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Does competition in the out-patient sector improve quality of medical care? Evidence from administrative data

Author

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  • Stroka-Wetsch, Magdalena A.
  • Talmann, Anna
  • Linder, Roland

Abstract

We use administrative data from the largest sickness fund in Germany to analyze the relationship between the district density of general and medical practitioner and the quality of care provided to the frail elderly. The quality of care is studied considering prescriptions of potentially inappropriate drugs. We find evidence for a significant positive effect of the share of general and medical practitioners in the population on the provided outpatient health care services.

Suggested Citation

  • Stroka-Wetsch, Magdalena A. & Talmann, Anna & Linder, Roland, 2016. "Does competition in the out-patient sector improve quality of medical care? Evidence from administrative data," Ruhr Economic Papers 638, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
  • Handle: RePEc:zbw:rwirep:638
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    References listed on IDEAS

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    5. Brekke, Kurt R. & Cellini, Roberto & Siciliani, Luigi & Straume, Odd Rune, 2010. "Competition and quality in health care markets: A differential-game approach," Journal of Health Economics, Elsevier, vol. 29(4), pages 508-523, July.
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    7. Hendrik Jürges & Vincent Pohl, 2012. "Medical guidelines, physician density, and quality of care: evidence from German SHARE data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(5), pages 635-649, October.
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    12. repec:zbw:rwirep:0215 is not listed on IDEAS
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    Cited by:

    1. Dietrichson, Jens & Ellegård, Lina Maria & Kjellsson, Gustav, 2016. "Patient Choice, Entry, and the Quality of Primary Care: Evidence from Swedish Reforms," Working Papers 2016:36, Lund University, Department of Economics, revised 27 Jun 2018.

    More about this item

    Keywords

    Priscus-list; inappropriate medication; drugs; fixed-effects; administrative data; elderly; competition; quality of medical supply;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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