Old Boys’ Network in General Practitioner’s Referral Behavior
We analyzed the impact of social networks on general practitioners’ (GPs) referral behavior based on administrative panel data from 2,684,273 referrals to resident specialists made between 1998 and 2007. To construct estimated social networks, we used information on the doctors’ place and time of study and their hospital work history. We found that GPs referred more patients to specialists within their social networks and that patients referred within a social network had fewer follow-up consultations and were healthier as measured by the number of inpatient days. Consequently, referrals within social networks tended to decrease healthcare costs by overcoming information asymmetry with respect to specialists’ abilities. This is supported by evidence suggesting that within a social network, better specialists receive more referrals than worse specialists in the same network.
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- Phelps, Edmund S, 1972. "The Statistical Theory of Racism and Sexism," American Economic Review, American Economic Association, vol. 62(4), pages 659-61, September.
- Marinoso, Begona Garcia & Jelovac, Izabela, 2003. "GPs' payment contracts and their referral practice," Journal of Health Economics, Elsevier, vol. 22(4), pages 617-635, July.
- J. M. C. Santos Silva & Silvana Tenreyro, 2006.
"The Log of Gravity,"
The Review of Economics and Statistics,
MIT Press, vol. 88(4), pages 641-658, November.
- Santos Silva, J.M.C & Tenreyro, Silvana, 2005. "The Log of Gravity," CEPR Discussion Papers 5311, C.E.P.R. Discussion Papers.
- Joao Santos Silva & Silvana Tenreyro, 2005. "The log of gravity," LSE Research Online Documents on Economics 3744, London School of Economics and Political Science, LSE Library.
- Joao Santos Silva & Silvana Tenreyro, 2005. "The Log of Gravity," CEP Discussion Papers dp0701, Centre for Economic Performance, LSE.
- Anthony, Denise, 2003. "Changing the nature of physician referral relationships in the US: the impact of managed care," Social Science & Medicine, Elsevier, vol. 56(10), pages 2033-2044, May.
- Paul Gompers & Vladimir Mukharlyamov & Yuhai Xuan, 2012. "The Cost of Friendship," NBER Working Papers 18141, National Bureau of Economic Research, Inc.
- Hanming Fang & Andrea Moro, 2010. "Theories of Statistical Discrimination and Affirmative Action: A Survey," NBER Working Papers 15860, National Bureau of Economic Research, Inc.
- Lauren Cohen & Andrea Frazzini & Christopher Malloy, 2008.
"The Small World of Investing: Board Connections and Mutual Fund Returns,"
Journal of Political Economy,
University of Chicago Press, vol. 116(5), pages 951-979, October.
- Lauren Cohen & Andrea Frazzini & Christopher Malloy, 2007. "The Small World of Investing: Board Connections and Mutual Fund Returns," NBER Working Papers 13121, National Bureau of Economic Research, Inc.
- Peter Egger & Michael Pfaffermayr, 2003. "The proper panel econometric specification of the gravity equation: A three-way model with bilateral interaction effects," Empirical Economics, Springer, vol. 28(3), pages 571-580, July.
- Adriaan R. Soetevent, 2006. "Empirics of the Identification of Social Interactions; An Evaluation of the Approaches and Their Results ," Journal of Economic Surveys, Wiley Blackwell, vol. 20(2), pages 193-228, 04.
- Charles F. Manski, 2000.
"Economic Analysis of Social Interactions,"
Journal of Economic Perspectives,
American Economic Association, vol. 14(3), pages 115-136, Summer.
- Allard, Marie & Jelovac, Izabela & Léger, Pierre Thomas, 2011.
"Treatment and referral decisions under different physician payment mechanisms,"
Journal of Health Economics,
Elsevier, vol. 30(5), pages 880-893.
- Marie Allard & Izabela Jelovac & Pierre-Thomas Léger, 2011. "Treatment and referral decisions under different physician payment mechanisms," Post-Print halshs-00650933, HAL.
- Sørensen, Torben Højmark & Olsen, Kim Rose & Vedsted, Peter, 2009. "Association between general practice referral rates and patients' socioeconomic status and access to specialised health care: A population-based nationwide study," Health Policy, Elsevier, vol. 92(2-3), pages 180-186, October.
- Stephen C. Earwicker & David K. Whynes, 1998. "General practitioners' referral thresholds and choices of referral destination: an experimental study," Health Economics, John Wiley & Sons, Ltd., vol. 7(8), pages 711-722.
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