Competition, Gatekeeping, and Health Care Access
Geir Godager (),
Tor Iversen () and
Ching-to Ma ()
No 2012:2, HERO Online Working Paper Series from University of Oslo, Health Economics Research Programme
We study the impact of competition on primary care physicians’specialty referrals. Our data come from a Norwegian survey in 2008-9 and Statistics Norway. From the data we construct three measures of competition the number of open primary physician practices with and without population adjustment, and the Her…ndahl-Hirschman Index. We build a theoretical model, and derive two opposing e¤ects of competition on gatekeeping physicians’ specialty referrals. The empirical results suggest that competition has negligible or small positive e¤ects on referrals. Our results do not support the policy claim that increasing the number of primary care physicians reduces secondary care.
Keywords: primary; care; physicians (search for similar items in EconPapers)
JEL-codes: H51 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-com and nep-hea
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Journal Article: Competition, gatekeeping, and health care access (2015)
Working Paper: Competition, Gatekeeping, and Health Care Access (2013)
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Persistent link: https://EconPapers.repec.org/RePEc:hhs:oslohe:2012_002
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