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

Gravelle, H; Liu, D; Propper, C; Santos, R

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

Gravelle, H Liu, D

Propper, C Santos, R

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Publication Type:: Journal Article
Citation:: Journal of Health Economics, 2019, 68
Issue Date:: 2019-12-01

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Field	Value	Language
dc.contributor.author	Gravelle, H	en_US
dc.contributor.author	Liu, D https://orcid.org/0000-0002-1891-9352	en_US
dc.contributor.author	Propper, C	en_US
dc.contributor.author	Santos, R	en_US
dc.date.available	2019-10-14	en_US
dc.date.issued	2019-12-01	en_US
dc.identifier.citation	Journal of Health Economics, 2019, 68	en_US
dc.identifier.issn	0167-6296	en_US
dc.identifier.uri	http://hdl.handle.net/10453/139006
dc.description.abstract	© 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.	en_US
dc.relation.ispartof	Journal of Health Economics	en_US
dc.relation.isbasedon	10.1016/j.jhealeco.2019.102249	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.title	Spatial competition and quality: Evidence from the English family doctor market	en_US
dc.type	Journal Article
utslib.citation.volume	68	en_US
utslib.for	1402 Applied Economics	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1403 Econometrics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	68	en_US

Abstract:

© 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.

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http://hdl.handle.net/10453/139006