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The Effect of Waiting Time and Distance on Hospital Choice for English Cataract Patients

Peter Sivey

Melbourne Institute Working Paper Series from Melbourne Institute of Applied Economic and Social Research, The University of Melbourne

Abstract: This paper applies latent-class and multinomial logit models to the choice of hospital for cataract operations in the UK NHS. We concentrate on the effects of travel time and waiting time and especially on the waiting time elasticity of demand. Models including hospital fixed effects rely on changes over time in waiting time to indentify coefficients. The results show how using latent-class multinomial logit models characterises the unobserved heterogeneity in GP practices' choice behaviour and affects the estimated waiting time elasticities of demand. The models estimate waiting time elasticities of demand of approximately -0.1, comparable with previous waiting time-demand models. For the average waiting time elasticity, the simple multinomial logit models are good approximations of the latent-class logit results.

Keywords: hospital choice; waiting time; latent class model (search for similar items in EconPapers)
JEL-codes: I11 (search for similar items in EconPapers)
Pages: 37 pages
Date: 2010-07
New Economics Papers: this item is included in nep-dcm and nep-hea
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http://melbourneinstitute.unimelb.edu.au/downloads ... series/wp2010n10.pdf (application/pdf)

Related works:
Journal Article: The effect of waiting time and distance on hospital choice for English cataract patients (2012) Downloads
Working Paper: The effect of waiting time and distance on hospital choice for English cataract patients (2010) Downloads
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