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Spatial competition and quality: evidence from the English family doctor market

Author

Listed:
  • Hugh Gravelle

    (Centre for Health Economics, University of York, York, UK)

  • Dan Liu

    (Centre for Health Economics, University of York, York, UK)

  • Carol Propper

    (Imperial College London, UK)

  • Rita Santos

    (Centre for Health Economics, University of York, York, UK)

Abstract

We examine whether family doctor firms in England respond to local competition by increasing their quality. We measure quality in terms of clinical performance and patient-reported satisfaction to capture its multi-dimensional nature. We use a panel covering 8 years for over 8000 English general practices, allowing us to control for unobserved local area effects. We measure competition by the number of rival doctors within a small distance. We find that increases in local competition are associated with increases in clinical quality and patient satisfaction, particularly for firms with lower quality. However, the magnitude of the effect is small.

Suggested Citation

  • Hugh Gravelle & Dan Liu & Carol Propper & Rita Santos, 2018. "Spatial competition and quality: evidence from the English family doctor market," Working Papers 151cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:151cherp
    as

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    File URL: https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP151_spatial_competition_quality_family_doctor_market.pdf
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    References listed on IDEAS

    as
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    27. repec:eee:jhecon:v:66:y:2019:i:c:p:117-135 is not listed on IDEAS
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    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 28th October 2019
      by Chris Sampson in The Academic Health Economists' Blog on 2019-10-28 12:00:05

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    1. repec:eee:socmed:v:226:y:2019:i:c:p:217-224 is not listed on IDEAS

    More about this item

    Keywords

    Quality; healthcare; choice; competition; family physicians;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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