The Effect of Waiting Time and Distance on Hospital Choice for English Cataract Patients
AbstractThis paper applies latent-class and multinomial logit models to the choice of hospital for cataract operations in the UK NHS. We concentrate on the effects of travel time and waiting time and especially on the waiting time elasticity of demand. Models including hospital fixed effects rely on changes over time in waiting time to indentify coefficients. The results show how using latent-class multinomial logit models characterises the unobserved heterogeneity in GP practices' choice behaviour and affects the estimated waiting time elasticities of demand. The models estimate waiting time elasticities of demand of approximately -0.1, comparable with previous waiting time-demand models. For the average waiting time elasticity, the simple multinomial logit models are good approximations of the latent-class logit results.
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Bibliographic InfoPaper provided by Melbourne Institute of Applied Economic and Social Research, The University of Melbourne in its series Melbourne Institute Working Paper Series with number wp2010n10.
Length: 37 pages
Date of creation: Jul 2010
Date of revision:
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Postal: Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Victoria 3010 Australia
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More information through EDIRC
hospital choice; waiting time; latent class model;
Other versions of this item:
- Peter Sivey, 2012. "The effect of waiting time and distance on hospital choice for English cataract patients," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 444-456, 04.
- Peter Sivey, 2010. "The effect of waiting time and distance on hospital choice for English cataract patients," Health, Econometrics and Data Group (HEDG) Working Papers 10/09, HEDG, c/o Department of Economics, University of York.
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
This paper has been announced in the following NEP Reports:
- NEP-ALL-2010-07-31 (All new papers)
- NEP-DCM-2010-07-31 (Discrete Choice Models)
- NEP-HEA-2010-07-31 (Health Economics)
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.:
- Kurt R. Brekke & Luigi Siciliani & Odd Rune Straume, 2007.
"Competition and Waiting Times in Hospital Markets,"
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Health, Econometrics and Data Group (HEDG) Working Papers
11/22, HEDG, c/o Department of Economics, University of York.
- Sharma, Anurag & Siciliani, Luigi & Harris, Anthony, 2013. "Waiting times and socioeconomic status: Does sample selection matter?," Economic Modelling, Elsevier, vol. 33(C), pages 659-667.
- Rita Santos & Hugh Gravelle & Carol Propper, 2013. "Does quality affect patientsâ€™ choice of doctor? Evidence from the UK," Working Papers 088cherp, Centre for Health Economics, University of York.
- Kurt R. Brekke & Luigi Siciliani & Odd Rune Straume, 2013.
"Hospital Mergers: A Spatial Competition Approach,"
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04/2013, NIPE - Universidade do Minho.
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