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Choice in the presence of experts: the role of general practitioners in patients' hospital choice

Author

Listed:
  • Walter Beckert

    () (Institute for Fiscal Studies and Birkbeck, University of London)

  • Kate Collyer

    (Institute for Fiscal Studies)

Abstract

This paper considers the micro-econometric analysis of patients' hospital choice for elective medical procedures when their choice set is pre-selected by a general practitioner (GP). It proposes a two-stage choice model that encompasses both, patient and GP level optimization, and it discusses identifi cation. The empirical analysis demonstrates biases and inconsistencies that arise when strategic pre-selection is not properly taken into account. We fi nd that patients defer to GPs when assessing hospital quality and focus on tangible attributes, like hospital amenities; and that GPs, in turn, as patients' agents present choice options based on quality, but as agents of health authorities also consider their financial implications.

Suggested Citation

  • Walter Beckert & Kate Collyer, 2016. "Choice in the presence of experts: the role of general practitioners in patients' hospital choice," IFS Working Papers W16/21, Institute for Fiscal Studies.
  • Handle: RePEc:ifs:ifsewp:16/21
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    References listed on IDEAS

    as
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    Citations

    Blog mentions

    As found by EconAcademics.org, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 2nd July 2018
      by Chris Sampson in The Academic Health Economists' Blog on 2018-07-02 11:00:43

    More about this item

    Keywords

    Discrete choice; patient; principal; GP; agent; expert; endogenous choice sets; competition; hospital choice; elective medical procedure.;

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • C51 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Model Construction and Estimation
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • G11 - Financial Economics - - General Financial Markets - - - Portfolio Choice; Investment Decisions

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