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Convenient primary care and emergency hospital utilisation

Edward Pinchbeck

LSE Research Online Documents on Economics from London School of Economics and Political Science, LSE Library

Abstract: Participation and utilisation 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 utilisation 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 Department 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; Utilisation decisions; RES-591-28-0001 (search for similar items in EconPapers)
JEL-codes: I11 I12 I18 D12 (search for similar items in EconPapers)
Date: 2019-12-01
New Economics Papers: this item is included in nep-eur and nep-hea
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Published in Journal of Health Economics, 1, December, 2019, 68. ISSN: 0167-6296

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