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

Hugh Gravelle (), Dan Liu, Carol Propper and Rita Santos ()

Journal of Health Economics, 2019, vol. 68, issue C

Abstract: 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.

Keywords: Quality; Healthcare; Choice; Competition; Family; Physicians (search for similar items in EconPapers)
JEL-codes: I11 I18 (search for similar items in EconPapers)
Date: 2019
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Related works:
Working Paper: Spatial competition and quality: evidence from the English family doctor market (2018) Downloads
Working Paper: Spatial competition and quality: Evidence from the English family doctor market (2018) Downloads
Working Paper: Spatial competition and quality: evidence from the English family doctor market (2018) Downloads
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:68:y:2019:i:c:s0167629618304077

DOI: 10.1016/j.jhealeco.2019.102249

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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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