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Patient switching in a list patient system

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Author Info

  • Iversen, Tor

    ()
    (Institute of Health Management and Health Economics)

  • Lurås, Hilde

    ()
    (Helse Sør-Øst Health Services Research Centre)

Abstract

We study whether the information patients have about physician quality when they choose a physician, influences their probability of switching physicians. We also study whether a physician with unfavorable characteristics, as perceived by patients (ex post), can compensate for patient switching by providing a higher quantity of services to his patients. If so, a trade-off exists between quality characteristics and quantity of services in the physician services market. From panel data covering the entire population of Norwegian general practitioners, we find that information on physician quality, as perceived by patients, has a huge effect on the volume of patients switching physicians. We also find that although physicians who experience patient shortages in general provide more services to their patients than physicians who have enough patients, the increased level of service provision only has a very small impact on the number of patients who decide to switch. We conclude that a higher level of service provision does not seem to compensate for negative characteristics (patients’ impression of competence, empathy etc) of less popular physicians. We suggest that information about the volume of patient switching at the physician practice level should be made public.

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File URL: http://www.hero.uio.no/publicat/2008/2008_4.pdf
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Bibliographic Info

Paper provided by Oslo University, Health Economics Research Programme in its series HERO On line Working Paper Series with number 2008:4.

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Length: 28 pages
Date of creation: 02 Jun 2009
Date of revision:
Handle: RePEc:hhs:oslohe:2008_004

Contact details of provider:
Postal: HERO / Institute of Health Management and Health Economics P.O. Box 1089 Blindern, N-0317 Oslo, Norway
Phone: 2307 5309
Fax: 2307 5310
Email:
Web page: http://www.hero.uio.no/eng.html
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Related research

Keywords: Switching; Economic motives; Capitation; General practice; Patient shortage;

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