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

Publication Type:
Journal Article
Citation:
Journal of Health Economics, 2019, 68
Issue Date:
2019-12-01
Filename Description Size
1-s2.0-S0167629618304077-main.pdfPublished Version1.92 MB
Adobe PDF
Full metadata record
© 2019 Elsevier B.V. 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. We measure competition as the number of rival doctors within a small distance and control for a large number of potential confounders. We find that increases in local competition are associated with increases in patient satisfaction and to a lesser extent in clinical quality. However, the magnitude of the effect is small.
Please use this identifier to cite or link to this item: