1990 gave a subset of family doctors (GP fundholders) both the ability to choose the hospital where their patients were treated and the means to pay for some services. One of the key factors influencing family doctors’ choice of hospital was patient waiting time. However, without cash inducements, hospitals would get no direct reward from giving shorter waiting times to a subset of patients. Using a unique data set we investigate whether GP fundholders were able to secure shorter waiting times for their patients, whether they were able to do so in cases where they had no financial rewards to offer hospitals, and whether the impact of fundholding spilled over into shorter waiting times for all patients.

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Paper provided by C.E.P.R. Discussion Papers in its series CEPR Discussion Papers with number 2489.

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Date of creation: Jun 2000
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Handle: RePEc:cpr:ceprdp:2489

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Related research
Keywords: Hospital Care; Physicians And Financial Incentives; Waiting Times;

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Find related papers by JEL classification:
I10 - Health, Education, and Welfare - - Health - - - General

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. 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, vol. 109(457), pages 437-62, July. [Downloadable!] (restricted)
  2. Croxson, B. & Propper, C. & Perkins, A., 2001. "Do doctors respond to financial incentives? UK family doctors and the GP fundholder scheme," Journal of Public Economics, Elsevier, vol. 79(2), pages 375-398, February. [Downloadable!] (restricted)
  3. Brouwer, Werner B. F. & Hermans, Herbert E. G. M., 1999. "Private clinics for employees as a Dutch solution for waiting lists: economic and legal arguments," Health Policy, Elsevier, vol. 47(1), pages 1-17, April. [Downloadable!] (restricted)
  4. Propper, Carol, 1996. "Market structure and prices: The responses of hospitals in the UK National Health Service to competition," Journal of Public Economics, Elsevier, vol. 61(3), pages 307-335, September. [Downloadable!] (restricted)
  5. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, vol. 71(1), pages 141-164, January. [Downloadable!] (restricted)
  6. Stephen C. Earwicker & David K. Whynes, 1998. "General practitioners' referral thresholds and choices of referral destination: an experimental study," Health Economics, John Wiley & Sons, Ltd., vol. 7(8), pages 711-722.
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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. Carol Propper, 2005. "Why economics is good for your health. 2004 Royal Economic Society Public Lecture," Health Economics, John Wiley & Sons, Ltd., vol. 14(10), pages 987-997. [Downloadable!]
    Other versions:
  2. Laudicella, M & Cookson, R & Jones, A.M & Rice, N, 2008. "Health care deprivation profiles in the measurement of inequality and inequity: an application to GP fundholding in the English NHS," Health, Econometrics and Data Group (HEDG) Working Papers 08/06, HEDG, c/o Department of Economics, University of York. [Downloadable!]
    Other versions:
  3. Carol Propper & Deborah Wilson & Simon Burgess, 2005. "Extending Choice In English Health Care: The implications of the economic evidence," The Centre for Market and Public Organisation 05/133, Department of Economics, University of Bristol, UK. [Downloadable!]
    Other versions:
  4. Mark Dusheiko & Maria Goddard & Hugh Gravelle & Rowena Jacobs, 2006. "Trends in health care commissioning in the English NHS: an empirical analysis," Working Papers 011cherp, Centre for Health Economics, University of York. [Downloadable!]
  5. Mark Dusheiko & Hugh Gravelle & Rowena Jacobs & Peter C Smith, . "The Effect of Budgets on Doctor Behaviour: Evidence From A Natural Experiment," Discussion Papers 03/04, Department of Economics, University of York. [Downloadable!]
    Other versions:
  6. Raymond Y.T. Yeung & Gabriel M. Leung & Sarah M. McGhee & Janice M. Johnston, 2004. "Waiting time and doctor shopping in a mixed medical economy," Health Economics, John Wiley & Sons, Ltd., vol. 13(11), pages 1137-1144. [Downloadable!]
  7. James Malcomson, 2003. "Health Service Gatekeepers," Economics Series Working Papers 169, University of Oxford, Department of Economics. [Downloadable!]
    Other versions:
  8. Simon Burgess & Carol Propper & Deborah Wilson, 2002. "Does Performance Monitoring Work? A Review of the Evidence from the UK Public Sector, Excluding Health Care," The Centre for Market and Public Organisation 02/049, Department of Economics, University of Bristol, UK. [Downloadable!]
  9. Mark Dusheiko & Hugh Gravelle & Rowena Jacobs, 2004. "The effect of practice budgets on patient waiting times: allowing for selection bias," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 941-958. [Downloadable!]
  10. Mark Dusheiko & Maria Goddard & Hugh Gravelle & Rowena Jacobs, 2008. "Explaining trends in concentration of healthcare commissioning in the English NHS," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 907-926. [Downloadable!]
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