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The Utilization of GP Services in England: An Economic Analysis


  • McGregor, P.

    (University of Ulster)

  • McKee, P.

    (University of Ulster)

  • O'Neill, C.

    (University of Ulster)


In this paper we examine utilization of general practitioner services within the context of a standard utility maximizing model. We focus on the role of health status and income in determining GP utilization. English data from wave eleven of the British Household Panel Survey are used to explain visits and estimate the extent of non-essential visits. An ordered probit analysis is used to estimate relationships between health, income and utilization; severity is accounted for with reference to data on outpatient utilization. The extent of over consumption is estimated at approximately 5%. This is significantly less than that estimated by other commentators and undermines the justification of radical policies such as GP charges.

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  • McGregor, P. & McKee, P. & O'Neill, C., 2005. "The Utilization of GP Services in England: An Economic Analysis," Papers HRBWP15, Economic and Social Research Institute (ESRI).
  • Handle: RePEc:esr:wpaper:hrb15
    Note: Published by ESRI, ISSC & University of Ulster

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    References listed on IDEAS

    1. Nolan, Brian, 1993. "Economic incentives, health status and health services utilisation," Journal of Health Economics, Elsevier, vol. 12(2), pages 151-169, July.
    2. Winfried Pohlmeier & Volker Ulrich, 1995. "An Econometric Model of the Two-Part Decisionmaking Process in the Demand for Health Care," Journal of Human Resources, University of Wisconsin Press, vol. 30(2), pages 339-361.
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