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Convenient Primary Care and Emergency Hospital Utilization

Edward Pinchbeck

Working Papers from Department of Economics, City University London

Abstract: Participation and utilization decisions lie at the heart of many public policy questions. I contribute new evidence by using hospital records to examine how access to primary care services affects utilization of hospital Emergency Departments in England. Using a natural experiment in the roll out of services, I first show that access to primary care reduces Emergency Departments visits. Additional strategies then allow me to separate descriptively four aspects of primary care access: proximity, opening hours, need to make an appointment, and eligibility. Convenience–oriented services divert three times as many patients from emergency visits, largely because patients can attend without appointments.

Keywords: primary care; emergency care; access; utilization decisions (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-hea
Date: 2018-12-12
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Persistent link: https://EconPapers.repec.org/RePEc:cty:dpaper:19/04

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