Patient switching in general practice
Patients switching physicians involves costs to the patients because of less continuity of care. From a theoretical model we derive that inferior physician quality as perceived by patients, implies patient shortage for the physician and more patients switching physicians. By means of a unique panel data set covering the entire population of Norwegian general practitioners (GPs) and estimation methods that adjust for potential endogeneities, we find that the occurrence of patient shortage increases the proportion of patients switching physicians by 50%. A competing hypothesis that GPs with a shortage of patients experience less switching because of superior access is rejected by data. To assist patients in making informed decisions, we suggest that the number of switches a physician experiences should be made public.
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Volume (Year): 30 (2011)
Issue (Month): 5 ()
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- Wolinsky, Fredric D. & Steiber, Steven R., 1982. "Salient issues in choosing a new doctor," Social Science & Medicine, Elsevier, vol. 16(7), pages 759-767, January.
- Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
- Iversen, Tor & Luras, Hilde, 2000. "Economic motives and professional norms: the case of general medical practice," Journal of Economic Behavior & Organization, Elsevier, vol. 43(4), pages 447-470, December.
- Hugh Gravelle & Giuliano Masiero, .
"Quality incentives in a regulated market with imperfect information and switching costs: capitation in general practice,"
00/18, Department of Economics, University of York.
- Gravelle, Hugh & Masiero, Giuliano, 2000. "Quality incentives in a regulated market with imperfect information and switching costs: capitation in general practice," Journal of Health Economics, Elsevier, vol. 19(6), pages 1067-1088, November.
- Kalda, R. & Polluste, K. & Lember, M., 2003. "Patient satisfaction with care is associated with personal choice of physician," Health Policy, Elsevier, vol. 64(1), pages 55-62, April.
- Grytten, Jostein & Sørensen, Rune, 2008. "Busy physicians," Journal of Health Economics, Elsevier, vol. 27(2), pages 510-518, March.
- Hausman, Jerry A & Taylor, William E, 1981.
"Panel Data and Unobservable Individual Effects,"
Econometric Society, vol. 49(6), pages 1377-98, November.
- Kann, Inger Cathrine & Biørn, Erik & Lurås, Hilde, 2010. "Competition in general practice: Prescriptions to the elderly in a list patient system," Journal of Health Economics, Elsevier, vol. 29(5), pages 751-764, September.
- Biørn, Erik & Godager, Geir, 2009.
"Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data,"
HERO On line Working Paper Series
2008:3, Oslo University, Health Economics Research Programme.
- Biørn, Erik & Godager, Geir, 2010. "Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data," Economic Modelling, Elsevier, vol. 27(4), pages 842-853, July.
- Biorn, Erik & Godager, Geir, 2008. "Does quality influence choice of general practitioner? An analysis of matched doctor-patient panel data," MPRA Paper 8793, University Library of Munich, Germany.
- Grytten, Jostein & Sørensen, Rune J., 2009. "Patient choice and access to primary physician services in Norway," Health Economics, Policy and Law, Cambridge University Press, vol. 4(01), pages 11-27, January.
- Cameron,A. Colin & Trivedi,Pravin K., 2005. "Microeconometrics," Cambridge Books, Cambridge University Press, number 9780521848053, November.
- Paul Klemperer, 1995. "Competition when Consumers have Switching Costs: An Overview with Applications to Industrial Organization, Macroeconomics, and International Trade," Review of Economic Studies, Oxford University Press, vol. 62(4), pages 515-539.
- Iversen, Tor, 2009. "A study of income-motivated behavior among general practitioners in the Norwegian list patient system," HERO On line Working Paper Series 2005:8, Oslo University, Health Economics Research Programme.
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