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Birds of a feather flock together: A study of doctor–patient matching

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  • Godager, Geir

Abstract

In this paper we study individuals’ choice of general practitioners (GPs) utilizing revealed preferences data from the introduction of a regular general practitioner scheme in Norway. Having information on relevant travel distances, we compute decision makers’ travel costs associated with different modes of travel. Choice probabilities are estimated by means of nested logit regression on a representative sample of Oslo inhabitants. The results support the general hypothesis that patients prefer doctors who resemble themselves on observable characteristics. The hypothesis that GP gender has a stronger influence on females’ GP choice than what is the case for males, is rejected.

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  • Godager, Geir, 2012. "Birds of a feather flock together: A study of doctor–patient matching," Journal of Health Economics, Elsevier, vol. 31(1), pages 296-305.
  • Handle: RePEc:eee:jhecon:v:31:y:2012:i:1:p:296-305
    DOI: 10.1016/j.jhealeco.2011.11.003
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    References listed on IDEAS

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    1. Herriges, Joseph A. & Kling, Catherine L., 1996. "Testing the consistency of nested logit models with utility maximization," Economics Letters, Elsevier, vol. 50(1), pages 33-39, January.
    2. Van de Ven, Wynand P. M. M. & Van Praag, Bernard M. S., 1981. "The demand for deductibles in private health insurance : A probit model with sample selection," Journal of Econometrics, Elsevier, vol. 17(2), pages 229-252, November.
    3. Train,Kenneth E., 2009. "Discrete Choice Methods with Simulation," Cambridge Books, Cambridge University Press, number 9780521766555, May.
    4. Hausman, Jerry A. & Ruud, Paul A., 1987. "Specifying and testing econometric models for rank-ordered data," Journal of Econometrics, Elsevier, vol. 34(1-2), pages 83-104.
    5. Scott, Anthony, 2000. "Economics of general practice," Handbook of Health Economics,in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 22, pages 1175-1200 Elsevier.
    6. Scott, Anthony & Vick, Sandra, 1999. "Patients, Doctors and Contracts: An Application of Principal-Agent Theory to the Doctor-Patient Relationship," Scottish Journal of Political Economy, Scottish Economic Society, vol. 46(2), pages 111-134, May.
    7. Arne Risa Hole, 2007. "A comparison of approaches to estimating confidence intervals for willingness to pay measures," Health Economics, John Wiley & Sons, Ltd., vol. 16(8), pages 827-840.
    8. Ryan, Mandy & Wordsworth, Sarah, 2000. "Sensitivity of Willingness to Pay Estimates to the Level of Attributes in Discrete Choice Experiments," Scottish Journal of Political Economy, Scottish Economic Society, vol. 47(5), pages 504-524, November.
    9. Vick, Sandra & Scott, Anthony, 1998. "Agency in health care. Examining patients' preferences for attributes of the doctor-patient relationship," Journal of Health Economics, Elsevier, vol. 17(5), pages 587-605, October.
    10. Beggs, S. & Cardell, S. & Hausman, J., 1981. "Assessing the potential demand for electric cars," Journal of Econometrics, Elsevier, vol. 17(1), pages 1-19, September.
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    Cited by:

    1. Rita Santos & Hugh Gravelle & Carol Propper, 2013. "Does quality affect patients’ choice of doctor? Evidence from the UK," The Centre for Market and Public Organisation 13/306, Department of Economics, University of Bristol, UK.
    2. Li, JingJing & Godager, Geir & Wang, Jian, 2016. "Does physician gender influence the provision of medical care? An experimental study," HERO On line Working Paper Series 2016:6, Oslo University, Health Economics Research Programme.
    3. Stefanie Schurer & Daniel Kuehnle & Anthony Scott & Terence C. Cheng, 2016. "A Man's Blessing or a Woman's Curse? The Family Earnings Gap of Doctors," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 55(3), pages 385-414, July.
    4. Rita Santos & Hugh Gravelle & Carol Propper, 2013. "Does quality affect patients’ choice of doctor? Evidence from the UK," Working Papers 088cherp, Centre for Health Economics, University of York.

    More about this item

    Keywords

    GP services; Discrete choice; Willingness-to-pay; Health care demand;

    JEL classification:

    • C25 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions; Probabilities
    • C83 - Mathematical and Quantitative Methods - - Data Collection and Data Estimation Methodology; Computer Programs - - - Survey Methods; Sampling Methods
    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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