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Do waiting times matter in primary care? GP visits and list sizes in England

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  • Matthew Polisson
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    Abstract

    This paper is largely motivated by the empirical observation that GP visits per person under the NHS have increased in England since the mid-1970s, while list sizes have decreased over the same period� A hypothesis consistent with this observation is that larger list sizes are associated with longer waiting times, which reduce the demand for GP visits.� Using a time series of repeated cross sections from 1972 to 2004, we construct a pseudopanel of synthetic individuals and find very little evidence that list sizes affect visit frequencies.� While there are mild associations consistent with the waiting-time hypothesis among working-age women, there are none for men or the elderly, and no associations are robust to the cohort analysis.� The demand for GP visits is most likely driven by health status, and for women, childbirth.

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    File URL: http://www.economics.ox.ac.uk/materials/working_papers/paper541.pdf
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    Bibliographic Info

    Paper provided by University of Oxford, Department of Economics in its series Economics Series Working Papers with number 541.

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    Date of creation: 01 Mar 2011
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    Handle: RePEc:oxf:wpaper:541

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    Related research

    Keywords: Health; Health services; General practitioners; List sizes; Waiting;

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    1. Richard Blundell & Frank Windmeijer, 2000. "Identifying demand for health resources using waiting times information," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 465-474.
    2. Martin, Stephen & Rice, Nigel & Jacobs, Rowena & Smith, Peter, 2007. "The market for elective surgery: Joint estimation of supply and demand," Journal of Health Economics, Elsevier, vol. 26(2), pages 263-285, March.
    3. 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.
    4. David Parkin & Nigel Rice & Matthew Sutton, 1999. "Non- and semi-parametric estimation of age and time heterogeneity in repeated cross-sections: an application to self-reported morbidity and general practitioner utilization 1," Health Economics, John Wiley & Sons, Ltd., vol. 8(5), pages 429-440.
    5. Besley, Timothy & Hall, John & Preston, Ian, 1999. "The demand for private health insurance: do waiting lists matter?," Journal of Public Economics, Elsevier, vol. 72(2), pages 155-181, May.
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